在熟练护理机构实施息治疗的可行性试点实用试验的结果
Joan G Carpenter1,2, Amy Jackson1, Nancy Hodgson3
1University of Maryland Baltimore School of Nursing, Baltimore, Maryland, USA.
Journal of palliative medicine
|November 8, 2024
概括
在熟练的护理机构中,在急性后护理 (PPC-PAC) 中实施初级息治疗是可行的,并且可以接受重病的老年人和临床医生. 需要进一步的研究来证实它的有效性.
科学领域:
- 老年学是指老年学的学科.
- 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:
- 在熟练护理设施 (SNFs) 中,严重患病的老年人面临着高的再住院和死亡率.
- 后急性护理 (PPC-PAC) 中的初级息护理干预旨在使护理与患者的目标保持一致,并改善生活质量.
研究的目的:
- 评估在SNF中实施PPC-PAC干预的可行性和可接受性.
- 评估PPC-PAC干预的初步有效性结果.
主要方法:
- 一个两组,多站点可行性试点实用性临床试验,具有非等效设计.
- 关键的结果指标包括资格,入学,数据收集率,咨询满意度,忠诚度和生活质量.
主要成果:
- 几乎70%的符合条件的参与者在12个国家无限基金中注册.
- 观察到高参与者满意度 (80%) 和临床医师忠诚度 (90%).
- 在21天的随访期间,没有发现生活质量的显著差异.
结论:
- 对于老年人和SNF的临床医生来说,PPC-PAC干预是可行的,可以接受的.
- 未来的研究应该集中在有效性和最佳实施策略上.
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