瑞典的息镇静:专门的息护理全国调查
Linda Björkhem-Bergman1,2, Per Fürst3,4, Staffan Lundstrom2,5
1Department of Neurobiology, Care Sciences and Society (Huddinge), Karolinska Institutet, Stockholm, Sweden linda.bjorkhem-bergman@ki.se.
BMJ supportive & palliative care
|July 18, 2025
概括
息镇静 (PS) 现在在瑞典的专业息护理 (SPC) 中变得更加普遍,10%的患者接受它,而20年前只有1%. 米达佐拉姆是最常用的镇静药物.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 临床实践 临床实践
- 药理学 药理学是指药理学的学科.
背景情况:
- 息镇静 (PS) 是专业息护理 (SPC) 中一个关键的干预措施,用于管理难治的症状.
- 了解PS使用的当前趋势对于提高质量和制定临床指南至关重要.
- 20年前的一项调查为评估PS实践的变化提供了基准.
研究的目的:
- 绘制瑞典各地SPC单位目前使用息镇静的地图.
- 将当代PS实践与20年前收集的数据进行比较.
- 为了确定常用的药物和PS的持续时间.
主要方法:
- 在2025年第一季度对瑞典所有SPC单位进行了全国性调查.
- 该调查包括了瑞典息护理登记册的附加问题.
- PS被定义为生命最后阶段的持续镇静,以缓解难治的症状,重点是药物选择和持续时间.
主要成果:
- 达到了77%的应答率,其中2069例在SPC中提供了2701例死亡中的数据.
- 10%的患者 (208例) 接受了息镇静治疗,比20年前的1%显著增加.
- 米达佐拉姆是主要的镇静剂 (89%),其次是莱沃美普罗马зин (7%),普罗波福尔 (2%) 和哈洛佩里多尔 (1%). 镇静剂的平均持续时间为2天.
结论:
- 在过去的20年里,瑞典SPC的息镇静使用明显增加.
- 在这种情况下,米达佐拉姆是被确立为息镇静的主要药物.
- 这些发现突显了生命末期症状管理的不断发展的实践.
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