外科医生对息治疗的看法:我们是改善护理的障碍吗?
The Journal of clinical ethics
|August 11, 2025
概括
息治疗在外科手术中未得到充分利用,尽管它在降低成本和改善患者结果方面具有已证明的好处. 早期整合息护理,特别是手术前,可以增强手术患者的目标一致护理.
科学领域:
- 手术瘤学手术瘤学
- 抚慰性医学是一种缓解性医学.
- 医疗保健管理的管理
背景情况:
- 息治疗在手术环境中未得到充分利用,尽管有证据表明它在降低医疗保健成本和改善患者治疗结果方面的好处.
- 存在文化和知识障碍,许多外科医生缺乏正式的息护理教育,并认为手术干预和息是相互排斥的.
研究的目的:
- 突出了手术服务中缓和护理的不足利用情况.
- 强调早期息护理整合在外科患者管理中的好处.
- 推改善息护理转诊和在外科手术中的利用的策略.
主要方法:
- 对手术环境中的息护理现有文献的综述.
- 在手术培养中整合息护理障碍的分析.
- 建议基于虚弱度评分的风险评估,用于术前息护理转诊.
主要成果:
- 息治疗与大幅降低成本 (平均每次入院3237美元) 和减少医疗保健利用率 (ED访问,住院,住院时间) 相联系.
- 在重症监护病房的息性干预显示,ICU停留时间的相对风险降低了26%,目标调整有所改善.
- 手术前的息治疗咨询发生在不到1%的手术患者中,这表明在护理方面存在很大的差距.
结论:
- 在手术患者管理中,早期和同时整合息护理至关重要.
- 解决文化和教育障碍对于使息治疗转诊正常化至关重要.
- 实施手术前息护理,可能以脆弱性评估为指导,可以改善符合目标的护理,并优化患者的治疗结果.
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