一个以人为中心的方法补充氧气治疗在门诊设置:一篇评论
Angela O Suen1, Susan S Jacobs2, Mary R Kitlowski3
1Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, School of Medicine, University of California, San Francisco.
补充氧气疗法改善了严重的休息脱的死亡率,但需要针对其他条件进行个性化. 以人为中心的方法优化了使用氧气的患者的独立性和生活质量.
科学领域:
- 肺部医学 肺部医学
- 心脏病学 心脏病学
- 老年学是一门学科.
背景情况:
- 每年,数百万美国成年人使用门诊补充氧气.
- 许多患者缺乏足够的输送系统和教育,影响独立性.
- 对补充氧气治疗的现有指导方针和证据进行了审查.
研究的目的:
- 审查门诊补充氧疗法的指导方针和证据.
- 识别证据缺口,并为以人为中心的框架提供信息.
- 讨论改善患者独立性和生活质量的结果.
主要方法:
- 对补充氧气的指导方针和证据进行系统审查.
- 分析主要针对慢性阻塞性肺病的研究数据.
- 包括以患者为中心的结果和治疗框架.
主要成果:
- 强有力的证据支持氧气对于严重的休息脱 (SpO2 ≤88%),改善死亡率.
- 对于孤立的严重运动脱的证据是不确定的,需要个性化评估.
- 有限的证据支持中度不和 (SpO2 89% - 93%) 的氧气,除了在肺部.
结论:
- 补充氧气治疗需要以人为中心的方法.
- 赋予患者和护理人员权力对于独立性和生活质量至关重要.
- 当补充氧气的证据不清楚时,共享决策至关重要.
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