在专业社区息护理中无计划住院的原因:范围审查
Norah Elvidge1,2, Hannah E Carter3,4, Melanie Rolfe5
1School of Nursing, Queensland University of Technology, Brisbane, QLD, 4059, Australia. norah.elvidge@hdr.qut.edu.au.
BMC palliative care
|December 30, 2025
概括
呼吸障碍和疼痛等不缓解的症状是接受专业社区息护理的患者意外住院的关键原因. 了解这些触发因素可以改善家庭护理,并支持更长的终身停留.
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
- 老年学是一门学科.
背景情况:
- 许多接受专业社区息护理的患者面临着未计划的住院治疗.
- 确定这些入院的原因对于以人为中心的护理解决方案至关重要.
研究的目的:
- 确定在接受专业社区息护理的人群中意外住院的主要原因.
主要方法:
- 通过PROSPERO注册的范围审查 (CRD42024495016) 遵循了PRISMA扩展指南.
- 在CINAHL,PubMed,Embase和Scopus (2014-2025) 中进行了搜索.
- 从包括的13项研究中提取的数据进行了诱导性内容分析.
主要成果:
- 确定了六类住院原因:未缓解症状,急性事件,恶化迹象,患者/护理人员痛苦,护理目标误解和未知原因.
- 呼吸不全 (85%),疼痛 (69%),胃肠道症状 (69%) 和感染 (54%) 是最常见的与症状相关的原因.
- 对比研究显示,在专科医生和常规护理之间,医院住院的结果各不相同.
结论:
- 这一范围审查突出了社区息护理患者住院的模式.
- 这些发现为改善服务提供了基础,以支持患者在家长时间停留.
- 有针对性的干预措施可以提高终身护理,减少意外入院.
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