慢性阻塞性肺病急性恶化期间的疼痛和呼吸障碍:文档审计2019-2020年
Stephanie Y Clarke1,2, Marie T Williams3, Kylie N Johnston3
1Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3199, Australia.
Journal of clinical medicine
|January 11, 2025
概括
在住院的COPD恶化患者中,疼痛经常被评估,但使用患者报告的结果措施 (PROMs) 进行呼吸障碍评估是罕见的. 需要进一步的研究来了解评估工具的选择.
科学领域:
- 肺部医学 肺部医学
- 临床实践研究 临床实践研究
背景情况:
- 患者报告的结果测量 (PROM) 对于评估慢性阻塞性肺病 (COPD) 急性恶化时的疼痛和呼吸困难至关重要.
- 在住院COPD患者中使用PROM治疗这些症状的临床效用和频率在很大程度上仍未确定.
研究的目的:
- 确定COPD急性恶化住院患者疼痛和呼吸障碍评估的点患病率.
- 确定使用的特定PROM及其在临床实践中的应用.
主要方法:
- 对COPD急性恶化住院患者的临床笔记和观察图的回顾性审计.
- 确定疼痛和呼吸障碍评估,使用的PROM和相关的时间框架.
主要成果:
- 在99%的病例中,使用PROMs评估疼痛,而通过PROMs评估呼吸障碍仅在8%的病例中发生.
- 所有的PROM都集中在症状强度上;疼痛评估很少报告特定的时间框架,而呼吸障碍评估主要捕捉了炼的影响.
结论:
- 使用PROMs的疼痛评估在住院的COPD恶化患者中明显比呼吸障碍评估更常见.
- 调查影响临床医生选择评估工具的因素对于未来关于COPD恶化症状管理的建议至关重要.
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