在接受终身护理的晚期痴呆症患者的症状管理
Maria Drummond1,2, Bridget Johnston1,3
1University of Glasgow, School of Medicine, Dentistry and Nursing, Glasgow, UK.
Current opinion in supportive and palliative care
|October 11, 2024
概括
晚期痴呆症的息护理不足,在症状管理方面存在重大未满足的需求. 改善护理人员培训和综合护理系统对于提高生活质量和症状控制至关重要.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 神经学 神经学
背景情况:
- 晚期痴呆症带来了复杂的症状管理挑战.
- 对于生命最后一年的人来说,息护理需要专门的方法.
- 护理环境和不可预测的疾病轨迹使终身护理决策复杂化.
研究的目的:
- 综合当代研究对晚期痴呆症患者在生命的最后一年的症状管理.
- 强调息治疗和痴呆症护理专家面临的挑战.
- 为高级痴呆症护理的临床决策提供见解.
主要方法:
- 对最近的研究进行系统的文献审查.
- 分析关于症状管理的当代研究.
- 综合了有关息护理需求和挑战的发现.
主要成果:
- 显著的未满足的息护理需求,特别是在症状管理 (疼痛,呼吸困难,痛苦).
- 频繁的症状管理不善有助于低于最佳的护理.
- 护理人员负担很高,由于痴呆症进展不可预测,护理是分散的.
结论:
- 目前对于晚期痴呆症的息治疗是不够的.
- 缺乏量身定制的干预措施,不良的症状控制和不连接的系统阻碍了生活质量.
- 加强护理人员培训,跨学科合作和综合护理至关重要.
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