围产期息护理计划的发展和结果:一个回顾性队列研究
Aleksandra Korzeniewska-Eksterowicz1,2, Łukasz Przysło3, Hanna Moczulska4
1Pediatric Palliative Care Unit, Department of Pediatrics, Oncology and Hematology, Medical University of Lodz, 36/50 Sporna Str, 91-738, Lodz, Poland. aleksandra.korzeniewska-eksterowicz@umed.lodz.pl.
European journal of pediatrics
|June 9, 2025
概括
这项研究开发了一种非医院围产期息护理模型,为家庭提供多学科支持. 虽然提交人数增加了,但程序应用仍然是一个挑战,需要进行系统和立法变革.
科学领域:
- 周围生理学 周围生理学
- 抚慰性护理是一种缓解性护理.
- 医疗保健管理的管理
背景情况:
- 围产期息护理 (PPC) 计划可以是全面的,早期启动的和整合性的.
- 大多数现有的PPC计划都是基于医院的.
研究的目的:
- 描述一个非医院周产期息护理模型.
- 确定患者人口统计,护理途径,怀孕结果和PPC的转诊率.
主要方法:
- 在PPC计划中对72个家庭的医疗记录进行了回顾性分析.
- 关于项目活动的数据呈现,包括培训和资源开发.
主要成果:
- 开发了一个非医院周产期息护理模型,并建立了一个专门的临终关怀中心.
- 为126名医疗保健工作者提供培训,并为工作人员和家长创造了资源.
- 招收了72名妇女,符合条件的家庭中有4.9-24.2%的妇女参加;观察到47例活产和21例死产,新生儿死亡率高.
结论:
- 医院外模式为家长提供了多学科的支持.
- 随着时间的推移,越来越多的转介,但突出显示不完整的程序应用.
- 建议对培训和立法进行系统性改变,以改善PPC获取.
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