为绝症患者提供舒适护理. 适当使用营养和水合
R M McCann1, W J Hall, A Groth-Juncker
1Department of Medicine, University of Rochester (NY) School of Medicine.
JAMA
|October 26, 1994
概括
绝症患者很少感到饥饿或口渴. 当症状出现时,少量食物,液体或口腔护理可以有效地提供舒适,而无需强制干预.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
背景情况:
- 了解绝症患者的症状经历对于有效的息护理至关重要.
- 强迫养和补水是常见的干预措施,但它们的必要性和对舒适度的影响需要评估.
研究的目的:
- 评估绝症患者饥渴的流行情况.
- 为了确定这些症状是否可以在没有人工营养或补水的情况下得到控制.
主要方法:
- 在舒适护理单元中对绝症患者进行前性观察研究.
- 系统记录饥饿,口渴和口腔干燥的症状.
- 对干预和患者舒适度的记录.
主要成果:
- 大多数患者 (63%) 没有报告饥饿感,34%的患者最初才经历饥饿感.
- 在62%的患者中,口渴是缺席的或初始的.
- 饥饿,口渴和口腔干燥是通过小量口服或唇部滑来有效控制的.
结论:
- 绝症患者通常不会有明显的饥饿感;如果出现症状,少量食物就足够了.
- 口渴和口腔干燥可以通过口腔护理和最少的液体来控制,不需要激烈的水分补充.
- 患者特定的口服摄入要求是舒适的关键,最大限度地减少人工营养和水分的作用.
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