住院住院患者入院的趋势逆转:临床审计
Farzana Virani1, Jane Brundish2, Jane Henderson2
1Palliative Medicine, Florence Nightingale Hospice, Buckinghamshire Healthcare NHS Trust, Amersham, UK farzana.virani@nhs.net.
BMJ supportive & palliative care
|October 1, 2025
概括
临终关怀住院护理现在看到更多的医院转诊和非癌症诊断,导致更短的住院时间. 护理模型需要根据不可预测的情况和紧急入院情况进行调整.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临终医院住院护理模式正在发展.
- 当地观察表明,平均逗留时间缩短了.
研究的目的:
- 评估住院患者的入院原因,转诊来源和患者结果.
- 调查导致平均逗留时间缩短的因素.
主要方法:
- 住院住院病人的回顾性审计 (2024年9月至12月).
- 收集关于转诊来源,诊断,入院原因,停留时间和结果的数据.
- 结果与先前的当地和国家数据相比较;重新审计评估了趋势的持续性.
主要成果:
- 130名患者入院,74%来自医院 (30%来自急诊室).
- 54%的人患有非恶性疾病;医院转诊主要是非恶性疾病 (70%),社区转诊主要是癌症 (93%).
- 住院平均长度为4.7天,82%的人在入院期间死亡,18%的人出院. 在重新审计中,这种趋势仍然存在.
结论:
- 临终关怀住院护理越来越多地以医院转诊,非恶性诊断和更短的住院时间为特征.
- 目前的护理模式需要适应,以有效管理具有不可预测预后和急性入院需求的患者.
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