可避免的紧急入院:定义该概念
Tânia Dos Santos Afonso1, Lurdes Martins1, Manuel Luís Capelas1
1Associate Professor, Universidade Católica Portuguesa, Portugal.
International journal of palliative nursing
|September 14, 2024
概括
息治疗患者的可避免的急诊往往源于社区支持和息护理资源不足. 通过定义这些入院情况,可以明确何时真正需要医院护理,从而改善临终期患者的治疗结果.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
背景情况:
- 临终期患者的急诊室入院经常发生,因为社区支持不足和息护理资源有限.
- 这突显了临终期患者在无的护理过渡中存在的差距.
研究的目的:
- 为接受息治疗的患者确定"可避免的紧急入院"的明确定义.
- 区分必要和不必要的紧急诊所访问对于这个弱势群体.
主要方法:
- 进行了综合性文献审查,以综合现有研究.
- 为了在定义上达成共识,采用了涉及息护理专家的两步Delphi过程.
主要成果:
- 达成了高度共识,在家庭护理团队下的息患者不应被录取到急诊室.
- 对于没有先前社区支持信息的疼痛患者的入院,观察到的共识很低.
结论:
- "可避免的紧急入院"被定义为在家庭或初级保健环境中可管理的情况的访问,或不需要立即干预或改善患者舒适性的访问.
- 这一定义旨在减少不必要的急诊,并优化息护理的提供.
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