研究动态
Articles below are published ahead of final publication in an issue. Please cite articles in the following format: authors, (year), title, journal, DOI.

[医院姑息医学。大学医院实施的护理模式的修订]。

[Hospital palliative medicine. Revision of a care model implemented at a university hospital].

发表日期:2022 May
作者: Alejandra Palma, Fernando Ihl, Estefanía Acuña, Francisca Plaza-Parrochia
来源: MEDICINE & SCIENCE IN SPORTS & EXERCISE

摘要:

姑息医学 (PM) 是一门专业,其目标是预防和减轻与晚期疾病相关的痛苦。医院姑息治疗在症状控制、生活质量和成本控制方面有好处。作为转诊专家的医院 PM 支持团队负责 PM 护理模式。描述智利三级医院 PM 支持团队的临床经验。回顾 3 月份期间转介到医院 PM 支持团队的患者的临床记录2015 年和 2018 年 7 月。描述了转诊的管理数据、患者的社会人口统计和临床特征、调查的问题以及 PM 团队提出的干预措施。在研究期间,登记了 790 例转诊,其中大多数来自内科( 31%)或重症监护(24%)。研究期间,每年转诊的人数从 177 人增加到 237 人,入院后的时间从 5 天减少到 3 天。患者的平均年龄为 65.8 岁,81% 的主要诊断是肿瘤疾病。最常见的症状是 71% 的患者感到疲劳,68% 的患者感到抑郁,60% 的患者感到疼痛。 PM 团队提出的主要干预措施是对 64% 的患者进行沟通支持,对 62% 的患者进行镇痛,对 49% 的家庭护理人员进行教育。医院 PM 团队提出了一种护理模式,可以对患有以下疾病的患者进行评估和治疗方法晚期疾病,使用包括其家人在内的多维视角。
Palliative Medicine (PM) is a specialty whose objective is to prevent and alleviate suffering associated with advanced diseases. Hospital palliative medicine has benefits in symptom control, quality of life and cost containment. Hospital PM support teams that serve as referral specialists are in charge of a PM care model.To describe the clinical experience of a PM support team in a tertiary hospital in Chile.Review of clinical records of patients referred to a hospital PM support team between March 2015 and July 2018. Administrative data of referrals, sociodemographic and clinical characteristics of patients, their investigated problems and the interventions proposed by the PM team were described.During the study period, 790 referrals were registered, most of them from the internal medicine department (31%) or critical care (24%). During the study period, the number of annual referrals increased from 177 to 237 and the time lapse after hospital admission decreased from five to three days. The mean age of patients was 65.8 years and their main diagnosis was an oncological disease in 81%. The most frequently identified symptoms were fatigue in 71% of patients, depression in 68% and pain in 60%. The main interventions proposed by the PM team were communication support in 64% of patients, analgesia in 62% and education for family caregivers in 49%.The hospital PM team proposes a care model that allows the evaluation and a therapeutic approach for patients suffering from advanced diseases, using a multidimensional perspective including their families.