使用NECPAL工具对重症患者早期发现息治疗需求
Savino Spadaro1,2, Danila Azzolina3, Adelaide Vuan2
1Emergency Department, Azienda Ospedaliera Universitaria di Ferrara, Aldo Moro, 8, 441232 Ferrara, Italy.
Journal of clinical medicine
|September 13, 2025
概括
在NECesidades PALiativas (NECPAL) 工具中,确定了大约三分之一的重症监护室 (ICU) 患者的息治疗需求. 阳性NECPAL患者面临着显著更高的ICU死亡率,突出了该工具在早期风险识别方面的潜力.
科学领域:
- 密集护理医学 密集护理医学
- 抚慰性护理是一种缓解性护理.
- 临床评估工具 临床评估工具
背景情况:
- 息治疗 (PC) 在重症监护室 (ICU) 中对于症状管理和生活质量至关重要.
- 早期识别需要PC的ICU患者是具有挑战性的.
- 该 NECesidades PALiativas (NECPAL) 工具旨在解决这一差距.
研究的目的:
- 评估NECesidades PALiativas (NECPAL) 工具在确定意大利重症监护室 (ICU) 需要息治疗的患者方面的有效性.
- 评估NECPAL状态与患者结果之间的关联,包括死亡率和逗留时间.
主要方法:
- 从2024年3月到2025年2月在意大利ICU进行的前性观察研究.
- 满足NECPAL资格标准的成年ICU患者使用NECPAL工具进行了评估.
- 收集和分析了死亡率和ICU停留时间的数据.
主要成果:
- 在85名注册患者中,28名 (32.9%) 是NECPAL阳性,表明需要息治疗.
- 与NECPAL阴性患者 (1.8%) 相比,NECPAL阳性患者的ICU死亡率 (32.1%) 显著更高 (p < 0.001).
- NECPAL阳性是ICU死亡率的一个独立预测因素 (OR 19.55;p < 0.001).
结论:
- 该NECPAL工具确定了大约三分之一的ICU患者需要息治疗.
- 这些患者的死亡风险明显增加.
- 将NECPAL与ICU严重性评分相结合可能会提高缓和护理需求的早期识别,需要进一步的多中心验证.
更多相关视频
11:27A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
7.2K
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.8K
相关概念视频
01:21Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K
01:25Continuing Care
1.9K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.9K