在退伍军人事务透析单元的同时住院:一个单一的中心经验和经过4年的教训
Eric Magliulo1, Ketki Tendulkar1, Kaeli Samson1
1University of Nebraska Medical Center, Omaha, NE, USA.
The American journal of hospice & palliative care
|November 19, 2024
概括
现在可以为血液透析的末期病 (ESKD) 患者提供临床护理. 同时的临终关怀登记并没有增加这一群体的医疗保健使用量,从而促进了更好的终身护理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 抚慰性护理是一种缓解性护理.
- 医疗保健政策 医疗保健政策
背景情况:
- 末期脏病 (ESKD) 患者在历史上被排除在临终关怀福利之外,除非他们停止脏替代疗法.
- 最近的政策变化允许选择ESKD患者同时接受临终关怀和血液透析服务.
研究的目的:
- 评估同时住院入院对门诊血液透析患者医疗保健资源利用的影响.
- 为患有末期脏病的患者提供有关临终关怀的政策和实践的信息.
主要方法:
- 从2019年到2022年在VA医疗中心对门诊血液透析患者死亡的回顾性分析.
- 临床数据和医疗保健资源利用率的比较:同时住院的患者与未住院的患者.
主要成果:
- 同时住院招生与血液透析患者中医疗资源利用率的增加没有关联.
- 这一发现表明,临终关怀服务可以安全地与血液透析相结合.
结论:
- 将临终关怀与血液透析相结合是可行的,并且似乎不会增加医疗保健资源利用率.
- 在透析患者中增加宿舍入学率可以促进最佳的终身护理和患者福祉.
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