在重症患者中利用息治疗专业知识:改善结果和经验的机会
1Department of Critical Care, University College London Hospital, London NW1 2BU, UK.
Journal of clinical medicine
|June 26, 2025
概括
在重症监护室 (ICU) 的息治疗 (PC) 转诊未得到充分利用. 触发工具可以显著增加关键病患者的适当PC转诊,改善终身护理和家庭支持.
科学领域:
- 关键护理医学 关键护理医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在英国,重症监护室 (ICU) 的死亡率在疫情前为20%.
- 高达40%的ICU患者可以从息治疗 (PC) 转诊中受益.
- 参与PC提高了护理质量和患者/家庭的满意度.
研究的目的:
- 评估PC转诊在一般ICU中的使用情况.
- 评估不同触发工具在识别符合PC转诊条件的患者中的有效性.
- 探索触发工具对PC推率的潜在影响.
主要方法:
- 在2019年7个月内对121例ICU死亡的回顾性研究.
- 对实际PC推号的分析.
- 三种经过验证的触发工具 (Zalenski等人,Hua等人,Royal Marsden) 对非转诊患者的回顾性应用.
主要成果:
- 只有23%的ICU死亡有PC转诊.
- 触发工具的回顾性应用显示了显著的不足推:Zalenski (75%),Hua (71%).
- 皇家马斯登工具确定了82%的癌症患者有资格接受PC转诊.
结论:
- 在ICU环境中,PC服务的利用率很低.
- 触发工具可以大幅增加ICU中适当的PC转诊.
- PC干预提供整体支持,改善终身患者和家庭的体验.
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