用患者报告的结果确定心力衰竭患者的息护理需求
Camilla Lykke1, Birgit Jurlander2, Ola Ekholm3
1Department of Oncology and Palliative Care (C.L, G.I.J, S.L, L.V.H), North Zealand Hospital, Hillerød, Denmark; Section of Palliative Medicine (C.L, P.S, G.P.K, I.E, A-D.Z), Department of Oncology, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.
心力衰竭患者经历了显著的症状负担,需要息治疗. 妇女,老年人和患有严重疾病的人面临着最大的挑战,强调需要系统的评估和干预.
科学领域:
- 心脏病学 心脏病学
- 抚慰性护理是一种缓解性护理.
- 症状管理 症状管理
背景情况:
- 心力衰竭 (HF) 是一种复杂的疾病,具有相当大的症状负担和死亡率.
- 有效的管理需要了解患者报告的症状和息护理需求.
研究的目的:
- 描述心力衰竭 (HF) 患者的症状负担.
- 为了确定HF患者的息护理需求.
- 在性别,年龄和纽约心脏协会 (NYHA) 功能分类方面分析症状负担.
主要方法:
- 成年HF患者的横截面问卷调查 (NYHA II,III,IV).
- 使用经过验证的患者报告结果措施 (PROMs) 评估息护理需求.
- 从北西兰医院心脏病学系招聘,丹麦.
主要成果:
- 314名患者完成了调查,平均年龄为74岁.
- 53%的人认为他们的健康状况不错或不好;67%的NYHA III/IV患者有≥4个严重的息症状.
- 女性,老年患者和NYHA III/IV分类患者报告生活质量,功能能力和症状负担较差.
结论:
- 肝炎患者的症状患病率很高,这表明需要大量的息护理.
- 女性,老年患者和晚期肝炎患者的症状负担最大.
- 在心脏病学中,PROM和系统评估对于整合症状修饰和息护理干预措施至关重要.
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