在肝硬化患者的息护理
Feras Al-Moussally1,2, Natalia Tejada1,2, Saud Khan3,2
1Department of Internal Medicine, University of Central Florida College of Medicine, Orlando, Florida, USA.
BMJ supportive & palliative care
|December 18, 2024
概括
息治疗在末期肝病 (ESLD) 患者中未得到充分利用,咨询率低,访问障碍很大. 整合初级息治疗可以改善这些患者的症状管理和生活质量.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 抚慰性医学是一种缓解性医学.
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 肝硬化 (LC) 是一种进展性肝病,导致炎症和功能减弱.
- 晚期肝硬化 (不补偿性肝硬化,末期肝病 - ESLD) 会导致严重的症状和生活质量受损.
- 息治疗对于管理ESLD症状至关重要,但仍然未得到充分利用.
研究的目的:
- 审查ESLD患者的息护理使用情况.
- 为了确定缓和护理获取障碍.
- 讨论改善症状管理和生活质量的策略.
主要方法:
- 进行了全面的文献审查.
- 综合了来自49个来源的信息.
- 重点是症状管理,医疗保健利用和肝硬化息治疗.
主要成果:
- 息护理服务在ESLD显著不足,咨询率低至0.97%.
- 障碍包括肝移植资格,种族差异和缺乏保险.
- 晚期肝病的症状负担很高.
结论:
- 息治疗改善了ESLD患者的结果和生活质量,但实施不够.
- 提高人们的意识和将息治疗纳入常规管理是必不可少的.
- 建议提供初级息护理,以解决目前专业服务的缺口.
相关概念视频
Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
Esophageal Varices-II: Clinical Features and Management
46
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
46
Chronic Pancreatitis II: Collaborative Care
70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
70
Diseases of the Liver and Gallbladder
450
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
450
Pleural Effusion II: Symptoms and Management
154
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
154
Chronic Bowel Disorders: Introduction
386
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
386


