在接受住院息护理的患者中,感知到的痛苦的变化
Chao-Hung Yu1, Chun-Min Chen2, Ying-Li Lin3,4,5,6
1Division of Cardiovascular Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.
住院息护理对患者的痛苦有不同的影响. 幸存者改善了睡眠和呼吸,而非幸存者看到疼痛缓解,但恶化了食欲和疲劳.
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
- 在生命末期的护理.
背景情况:
- 了解息治疗对患者结果的影响对于改善终身护理至关重要.
- 息治疗旨在减轻严重疾病患者的痛苦并提高他们的生活质量.
研究的目的:
- 调查在接受住院息治疗的患者中感知到痛苦的变化.
- 为了比较存活到出院的患者和没有存活到出院的患者之间的痛苦水平.
主要方法:
- 台湾息治疗单位191名患者的回顾性队列研究 (2021年1月至12月).
- 患者被分为"存活到出院"和"不存活"两组.
- 症状评估尺度 (SAS) 用于每天的痛苦测量;在入院时,第3天和第7天的比较得分.
主要成果:
- 在睡眠,食欲,肠道问题,呼吸,疲劳和疼痛方面在第一周观察到显著的症状强度变化.
- 没有幸存者的疼痛有所改善,但食欲,肠道功能和疲劳的痛苦恶化.
- 幸存者在睡眠障碍和呼吸困难方面经历了持续改善.
结论:
- 住院息护理影响基于生命终结轨迹的感知痛苦不同.
- 息护理策略需要加强,以提供全面的患者支持,尤其是临终患者.
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