终身息镇静:患病率,特征和可能的决定因素
Maria Isabel Carrasco-Zafra1,2, Ricardo Ocaña-Riola3, Rafael Gómez-García1,2
1Fundación Cudeca, Málaga, 29631, Spain.
BMC palliative care
|December 5, 2024
概括
在16.7%的患者中使用了息镇静 (PS). 早期强烈的阿片类药物使用和较低的日常生活依赖与更高的PS几率有关,有助于终身护理计划.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 在生命末期的护理.
- 临床实践研究 临床实践研究
背景情况:
- 息镇静 (PS) 的实践在全球范围内有所不同.
- 了解区域差异至关重要.
- 识别预测PS需求的因素可以改善患者的护理.
研究的目的:
- 确定PS的流行率和特征在专门的息治疗单位.
- 分析与使用PS相关的因素.
主要方法:
- 在息治疗病房中对533名已故患者进行横截面研究.
- 收集了临床,功能 (Barthel,PPS) 和复杂性数据.
- 多变量逻辑回归分析了PS预测器.
主要成果:
- PS的流行率为16.7%.
- 常见的耐火性症状包括妄想 (36.1%),疼痛 (31.9%) 和呼吸障碍 (25%).
- 与早期强度阿片类药物使用 (OR=2.10) 和较低的功能依赖 (OR=0.41) 相关的PS概率更高.
结论:
- 早期阿片类药物启动和功能状态是PS的关键预测因素.
- 这些因素可以指导个性化的终身护理计划.
- 对PS的知情同意通常是代理 (81%).
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