一个新的急性基本息概念,用于没有特殊息需求的患者.
Mike B Astorp1,2,3, Dorte Melgaard1,3, Johannes Riis3,4
1Department of Emergency Medicine and Trauma Care, Aalborg University Hospital.
一个新的急性基本缓解概念 (ABPC) 改善了临终患者在家中的症状和终身护理得分. 医疗保健专业人员压倒性地支持其未来的使用,强调其在息治疗中的潜力.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 80%的丹麦临终患者接受非专业化息治疗,这一领域的指导方针有限.
- 一项试点研究开发并测试了一种急性基本息概念 (ABPC),用于家庭终身护理.
- ABPC是一个结构化的护理计划,用于从急诊室出院的患者在家中死亡.
研究的目的:
- 开发和测试一种急性基本息概念 (ABPC).
- 为了将ABPC与临终期 (EOL) 患者的标准护理进行比较.
- 评估症状得分和EOL护理陈述得分.
主要方法:
- 一项试点研究将标准护理与两个丹麦急诊室的ABPC进行比较.
- 包括50名年龄在18岁以上的患者 (每期25名) 接近EOL.
- 使用未经验证的问卷来评估症状和EOL护理得分;调查的医疗保健专业人员对未来的使用.
主要成果:
- 亲属报告说,在ABPC治疗的4种症状中,3种症状得分有所改善.
- 医生和市政护理人员报告说,使用ABPC的EOL护理声明得分更好.
- 所有接受调查的医疗保健专业人员 (100%) 将再次使用ABPC; 96% 给出了积极的反.
结论:
- 根据亲属和医疗保健专业人员的说法,ABPC显示症状和EOL护理得分有所改善.
- 所有医疗保健专业人员都表示愿意重复使用ABPC.
- 建议使用经过验证的仪器进行更大规模的研究来证实这些发现.
更多相关视频
09:02Percutaneous Hepatic Perfusion PHP with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
Published on: July 31, 2016
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
相关概念视频
Continuing Care
Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Mechanical Ventilation III: Noninvasive Ventilation
Noninvasive Positive-Pressure Ventilation...
