患有初级烧伤伤的患者的息护理
Samuel M Miller1,2, Elena Graetz1, Madeline L D'Aquila1,2
1Yale School of Medicine, The Center for Health Services & Outcomes Research, New Haven, CT, USA.
概括
在全国范围内,只有2.4%的烧伤患者使用了息治疗 (PC). 老年患者和严重烧伤患者更有可能接受PC,但许多垂死患者没有.
科学领域:
- 烧伤护理和管理
- 缓和护理整合 缓和护理整合
- 医疗保健服务研究 医疗服务研究
背景情况:
- 烧伤导致显著的发病率和死亡率.
- 息治疗 (PC) 改善了灼伤病房的舒适度,决策能力和满意度.
- 了解烧伤患者PC利用率对于优化护理至关重要.
研究的目的:
- 确定烧伤患者使用息治疗 (PC) 的频率.
- 确定影响PC咨询在烧伤护理中的患者特征.
主要方法:
- 使用HCUP国家住院患者样本 (2016-2021) 进行回顾性研究.
- 鉴定了患有初级烧伤诊断的患者.
- 分析PC利用率和患者因子,使用千平方和回归分析,按国家代表性加权;计算修订的Baux (rBaux) 评分.
主要成果:
- 2.4% (3,535/146,455) 的烧伤患者接受了PC咨询.
- 在死亡的患者中 (3.6%),45.5% (2,370/5,205) 患有PC.
- 老年患者,有较大的烧伤,较高rBaux分数的患者,白人患者和北部地区教学医院的患者中,PC利用率更高.
结论:
- 息治疗在烧伤患者中未得到充分利用,特别是在那些死亡患者中.
- 老年,严重烧伤 (较高的rBaux),白人,和教学医院的设置与较高的PC使用有关.
- 需要进一步的研究,以确定并确保获得最能从息治疗中受益的烧伤患者.
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