探索埃德蒙顿症状评估系统在息治疗患者中的实施的影响:系统性审查
Hassan R Alsuliman1, Sukaynah A Alsaigh1, Faisal A Habib1
1Department of Palliative Medicine, King Fahad Medical City, Riyadh, SAU.
Cureus
|November 6, 2024
概括
埃德蒙顿症状评估系统 (ESAS) 有效地改善了息治疗中的症状评估和控制. 它的使用通过指导临床决策和改善护理团队之间的沟通来提高患者的生活质量.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 症状管理 症状管理
- 临床评估工具 临床评估工具
背景情况:
- 高质量的息治疗需要有效的症状控制,以评估患者随时间的痛苦为指导.
- 埃德蒙顿症状评估系统 (ESAS) 是一个经过验证的,用户友好的工具,用于测量息治疗中的各种症状.
- 在全球范围内,ESAS被用于日常临床护理,多学科团队沟通和质量评估.
研究的目的:
- 系统地审查埃德蒙顿症状评估系统 (ESAS) 对症状评估和控制的影响.
- 评估ESAS在高级或末期疾病的成年患者的息护理环境中的影响.
主要方法:
- 2013年至2023年间发表的原始研究的系统审查,这些研究利用ESAS在息护理中.
- 进行手动和电子数据库搜索以确定相关研究.
- 该ROBINS-I工具评估了包括的8项非随机研究 (3184名患者) 的方法质量和偏差风险.
主要成果:
- 疲劳和疼痛是最常见的高得分症状,而恶心和呼吸障碍得分最低.
- 在包括的研究中,ESAS得分在随访期间有所改善.
- 两项研究报告了患者和护理人员对ESAS工具的满意度.
结论:
- 埃德蒙顿症状评估系统 (ESAS) 改善了息治疗患者的整体生活质量.
- 埃萨斯 (ESAS) 协助医疗保健专业人员,家庭和护理人员进行有条不的症状评估和治疗.
- 使用ESAS通过加强沟通和护理人员参与,促进以患者为中心的方法.
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