末期肝病和急性慢性肝衰竭的息护理:系统性审查
Vakaola I Pulotu Mafi1, Jonathan Soldera2
1Post-Graduate Program, Acute Medicine, University of South Wales, Cardiff CF37 1DL, United Kingdom.
World journal of methodology
|December 23, 2024
概括
息治疗 (PC) 显著有利于末期肝病 (ESLD) 和急性慢性肝衰竭 (ACLF) 的患者,通过减少症状和住院时间. 早期整合PC可以改善生活质量,解决这一群体未得到满足的需求.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 抚慰性护理医学 抚慰性护理医学
- 内部医学 内部医学
背景情况:
- 末期肝病 (ESLD) 和慢性肝衰竭的急性肝病 (ACLF) 与高发病率和死亡率有关,特别是在那些不符合肝移植条件的人群中.
- 在ESLD和ACLF患者及其护理人员中,息治疗 (PC) 的需求很大,但PC在历史上未得到充分利用.
- 必须将PC原则无整合到整个疾病谱的日常护理中.
研究的目的:
- 对将息治疗纳入ESLD和/或ACLF患者综合护理计划的好处的证据进行调查.
- 评估PC对肝病患者症状负担,生活质量和医疗保健利用的影响.
主要方法:
- 在Medline (PubMed) 数据库中进行了系统的文献搜索.
- 在没有日期限制的情况下,以英语出版的研究被包括在内.
- 来自32项选定的研究的数据使用描述性分析进行了分析,以进行叙述性的系统性审查.
主要成果:
- 息治疗 (PC) 显著降低了症状负担,抑郁症状,再入院和住院时间.
- 对于PC利用的障碍包括肝移植的吸引力和关于PC的误解.
- 在诊断ESLD和ACLF时早期整合PC,无论移植状态如何,都提高了患者的生活质量.
结论:
- 息护理 (PC) 的利用不足,并且经常在ESLD和ACLF的过程中晚期启动,尽管存在严重的痛苦和不良预后.
- 全面了解PC的作用对于克服其实施障碍至关重要.
- 涉及医疗保健提供者,患者和护理人员对于有效地将PC纳入ESLD和ACLF管理至关重要.
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