肝硬化患者护理人员负担的患病率和预测因素
Carmen Ching1, Nicole Wiebe2, Julie Zhu3
1Department of Medicine, McGill University, Montreal, Quebec, Canada.
肝硬化患者的护理人员负担受到肝脏脑病变和酒精使用等因素的影响. 解决这些患者和护理人员因素对于改善护理和预防倦怠至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 护理人员支持护理人员支持
- 公共卫生 公共卫生
背景情况:
- 肝硬化严重影响患者的发病率和死亡率.
- 护理人员在管理肝硬化患者复杂的健康需求方面发挥着至关重要的作用.
- 了解护理人员负担对于全面的患者护理至关重要.
研究的目的:
- 为了确定肝硬化患者护理人员负担的流行率.
- 为了确定预测护理人员负担的患者特定因素.
- 为了确定预测护理人员负担的护理人员特定因素.
主要方法:
- 在主要数据库 (MEDLINE,EMBASE,CINAHL,Web of Science) 中进行了系统的文献搜索.
- 使用Covidence系统审查软件进行了查和数据提取.
- 从最初的604篇文章中,包括了15项研究.
主要成果:
- 照顾者主要是女性配偶. 患者的因素包括先前的肝脏脑病变,酒精使用和高MELD得分.
- 照顾者因素包括社会支持低,财务不稳定,以及作为配偶.
- 扎里特负担采访 (ZBI),SF-36和BDI/BAI是常见的评估工具.
结论:
- 患者和护理人员的因素对护理人员的负担有很大影响.
- 高的护理人员负担可能会对护理人员的生活和患者的结果产生负面影响.
- 需要采用多学科的方法来缓解护理人员的倦怠,并提高患者的护理.
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