关于葡萄牙内科医疗护理的良好实践的共识 面临临临近死亡的患者:德尔菲研究
Rui Carneiro1, Manuel Luís Capelas2,3,4, Catarina Simões1,5
1Palliative Care Team, Internal Medicine, Emergency and Intensive Care Department, Hospital da Luz-Arrábida, 4400-346 Vila Nova de Gaia, Portugal.
Healthcare (Basel, Switzerland)
|October 16, 2024
概括
专家们就评估葡萄牙内科患者生命终端护理的工具达成共识. 然而,关于预防性药物用于症状控制的协议没有达成,需要进一步的研究.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 内部医学 内部医学
- 医疗保健的质量 医疗保健的质量
背景情况:
- 现代医学力求有尊严的生命终结体验.
- 确保以证据为基础的最佳医疗保健对于良好的生命结束至关重要.
研究的目的:
- 在一个全面的工具上达成共识,以评估即将死亡的住院患者.
- 建议预期药物治疗策略,以控制住院和家庭护理机构的症状.
- 使用国际合作的10/40模式,为临终患者提供最好的护理.
主要方法:
- 采用了德尔菲方法,与23位葡萄牙内科医生一起,他们是息疗法的专家.
- 进行了多轮的问卷管理.
- 在2022年7月和9月收集的数据.
主要成果:
- 在评估工具的诊断,评估,监测和死后护理组件上达成共识.
- 对该工具的措辞和内容进行了微小的调整.
- 大多数关于预防性药物治疗症状控制的建议都没有达成共识.
结论:
- 建立了一个基于共识的工具,用于评估葡萄牙内科病房的终身护理.
- 从息治疗专家的角度定义了最佳实践.
- 需要进一步的文献审查和达成共识,以获得症状管理中的最佳药理实践.
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