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老年人的脆弱性和症状负担作为p的决定因素老年人的脆弱性和症状负担作为呼吸系统疾病的息护理的决定因素

Daniela Josefina Cataneo Piña¹, Ana Patricia Navarrete Reyes², Lidia Aurora Mondragón Posadas¹

¹National Institute of Respiratory Diseases (INER), Mexico City, Mexico.

Journal of pain and symptom management

|March 1, 2026

概括

对于患有呼吸系统疾病的老年人来说,息护理 (PC) 的转诊不一致. 增加的症状负担和老年综合征,而不仅仅是诊断,应该指导PC咨询,以获得公平的护理.

科学领域:

老年医学老年医学
抚慰性护理是一种缓解性护理.
呼吸系统医学呼吸系统医学

背景情况:

患有慢性呼吸道疾病的老年人面临着显著的症状负担和老年综合征.
这些患者的息治疗 (PC) 转诊往往不一致.
当前的转诊实践可能无法充分满足患者的需求.

研究的目的:

研究因呼吸道疾病住院的老年患者的症状负担,老年综合征和PC咨询之间的联系.
确定由埃德蒙顿症状评估系统 (ESAS) 识别的症状集群是否预测住院死亡风险.

主要方法:

在全国推中心对449名患有呼吸系统疾病的患者进行了回顾性队列研究.
使用了埃德蒙顿症状评估系统 (ESAS) 的数据和综合老年病评估.
使用的k-means集群用于症状概况和后勤回归用于分析.

主要成果:

只有30%的符合条件的患者接受了PC咨询.
PC咨询与功能依赖 (ADL),压力和更高的症状负担有关.
较高的症状负担集群显示,PC咨询的几率显著增加.
住院死亡率随着症状负担的增加而增加,在接受PC的患者中最高.

结论:

症状负担和老年综合征为PC需求评估提供了比单独诊断更公平的基础.
整合ESAS和老年评估可以改善及时,基于需求的PC转诊.
这种方法对于优化PC使用量至关重要,尤其是在资源有限的环境中.

关键词:

综合老年医疗评估.老年综合征的发生.抚慰性护理是一种缓解性护理.呼吸道疾病是一种呼吸道疾病.症状负担症状负担

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