管理心房和多病症的老年患者:呼吁采取系统的方法
Colinda van Deutekom1, Jeroen M L Hendriks2,3, Marius Myrstad4
1Department of Cardiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Expert review of cardiovascular therapy
|October 23, 2024
概括
管理多种健康状况 (多种疾病) 的心房动 (AF) 是复杂的,特别是对于老年人. 需要全面的,以患者为中心的护理模式,以改善结果并降低医疗保健成本.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心房动 (AF) 经常与心血管和非心血管并发症同时发生,这种情况被称为多发症.
- 多病症在老年肌痛动脉患者中尤为普遍,导致不良结果,治疗复杂性和医疗费用增加.
- 预计多病症老年患者的发病率将增加,需要更新临床实践指南和管理策略.
研究的目的:
- 概述AF管理中的多病症的挑战.
- 强调AF患者综合性并发症管理的重要性.
- 为提供综合护理提供提供一种新的系统模型提出建议.
主要方法:
- 这篇视角文章回顾了当前的临床实践和国际指导方针,用于AF管理在多病情的背景下.
- 它讨论了综合护理的基本组成部分,包括以患者为中心,多学科合作和技术支持.
- 提出了一种新的护理提供模式,该模型基于多重疾病管理的系统方法.
主要成果:
- 目前的AF管理指南需要调整,以应对多病症的复杂性.
- 综合护理,以患者为中心的重点和多学科团队为特色,对于最佳管理至关重要.
- 通过技术支持的多病症管理的系统方法,为未来的护理提供了一个有希望的框架.
结论:
- 针对具有多种疾病的老年AF患者提供最佳的个性化护理需要多学科团队的全面管理和积极的患者参与.
- 一种系统的综合护理方法显示出潜力,但需要进一步的研究来确认可行性和完善并发症优先级.
- 未来的研究应该集中在评估系统的多病症管理模型在AF的实际实施和有效性.
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