在大型多中心队列中,为接受固体器官移植的患者提供息护理的利用和时间
Matthew W Kenaston1, Ryan Baldeo2, Tyler K Murphy2
1Alix School of Medicine, College of Medicine and Science, Mayo Clinic, Phoenix, AZ.
Transplantation
|January 16, 2026
概括
在实体器官移植中,息护理 (PC) 的参与度很低,并因器官和时间而异. 较早的PC转诊与更好的生存率相关,这表明需要进行结构化查以确定高风险患者.
科学领域:
- 移植手术 移植手术
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
背景情况:
- 实体器官移植接受者经历了显著的症状负担和复杂的决策.
- 息护理 (PC) 可以满足这些需求,但其融入移植计划是有限的,其好处还不清楚.
研究的目的:
- 对实体器官移植接受者的息护理 (PC) 转诊的频率,时间和影响进行调查.
- 为了确定PC参与的模式,跨不同的移植类型和时间点.
主要方法:
- 在梅奥诊所的三个地点 (2018-2024) 进行了12676例心脏,肝脏,肺部和脏移植的回顾性分析.
- 将PC遭遇分为移植前,移植周和移植后的类别.
- PC时间与患者结果,程序量,再入院和医院干预措施的相关性.
主要成果:
- 只有8.3%的移植接受者参与PC,因器官和转诊时间有显著差异.
- 较早的PC参与 (移植前) 与更长的存活率和更多的护理目标讨论有关.
- 周周移植和移植后的PC转诊在患病率较高和离死亡更近的患者中更常见.
- 对高风险患者的有针对性的查显示,心脏和肺移植接受者的短期再入院减少.
结论:
- 在固体器官移植中使用息护理是罕见的,且高度可变的.
- 转诊时间通常与患者的发病率和死亡率有关,这强调了积极整合的必要性.
- 对查工具的前性验证对于优化对移植接受者最有可能受益的PC参与至关重要.
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