不同重症监护室人群中的专家息护理:一项追溯纵向研究
Theresa Tenge1,2, Laura Bosbach1, Manuela Schallenburger3
1Interdisciplinary Center for Palliative Medicine, Medical Faculty, University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, Düsseldorf, 40225, Germany.
BMC palliative care
|March 14, 2026
概括
在重症监护室 (ICU) 的专业息护理 (PC) 没有充分利用. 这项研究发现,医疗,外科和COVID-19ICU人群之间的PC触发因素和症状评估存在显著差异.
科学领域:
- 关键护理医学 关键护理医学
- 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
背景情况:
- 建议将专家息治疗 (PC) 整合到重症监护室 (ICU),但未得到充分利用.
- 了解患者群体的差异 (医学与外科) 是克服障碍和优化护理的关键.
研究的目的:
- 分析手术,医疗神经学和COVID-19重症监护室患者之间的专家息护理 (PC) 咨询的差异.
- 为了确定PC触发器和症状负担评估在不同ICU人群的变化.
主要方法:
- 在ICU (2018-2022) 中接受PC咨询的518名患者的回顾性纵向分析.
- 检查的患者特征,PC参与的时间,PC触发因素 (ICU与PC团队),症状评估和护理轨迹.
主要成果:
- 观察到高的ICU (77.2%) 和医院 (87.6%) 死亡率. 在ICU类型之间,PC触发因素 (例如,手术ICU中的恶性瘤,医疗ICU中缺乏治愈选择) 和症状评估 (疼痛,抑郁情绪,呼吸障碍) 中存在显著差异.
- 密切护理团队将恶性瘤和缺乏治疗选择作为触发因素,而PC团队则专注于近亲需求和症状负担.
- 预先指示和委托书分别在28.6%和48.1%的患者中存在,在ICU之间没有显著差异.
结论:
- 在大流行期间接受专家PC的ICU患者表现出高死亡率和高症状负担.
- 对于PC触发因素和症状的感知在ICU群体之间以及ICU和PC团队之间有显著的差异.
- 需要在非大流行环境中进行进一步的研究来验证这些发现并评估更广泛的适用性.
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