社区息护理患者参加区域急诊室:一个回顾性观察性研究
Sally Banfield1, Sarah Dunlop1, Olivia Wyss2
1WA Country Health Service, Medical School, University of Western Australia, Bunbury, Australia.
Journal of palliative medicine
|September 8, 2025
概括
社区息护理患者经常访问急诊室 (ED),通常需要入院. 然而,ED和息治疗团队之间的沟通记录在这些访问的不到20%中.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临终期的病人经常去急诊室 (ED).
- 关于社区息治疗 (CBPC) 患者的这些访问特征的数据有限.
- 了解这些介绍对于改善护理协调至关重要.
研究的目的:
- 描述社区息护理 (CBPC) 患者的急诊室 (ED) 陈述.
- 检查这些患者的ED和息护理服务之间的沟通.
主要方法:
- 追溯性,横截面的研究设计.
- 在12个月内,分析了来自235名区域CBPC患者的427例ED表现.
- 数据包括人口统计数据,演示细节,通信文档和排放信息.
主要成果:
- 在所有成年ED病例中,CBPC患者占1.23%.
- 平均年龄为75岁,82.6%的人患有癌症.
- 住院率高 (70.3%);常见的诊断包括症状和呼吸系统疾病.
- 跨部门的沟通记录在只有18.9%的演讲中.
- 在入院患者,工作时间和癌症患者中,沟通的频率更高.
结论:
- 提交ED的CBPC患者的入院率很高,这表明可能适当地使用紧急服务.
- 通过ED和息治疗之间的沟通来协调护理是罕见的.
- 需要进一步的研究来解决综合护理的障碍,并优化对这些复杂患者的管理.
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