身体外生命支持中的息护理成果:系统性审查
Whitney A Kiker1, Anna L Condella2, Astrid Grouls3
1University of Washington, Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Seattle, WA; Cambia Palliative Care Center of Excellence, University of Washington, Seattle, WA.
Journal of pain and symptom management
|August 28, 2025
概括
对体外生命支持 (ECLS) 患者的特殊息护理没有影响死亡率. 需要更多的研究来了解它对其他以患者为中心的结果的影响.
科学领域:
- 危急护理医学
- 缓和护理
- 健康成果研究
背景情况:
- 在体外生命支持 (ECLS) 中,缓解护理的使用正在增加.
- 息治疗对ECLS患者和家庭的结果的影响尚不清楚.
研究的目的:
- 对接受ECLS患者的专业息护理和以患者和家庭为中心的结果之间的联系进行调查.
主要方法:
- 对多个数据库进行系统审查 (PubMed,EMBASE,CINAHL,科学网,Cochrane).
- 两个独立的调查人员使用的包括标准.
- 使用推评估,开发和评估 (GRADE) 方法评估证据质量.
主要成果:
- 纳入了9项观察性研究,包括21417名ECLS患者 (其中4368人接受了息治疗).
- 所有结果的证据确定性都很低.
- 在接受或不接受息治疗的患者中,没有发现医院死亡率的显著差异. 一些研究指出,有更多的护理目标和更长的ECLS持续时间.
结论:
- 关于息治疗对ECLS患者和家庭中心结果的影响的研究有限.
- 息治疗似乎不会对ECLS患者的死亡率产生负面影响.
- 为了确定息治疗对ECLS患者的作用和影响,需要进行进一步的研究.
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