对儿科息和终身护理的质量措施考虑
Hannah Hommes1, Diane Forsyth1, April Rowe Neal1
1Winona State University, Winona, MN, USA.
The American journal of hospice & palliative care
|March 21, 2025
概括
高质量的儿科息护理需要标准化的质量措施. 这次审查确定了7个领域,以改善儿童终身护理的舒适性,公平性和获取性.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 终身护理研究 终身护理研究
- 医疗保健中的质量测量
背景情况:
- 越来越多的需要高质量的儿科息和终身护理,以限制生命疾病的儿童.
- 缺乏针对儿科息治疗和终身护理患者的标准化质量衡量结果.
- 舒适理论在指导儿童患者护理中的重要性.
研究的目的:
- 探索目前儿科息和终身护理的质量措施.
- 在舒适理论框架内评估这些措施.
- 确定改善儿科终身护理质量的领域.
主要方法:
- 对15篇相关文章的文献评论.
- 专注于接受息治疗或终身护理的患有生命限制疾病的儿科患者.
- 排除对急性疾病,创伤或意外死亡的研究.
主要成果:
- 确定了质量措施的7个新兴领域:症状缓解,护理结构/流程,医疗保健利用,死亡/丧亲地点,患者/家庭经历,心理社会/精神护理以及文化/伦理/法律方面.
- 这些领域与舒适理论的物理,精神,社会文化和环境背景保持一致.
- 目前的质量指标没有标准化.
结论:
- 7个已识别的领域为开发和标准化儿科息和终身护理质量措施提供了框架.
- 专注于这些领域可以促进儿童患者的舒适性,公平性和可获得的护理.
- 建议进一步研究和开发标准化质量指标.
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