在患有晚期癌症的患者中,ED访问被转移到门诊息护理
Ye Sul Jeung1, Sung A Bae2, Sun Young Lee3,4
1Center for Palliative Care and Clinical Ethics, Seoul National University Hospital, Seoul, Republic of Korea.
JAMA network open
|July 15, 2025
概括
早期门诊息治疗转诊减少了晚期癌症患者的生命终端急诊室 (ED) 访问. 及时整合息治疗对于改善终身护理和减少住院治疗至关重要.
科学领域:
- 在瘤学瘤学.
- 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:
- 癌症患者的急诊室 (ED) 访问可以表明未满足的需求和低于最佳的护理质量.
- 门诊息护理可以减少ED访问,并与患者偏好调整护理.
研究的目的:
- 描述晚期癌症患者的急救诊所访问,并将其转移到门诊息护理.
- 评估早期的息护理转诊是否会减少生命末期急救诊所的访问.
- 检查缓和护理和ED设置中预先护理规划完成情况.
主要方法:
- 韩国一家三级医院 (2018-2022) 的回顾性队列研究.
- 包括晚期癌症患者,转移到门诊息治疗.
- 分析了与整体和终身ED访问和预先护理计划完成相关的因素.
主要成果:
- 在3560名患者中,25.8%的患者有1395次急救访问;10.6%的患者有终身急救访问.
- 较早的息治疗转诊与更全面的急救诊所访问相关,但生命末期急救诊所访问较少.
- 预先护理计划在门诊息护理诊所完成的频率比EDS更高.
结论:
- 许多转移到息治疗的晚期癌症患者仍然经历ED访问,包括接近生命终点的患者.
- 早期的息护理整合与减少生命末期急救诊所的访问有关.
- 及时的息护理对于改善患者的治疗结果和护理协调至关重要.
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