先进多病症的描述:一个范围审查与内容分析
Sarah P Bowers1, Polly Black1, Lewis McCheyne2
1School of Medicine, University of St Andrews, St Andrews, UK.
Journal of multimorbidity and comorbidity
|March 20, 2025
概括
识别高级多发性疾病对于终身护理至关重要. 这次审查发现了44种不同的描述,强调需要一个标准化的定义,以改善患者护理和息方法的整合.
科学领域:
- 老年医学 老年医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多种病症显著影响临床结果,增加症状负担和医疗保健使用,特别是在临终期.
- 目前还没有确立的方法来确定"高级多病症",即慢性疾病恶化的个体可能从息治疗中受益的阶段.
研究的目的:
- 探索现有文献中如何定义和应用"高级多病症".
- 识别当前的方法和差距,以识别由于复杂的慢性疾病而需要息治疗的患者.
主要方法:
- 对多个电子数据库和灰色文学进行了全面的范围审查.
- 由两名审查员进行独立选和数据提取,随后对已识别的描述进行内容分析.
- 与临床医生,学者和公众进行利益相关方商,以整合患者和公众参与.
主要成果:
- 在38个出版物中,发现了44种高级多发症的不同描述.
- 描述在临床条件和使用的指标上有所不同,有18个单指标和24个多维方法.
- 利益相关方的反强调了对用户友好和可操作的定义的需求.
结论:
- 由于缺乏高级多病症的标准化定义,导致临床和研究实践的不一致性,可能会危及患者的护理.
- 建立共识定义对于准确识别可能受益于息护理的患者,促进以人为中心的护理,并为研究和政策提供信息至关重要.
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