癌症患者的家庭息护理:评估十年的护理主导干预措施
Júnia de Oliveira Alves1, Eduardo Bruera2, Mônica Isaura Corrêa1
1Department of Post-Graduation, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil.
The American journal of hospice & palliative care
|June 25, 2025
概括
巴西的家庭息治疗有效地管理了晚期癌症患者,护士领导临床和支持性干预. 这种模式确保大多数患者在家中死亡,符合息治疗的目标.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 护理 护理 护理
背景情况:
- 对于晚期癌症患者来说,家庭息护理至关重要,特别是在资源有限的环境中.
- 巴西的"在家更好"计划 (SAD-CP) 使用跨学科团队进行家庭息护理.
- 在这个模型中,护士是提供临床和支持性干预的核心.
研究的目的:
- 描述巴西接受家庭息护理的癌症患者的临床和功能特征.
- 检查SAD-CP计划内的护理干预措施的范围和协调.
- 评估在资源有限的环境中,在家庭进行息护理的有效性.
主要方法:
- 对471名癌症患者记录 (2013-2023) 的回顾性,观察性,定量研究.
- 对社会人口统计学,临床特征,护理干预和护理人员培训的分析.
- 使用息性表现量表 (PPS) 评估患者的功能状态.
主要成果:
- 患者平均年龄为69.6岁;常见症状包括疼痛 (94.7%) 和呼吸障碍 (77.1%).
- 大多数患者 (PPS ≤50%) 具有高度的功能依赖.
- 注册护士 (RNs) 管理复杂的护理和监督护理技术人员 (NTs);NTs提供常规护理.
- 护理人员培训 (CARES模式) 是强制性的;99.4%的患者在家中死亡.
结论:
- 在资源有限的环境中,SAD-CP模型证明了可行性和积极影响.
- 在协调和提供基于家庭的息性瘤护理方面,RNs发挥着至关重要的作用.
- 多学科的方法,包括结构化的护理人员培训,有效地支持息的目标.
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