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在维持透析中功能衰竭患者的终身护理:一项基于人口的回顾性研究
Shuaib Hafid1, Sarina R Isenberg2,3, Aleisha Fernandes1
1Department of Family Medicine, McMaster University, Hamilton, ON, Canada.
Canadian journal of kidney health and disease
|September 24, 2024
概括
科医生和初级保健医生管理大部分脏衰竭患者的终身护理. 综合性息护理参与与生命末期急性护理死亡人数减少有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 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
背景情况:
- 科医生经常管理维持透析的功能衰竭 (KF) 患者的终身护理.
- 主要护理和息护理医生的参与可以改善这些患者的生命终结体验.
研究的目的:
- 描述KF患者在维持透析中的生命最后一年的门诊护理模式.
- 分析这个人群中生命末期急性护理的使用情况.
主要方法:
- 使用加拿大安大略省 (2017-2019) 人口级卫生行政数据进行的回顾性队列研究.
- 基于医生计费代码,分析门诊接触,生命最后一个月的急症护理访问,以及死亡地点.
- 通过统计比较已识别的医生专业模式的结果.
主要成果:
- 确定了三种门诊护理模式:初级护理/病学/息护理三位一体 (25.5%),初级护理/病学二位一体 (59.3%) 和非初级护理 (15.2%).
- 临终关怀的参与更频繁,更接近死亡.
- 81.4%的患者在过去一个月中至少住过一次医院或ED日;然而,三合一模式显示急性护理死亡人数较少 (65.8%).
结论:
- 脏病学和初级保健是临终期透析患者的主要门诊提供者.
- 虽然急性护理的使用在各种模式中是相似的,但涉及息护理的三元组与更好的死亡地点结果有关.
- 需要进一步的研究,以确定终身功能衰竭患者的最佳护理模式.
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