临终关怀和息医学学员的门诊课程内容:一项全国调查
Harry J Han1, Angelika Golebiowska2, Emily N Hansen3
1Section of Palliative Care, Division of General Internal Medicine, Beth Israel Deaconess Medical Center (H.J.H., J.C.Y.), Harvard Medical School, Boston, Massachusetts, USA.
Journal of pain and symptom management
|March 2, 2026
概括
本研究确定了培训的关键门诊息护理 (PC) 主题. 关键领域包括疼痛管理,症状控制和护理目标,这对门诊PC临床医生至关重要.
科学领域:
- 抚慰性护理教育 抚慰性护理教育
- 医疗培训课程开发 医疗培训课程开发
背景情况:
- 由于扩大卫生系统计划,对门诊息护理 (PC) 临床医生的需求日益增加.
- 目前为门诊患者设置的临终关怀和息医学 (HPM) 奖学金培训不足.
- 对有能力的门诊PC实践所需的基本知识和技能的理解有限.
研究的目的:
- 确定和优先考虑HPM研究员和新的门诊PC临床医生的关键教育主题.
- 为门诊息护理培训的课程制定提供信息.
主要方法:
- 美国门诊PC临床医生 (医生和APP) 的全国调查.
- 受访者从51个门诊准备列表中优先考虑了基本主题.
- 数据来自美国所有地区的136名临床医生.
主要成果:
- 超过三分之二的受访者认为51个主题中有7个是优先考虑的.
- 门诊患者的核心PC技能:疼痛管理 (83%),非疼痛症状管理 (86%),抑郁/焦虑 (79%),护理目标 (68%).
- 疼痛和阿片类药物管理主题包括伴随性疼痛和物质使用障碍患者 (76%) 的最佳实践.
结论:
- 确定了一份针对HPM学习者的门诊专注教育主题的基础清单.
- 门诊课程应强调在门诊环境中核心PC技能的独特应用.
- 这份优先级清单是加强PC教育和开发共享资源的路线图.
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