息护理咨询服务对经历末期心力衰竭的死者的影响:一项为期四年的观察性研究
Pei-Yu Chen1, Lian-Shin Lin2, Ling-Hui Huang2
1Department of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
BMC palliative care
|April 9, 2025
概括
临终阶段心力衰竭患者的息护理咨询服务 (PCCS) 增加了阿片类药物的使用,减少了侵略性治疗. 此外,PCCS还提高了患者和家属对终身护理的认识.
科学领域:
- 心脏病学 心脏病学
- 抚慰性医学是一种缓解性医学.
- 老年病的医生 老年病的医生
背景情况:
- 末期心力衰竭带来了相当大的疾病负担.
- 对心力衰竭的息护理的证据有限,特别是在息护理咨询服务 (PCCS) 方面.
- 这项研究调查了PCCS对心力衰竭患者生命终端护理的影响.
研究的目的:
- 评估PCCS对阿片类药物使用的影响.
- 评估PCCS对生命末期 (EOL) 积极治疗的影响.
- 分析末期心力衰竭患者的PCCS结果.
主要方法:
- 使用第三级医疗中心住院息护理数据库进行的观察性研究.
- 包括从2018年1月1日到2021年12月31日被诊断患有末期心力衰竭的所有死者.
- 多变量后勤回归分析以检查PCCS,阿片类药物使用和EOL期间治疗侵略性的关系.
主要成果:
- 在120名患者中,有60名患者在死亡前接受了PCCS.
- PCCS与显著增加的阿片类药物使用 (OR: 3.192) 和更长的住院时间 (>14天,OR: 4.454) 相关.
- 接受PCCS治疗的患者有较少的心肺复苏和更多的DNR命令,这表明侵略性干预减少,疾病意识增加.
结论:
- 临终阶段心力衰竭患者的息护理咨询服务可以增加阿片类药物的使用.
- PCCS可能会导致某些积极的生命终端治疗的减少.
- 通过PCCS,患者和家人可以更好地了解疾病进展和护理选择.
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