功能衰竭:对息护理需求的查工具 - - 系统性审查
Miaomiao Liu1,2, Junxiu Luo3, Yan Zhang1
1Bengbu Medical University, Bengbu, Anhui, China.
BMJ supportive & palliative care
|December 9, 2025
概括
识别需要息治疗的功能衰竭患者是具有挑战性的. 目前的查工具的有效性有限,通常依赖于死亡率预测而不是症状评估.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 抚慰性护理是一种缓解性护理.
- 医学查 医学查
背景情况:
- 早期整合息治疗改善了功能衰竭患者的治疗结果.
- 准确识别那些最能从早期息治疗中受益的患者仍然是一个挑战.
研究的目的:
- 确定和评估可用的查工具的有效性,以检测可能需要息护理的功能衰竭患者.
- 评估现有查工具在识别息护理需求方面的表现.
主要方法:
- 在Cochrane图书馆,Embase和PubMed的系统文献搜索到2024年12月.
- 包括的研究详细介绍了成人功能衰竭患者的息护理查工具的开发或评估.
- 审查了1745篇文章,重点关注22项研究,详细介绍了10种查仪器.
主要成果:
- 确定了十种查仪器;三种是针对功能衰竭的,七种用于末期疾病.
- 工具在检测息护理需求方面差异很大 (5%-86%).
- 精度分析 (8种工具) 显示灵敏度为2%-88%,特异性为38%-98%.
结论:
- 对于需要息治疗的功能衰竭患者,现有的查工具的有效性受到限制,主要依赖于死亡率预测.
- 未来的工具应该包括直接评估症状负担,功能状态和其他相关因素以及死亡风险.
关键词:
抚慰性护理是一种缓解性护理.相关概念视频
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