影响机械通风和住院息护理在慢性阻塞性肺病患者中的利用因素
Li-Ting Kao1, Chun-Chieh Yang2, Yu-Cih Wu3
1Department of Respiratory Therapy, Chi-Mei Medical Center, Tainan, Taiwan.
Journal of multidisciplinary healthcare
|March 26, 2025
概括
在机械通风的慢性阻塞性肺病 (COPD) 住院患者的息护理使用是有限的,并受到通风持续时间和医院类型的影响. 整合息护理对于以患者为中心的护理至关重要.
科学领域:
- 肺部医学 肺部医学
- 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:
- 在晚期慢性阻塞性肺病 (COPD) 中,息护理未得到充分利用.
- 机械通风对住院COPD患者获得息护理的影响尚不清楚.
- 住院COPD患者的症状负担很大.
研究的目的:
- 调查需要机械通风的住院COPD患者的住院息护理使用情况.
- 为了确定与此群体的息护理使用相关的风险因素.
- 检查与息治疗相关的临床结果.
主要方法:
- 使用基于人口的索赔数据 (2017-2021) 进行了回顾性嵌套病例控制研究.
- 包括36848名住院的COPD患者 (≥40岁),其中16118人需要机械通风.
- 后勤回归分析了机械通风和息护理之间的关联,并对共变量进行调整.
主要成果:
- 整体息治疗利用率为15.19% (5,596/36,848),其中有7.91% (1,275/16,118) 在通风患者中.
- 较高的查尔森并发症指数得分 (1-2和≥3) 显著增加了息治疗的可能性 (分别是24.06倍和51.59倍).
- 医疗/地区医院的通风患者和8-30天通风患者的息护理利用率更高.
结论:
- 对于COPD患者的住院息护理,特别是那些使用机械通风的人,是有限的和不一致的.
- 息护理的使用情况因机械通风的持续时间和医院类型而异.
- 跨学科团队应该在患者的疾病轨迹的早期和整个过程中整合息治疗.
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