临近死亡的高特异性临床迹象:一个范围审查
Catarina Simões1, Rui Carneiro2, Abílio CardosoTeixeira3
1Escola Superior de Saúde de Santa Maria Porto, Portugal; Hospital da Luz Arrábida Porto, Portugal; Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa Porto, Portugal.
识别即将死亡的临床迹象,如下呼吸,有助于患者的护理. 虽然有帮助,但这些迹象应该补充,而不是取代,临床判断终身护理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 临床医学 临床医学
- 老年学是一门学科.
背景情况:
- 对即将死亡的准确诊断对于适当的终身护理调整至关重要.
- 识别死亡的迹象可以为患者和家人量身定制的护理目标和期望管理.
研究的目的:
- 系统地审查和描述临床症状,对即将死亡的高特异性.
- 包括18岁以上的癌症和非癌症住院患者.
主要方法:
- 采用了一种全面的范围审查方法,遵循乔安娜·布里格斯研究所的指导方针.
- 在多个数据库 (MEDLINE,CINAHL,SCOPUS,Web of Science,Cochrane) 和未发表的研究中进行了广泛的文献搜索.
- 包含了以英语,法语,葡萄牙语和西班牙语出版的研究,没有日期限制.
主要成果:
- 包括2013年至2023年间发表的15项研究,重点关注临床症状和预后模型.
- 只有两项研究符合非癌症人群的纳入标准.
- 在癌症和非癌症患者在生命的最后12小时内,下运动的呼吸被确定为常见的症状.
结论:
- 临床症状和预测模型可以帮助临床医生识别即将到来的死亡.
- 这些工具应该增强,而不是取代临床判断.
- 需要进一步的研究,以探索不同患者群体和护理环境中死亡过程的变化.
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