在家中演变的范式 左心室辅助装置治疗 - 在先进技术时代减少护理人员负担
Shunsuke Saito1, Ryohei Matsuura1,2, Chizu Kamon3
1Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine.
概括
对左心室辅助器 (LVAD) 患者来说,护理人员的存在可能会被重新考虑. 具有备用电池的先进设备减少了停机,表明潜在的24 / 7护理人员支持需求减少.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 患者护理管理的管理.
背景情况:
- 日本的指导方针规定,左心室辅助器械 (LVAD) 患者在出院后6个月内必须有24小时的护理人员.
- 在此之后,建议LVAD患者继续同居.
- 这项研究调查了LVAD停机和家庭护理中的护理人员角色.
研究的目的:
- 评估在家庭护理期间LVAD停机的发生率.
- 评估护理人员在预防不良事件中的作用.
- 确定对LVAD患者持续护理人员支持的必要性.
主要方法:
- 从2010年到2023年,对264名LVAD患者进行了回顾性分析.
- 记录了电力损失事件和停机.
- 利用Zarit负担采访来评估护理人员的负担.
主要成果:
- 发生了116起停电事件,导致65个停电.
- 由于备用电池,没有观察到EVAHEART或HeartMate 3设备的停机.
- 83%的停工是患者解决的;只有6%需要护理人员干预.
- 平均护理人员负担得分为30.1,类似于严重脑损伤患者的护理人员.
结论:
- 对于LVAD患者来说,护理人员的负担很大.
- 具有备份系统的先进LVAD设备 (例如HeartMate 3) 可能会减少对24/7护理人员支持的需求.
- 对所有LVAD患者来说,护理人员的持续存在可能不是必不可少的,这可能会减轻护理人员的压力.
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