长期护理中的息护理咨询团队:描述性的回顾性队列研究
Helen Tam-Tham1,2, Nadine Persaud3, Amit Arya4,5
1Department of Family Medicine, University of Calgary, Calgary, Alberta, Canada.
BMC palliative care
|March 23, 2025
概括
长期护理 (LTC) 的息护理咨询团队提前改善了护理规划,减少了医院转移. 这项服务提高了晚期疾病的脆弱居民的舒适性和生活质量.
科学领域:
- 老年学是指老年学的学科.
- 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:
- 长期护理 (LTC) 居民通常患有晚期疾病和虚弱,需要缓解治疗来提高舒适度和生活质量.
- 在LTC环境中提供综合性息护理方面仍然存在重大差距.
- 息护理咨询团队可以通过整合专业支持来解决这些需求.
研究的目的:
- 描述在LTC环境中实施的息护理咨询团队模型.
- 评估团队对获得息护理,预先护理计划和医院转移的影响.
主要方法:
- 一个回顾性队列研究在加拿大多伦多的一个LTC家中进行.
- 分析了2021年2月至2023年2月期间被转移到息护理咨询团队的住户的数据.
- 描述性定量方法评估了团队访问,预先护理计划修改和住院率.
主要成果:
- 87名居民被转诊;平均年龄为85岁,其中71.3%是女性,48.3%患有3-4种并发病.
- 在死亡的居民中,41.5%的预期存活时间超过三个月.
- 预先的护理计划得到了更新,53.7%的患者将"转移到医院"改为"不转移",76.5%的患者将"完整代码"改为"不复苏". 住院率为每1000个居民年1人.
结论:
- 息护理咨询团队对于改善LTC息护理的提供至关重要.
- 这些团队有效地促进了事先的护理计划讨论,使居民的愿望与护理保持一致.
- 这些发现支持对LTC人群的息治疗干预措施的进一步研究.
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