利用"没有人独自死"计划来支持临终患者
Austin Chen1, Ketki Sathe2, Yixuan C Zhang3
1Department of General Internal Medicine (A.C.), University of Washington, Seattle, Washington, USA.
Journal of pain and symptom management
|July 27, 2025
概括
"没有人独自死" (NODA) 计划通过志愿者支持临终患者. 早期转诊是最大限度地获得益处的关键,因为一些患者在志愿者访问之前就死亡,这表明需要及时进行NODA计划咨询.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 生命终端支持 生命终端支持
- 志愿者项目 志愿者项目
背景情况:
- 两个多十年来,没有人独自死 (NODA) 计划为绝症患者提供了志愿者支持.
- 评估城市医疗中心的NODA计划利用率对于确定改善和潜在扩张的领域至关重要.
研究的目的:
- 评估NODA计划在一个主要的城市医疗中心的利用情况.
- 确定影响计划有效性和患者益处的因素.
主要方法:
- 从2012年到2020年,哈伯维尤医疗中心 (HMC) 进行了一项回顾性队列研究.
- 通过使用电子健康记录,分析了参加NODA计划的234名住院患者的数据.
- 使用描述性统计数据来总结患者人口统计和计划利用情况.
主要成果:
- 诺达计划为234名患者提供服务,平均入学时间为四天;37%的患者只参加了一天.
- 虽然大多数患者接受了志愿者访问,但22%没有,通常是由于志愿者抵达前死亡 (92%).
- 56%的患者在住院期间接受了家庭访问.
结论:
- 诺达计划为有或没有家庭支持的患者提供服务.
- 转诊的时间对患者的好处有重大影响,这强调了为最佳的NODA计划参与而进行早期咨询的必要性.
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