在社区居住的成年人中完成预先指令,这些成年人患有失补偿性肝硬化
Arpan A Patel1,2, Anne M Walling3,4, Rebecca L Sudore5,6
1Department of Medicine and Vatche & Tamar Manoukian, Division of Digestive Diseases, David Geffen School of Medicine, University of California, Los Angeles, CA, USA. ArpanPatel@mednet.ucla.edu.
Digestive diseases and sciences
|December 27, 2025
概括
在患有不补偿性肝硬化的成年人中,提前护理计划的完成率较低. 需要有针对性的干预措施,特别是针对年轻人和西班牙裔患者,以提高提前指示率.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 提前护理计划 (ACP) 建议对肝硬化患者进行,但很少进行.
- 关于非补偿性肝硬化病的基线ACP率的数据有限.
- 这项研究评估了不同群体的非补偿性肝硬化预先指示完成.
研究的目的:
- 评估未补偿性肝硬化成年人预先指令完成率.
- 确定与预先指令完成相关的患者因素.
- 报告干预措施的发展,以改善该人口中的ACP.
主要方法:
- 美国加州大学医疗保健计划研究的二次分析.
- 使用电子健康记录算法识别患者.
- 使用双变量和多变量逻辑回归,比较了非补偿性肝硬化和其他晚期慢性疾病之间的预先指令完成.
主要成果:
- 在8707名晚期慢性病患者中,只有6%患有不补偿性肝硬化.
- 退补偿性肝硬化患者不太可能有预先指示 (22%对34%).
- 年龄较大和西班牙裔种族/种族与提前指令完成率较低有关.
结论:
- 在患有不补偿性肝硬化的成年人中,提前指示完成率显著较低.
- 年龄较小和西班牙裔种族/种族与较低的完成率有关.
- 定制计划是必要的,以加强在这些脆弱的患者群体中ACP.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
337
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
337
Standards of Care II
1.0K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.0K
Chronic Pancreatitis II: Collaborative Care
284
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
284
Peripheral Artery Disease IV: Nursing Management
314
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
314
Peripheral Artery Disease III: Interprofessional Care
217
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
217
Heart Failure V: Medical Management
196
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
196

