晚期慢性阻塞性肺病患者的生命终结偏好
M Aurora Mendes1,2,3, Anouk Jl Muijsenberg4,5,6, Sarah Houben-Wilke4
1Pulmonology, Unidade Local de Saúde da Região de Aveiro (ULSRA), Aveiro, Portugal aurora.mendes@ua.pt.
BMJ supportive & palliative care
|September 20, 2024
概括
大多数晚期慢性阻塞性肺病 (COPD) 患者希望讨论生命末期护理,特别是那些健康状况较差和高等教育程度较低的人. 这些发现凸显了患者对共享决策和开放沟通的偏好.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 呼吸系统医学 呼吸系统医学
- 临床试验 临床试验
背景情况:
- 晚期慢性阻塞性肺病 (COPD) 提出了复杂的终身护理挑战.
- 了解患者的偏好对于改善护理质量至关重要.
研究的目的:
- 为了确定晚期COPD患者的生命末期偏好.
- 为了比较那些希望进行生命终结讨论的患者和那些不希望进行讨论的患者的特征.
主要方法:
- 对先进的COPD患者随机对照试验 (GOLD III-IV阶段) 的基线数据的分析.
- 参与者被采访使用生命终点偏好采访医院出院后.
- 包括标准包括修改后的医学研究理事会规模等级≥2.2.
主要成果:
- 包括165名参与者 (53%男性,平均年龄68岁);55%的人依赖护理.
- 大多数人希望共享决策 (78%),有关预期寿命短暂的信息 (82%),生命结束的讨论 (82%) 和亲人出席 (87%).
- 想要讨论生命终结的患者具有高等教育 (p=0.030) 和更差的健康状况 (p=0.007).
结论:
- 晚期COPD患者对生命末期的偏好各不相同.
- 大多数患者希望讨论生命末期的问题,特别是那些健康状况较差,受过高等教育的人.
- 研究结果支持在这个人群中主动讨论生命终端护理.
相关概念视频
Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
COPD: Management Using Bronchodilators and Corticosteroids
186
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
186
Chronic Obstructive Pulmonary Disease
1.2K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.2K
Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.7K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.7K
Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
Ethical Issues
870
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
870


