从社区息护理服务中出院的患者的结果:一项追溯观察性研究
Davinia S E Seah1,2,3,4, Sanja Lujic5, Sungwon Chang1
1IMPACCT-Improving Palliative, Aged and Chronic Care Through Clinical Research and Translation, Faculty of Health, University of Technology Sydney, NSW, Australia.
Palliative medicine
|December 2, 2025
概括
社区息护理服务在家里支持患者. 然而,活着出院的患者中有61%在一年内死亡,这凸显了资源有限的息治疗方面的挑战.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 老年学是指老年学的学科.
背景情况:
- 社区息护理服务旨在通过管理症状和支持护理人员,最大限度地提高患者在家的时间.
- 这些服务是有限的资源,面临着日益增长的需求.
- 有效的资源分配对于公平和高效的护理服务至关重要.
研究的目的:
- 描述从社区息护理服务中活着出院的患者.
- 为了确定这些患者的结果,包括生存率,死亡地点和医疗服务利用率.
- 为了确定与免费后30天的服务重新呈现相关的因素.
主要方法:
- 对从澳大利亚大都会社区息护理服务中出院的成年患者的相关行政和临床数据的分析 (2010年7月至2018年9月).
- 包括死亡记录,救护车,紧急情况和住院数据.
- 后勤回归用于检查与30天重新呈现相关的因素.
主要成果:
- 在5270名患者中,有20% (n=1095) 活着出院.
- 随访时间中位数为259天;40%的患者随后接受了息治疗转诊.
- 61%的人在一年内死亡; 45%的人在社区中死亡. 恶性疾病和私人住所与更高的30天再呈现有关.
结论:
- 随着需求的增加,社区息护理服务的资源受到限制,这对公平有效的护理构成了挑战.
- 需要进一步探索影响早期再入院的因素.
- 为了在整个疾病过程中支持患者和家属的干预措施需要开发.
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