对于入院外科服务的患者,专业息咨询的模式
Zoe Tao1, Kathryn Fowler1, Nellie Trenga-Schein1
1Department of Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Journal of palliative medicine
|December 12, 2024
概括
息治疗 (PC) 咨询并不能防止高风险的手术. 早期PC参与手术决策可以支持疾病管理,并且不会阻止患者接受必要的手术护理.
科学领域:
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
- 手术护理 手术护理
背景情况:
- 从历史上看,人们认为息治疗 (PC) 限制了手术选择.
- 这种看法可能会阻止患者寻求早期PC咨询.
研究的目的:
- 调查PC咨询和外科患者护理轨迹之间的关系.
- 确定PC咨询是否影响外科住院患者选择手术与非手术治疗的选择.
主要方法:
- 接受PC咨询 (2020-2021) 的手术患者的回顾性图表审查.
- 根据美国心脏协会的指导方针,手术被分为"高风险".
- 群体间的一致统计比较. 群体之间的统计比较.
主要成果:
- 在27%的外科住院患者中,PC咨询参与了手术决策.
- PC协助与高风险手术程序的发生率较高有关 (OR 3.29).
- 没有发现PC参与与退院或住院死亡之间的关联.
结论:
- 特殊PC的参与并不排除针对疾病的手术治疗.
- 早期的PC咨询可以与手术管理产生协同作用.
- PC 咨询并不能阻止患者接受高风险的手术护理.
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