临终关怀患者在家庭护理环境中生命的最后一周期间的过敏 Delirium
K Melekis1, C S Weisse2, J Whittier2
1Department of Social Work, University of Vermont, Burlington, VT, USA.
The American journal of hospice & palliative care
|February 20, 2026
概括
过度活动妄想症 (HD) 症状在家庭临终关怀中很常见和令人痛苦. 在生命的最后一周增加的HD事件突出了需要更好的护理人员支持.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年医学 老年医学
- 神经科学是一个神经科学.
背景情况:
- 过度活动狂妄症 (HD) 的症状,如兴奋和幻觉,对患者和护理人员造成痛苦.
- 在住院治疗中,HD的患病率在临终期增加,但来自家庭临终关怀的数据有限.
- 非正式的护理人员经常在家庭临终关怀机构中管理HD症状.
研究的目的:
- 描述家庭临终关怀患者在生命的最后一周内患HD症状的频率和严重程度.
- 探索护理人员管理HD症状和提供护理的经验.
- 确定在家庭住院中改善护理人员支持的需求.
主要方法:
- 混合方法方法分析了101名家庭临终关怀患者的护理记录.
- 使用混评分尺度 (CRS) 和护理狂妄查尺度 (NDSS) 来识别HD事件.
- 评估了HD严重程度的数量 (频率,总事件) 和质量 (护理人员叙述的主题分析).
主要成果:
- 在32.6%的患者中存在HD症状 (N=29).
- 在死亡前至少7天接受护理的患者中,记录了133起HD病例 (N=19).
- 在生命的最后一周,HD症状稳步增加,护理人员报告了症状管理方面的挑战.
结论:
- 对于家庭托管机构的护理人员来说,HD带来了重大挑战.
- 疾病症状的频率和严重程度强调了需要加强护理人员的支持.
- 改善支持对于提高患有HD的家庭临终关怀患者护理质量至关重要.
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