在患有肺高血压的患者中,优先考虑预先计划护理
Kazuki Tobita1,2, Hayato Sakamoto3, Takumi Inami2
1Department of Physical Therapy, Faculty of Health and Medical Care, Saitama Medical University, Saitama, Japan.
Heart and vessels
|April 10, 2025
概括
大多数肺高血压患者都重视提前护理计划 (ACP) 对话. 对ACP的积极态度与信任医生建议有关,强调需要以患者为中心的方法.
科学领域:
- 肺部医学 肺部医学
- 医学伦理 医学伦理
- 患者的决策能力
背景情况:
- 提前护理计划 (ACP) 非常重要,但在肺高血压中未得到充分利用.
- 在这个群体中,患者对ACP的偏好还不太清楚.
- 了解这些偏好是改善终身护理的关键.
研究的目的:
- 确定肺高血压患者对非洲国家和地区讨论的偏好.
- 探讨与对非洲和非洲国家积极态度相关的因素.
- 确定ACP如何与这个群体的治疗决策有关.
主要方法:
- 对133名肺高血压患者进行横截面问卷研究.
- 评估了优先/实际参与ACP和关键决策因素 (预测,价值,负担,建议).
- 使用单变量逻辑回归来识别积极的ACP态度的预测因素.
主要成果:
- 78.2%的受访者承认了非洲和非洲国家的重要性; 40.8%的受访者参与了讨论.
- 首选的ACP时间 经常提到住院后的病情恶化.
- 积极的ACP态度与结婚,生孩子,更好的氧化和重视医生的建议相关.
结论:
- 肺高血压患者通常喜欢ACP对话.
- 患者对医生建议的信任是ACP接受的重要因素.
- 未来的战略应将患者的偏好与有效的ACP临床指导相结合.
相关概念视频
Planning Nursing Care I
4.2K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.2K
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
126
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
126
Standards of Care II
627
Nurses bear specific legal responsibilities under several federal statutes, including:
627
Pulmonary Hypertension: Classification and Pathogenesis
120
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
120
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
120
Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
120
Pulmonary Function Tests
273
Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
273


