固体器官移植候选人和接受者的息护理:一个范围审查
Liesbet Van Bulck1, Fiona Ecarnot2, Mathilde Giffard3
1Department of Public Health and Primary Care, KU Leuven - University of Leuven, 3000 Leuven, Belgium; Research Foundation Flanders (FWO), B-1000 Brussels, Belgium; SINERGIES, University Marie & Louis Pasteur, 25000 Besançon, France.
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|August 11, 2025
概括
在固体器官移植中,息治疗的整合尚未得到充分的研究,报道的咨询和生命终结讨论有限. 需要进一步的研究来优化对移植受体的息护理.
科学领域:
- 移植医学 移植医学
- 抚慰性护理研究研究
- 医疗服务研究 医疗服务研究
背景情况:
- 固体器官移植接受者面临显著的发病率和死亡率.
- 国际指导方针提倡在高级器官衰竭管理中整合息护理.
- 对于实体器官移植患者的息护理的程度尚不清楚.
研究的目的:
- 对实体器官移植患者的息护理整合的证据进行系统审查和比较.
- 确定目前在移植候选人和接受者的息护理中的实践和知识差距.
主要方法:
- 进行了全面的范围审查.
- 搜索包括主要的数据库 (PubMed,科学网络,Embase,Cochrane,临床试验.
- 包括关于成人心脏,肺,或肝移植患者和/或他们的护理人员的息护理的原始文章.
主要成果:
- 分析了32篇文章,主要来自美国,重点关注小样本的肺和肝移植.
- 息护理咨询范围从2%到53%,终身护理对话发生在0%到35%的患者中.
- 症状管理 (疼痛,喘息障碍) 是主要的转诊原因;早期干预在症状控制和护理规划方面显示出好处.
结论:
- 固体器官移植中的息护理仍然是一个研究不足的领域.
- 对于脏和心脏移植患者来说,进一步的调查至关重要.
- 研究应该集中在最佳时间,转诊标准和整个移植过程中的干预有效性.
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