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.

应用共同护理模式实施对晚期结肠癌患者的支持:一份病例报告。

Implementing the Hospice Shared Care Model to Support a Patient with Advanced Colon Cancer: A Case Report.

发表日期:2023
作者: Shina Qiao, Xiaoming Zhang, Weilan Xiang, Linyan Yao, Xuemei Xian
来源: PHYSICAL THERAPY & REHABILITATION JOURNAL

摘要:

与西方国家相比,亚洲国家很少使用姑息治疗和临终关怀服务。虽然这两种类型近年来已在中国大陆实施,但其利用率并没有得到令人满意的提高。此外,中国大陆很少有医院使用临终关怀分享护理模式提供临终关怀。本研究调查了在中国大陆一家普通三级医院接受治疗的晚期结肠癌患者实施了临终关怀分享护理模式的案例。 护理的关键点包括疼痛症状管理、营养支持、疾病通知使用分享模式、家庭会议协助医疗决策、松弛疗法缓解抑郁症状、满足患者终末期愿望及支持初级护理人员等。患者的基本疼痛得到了控制(数字评分表,NRS2-3),在住院期间介入后,抑郁症筛查量表(PHQ-9)的分数从15分下降到10分。最终,患者在家中舒适、安详地去世。临终关怀分享护理团队帮助患者解决了身体和心理疼痛问题,满足了她的终末期愿望,并为家人提供了支持。 ©2023 Qiao等。
Compared to Western countries, palliative and hospice care services are used less often in Asian countries. While both types have been implemented in mainland China in recent years, their utilization rates have not increased satisfactorily. Moreover, few hospitals in mainland China implement hospice care using the hospice shared care model.This study investigated a case in which the hospice shared care model was implemented for one patient with advanced colon cancer who had received treatment at a general tertiary hospital in mainland China.Critical points of care included pain symptom management, nutritional support, application of the SHARE model for disease notification, family meetings to assist medical decision-making, relaxation therapy to relieve depressive symptoms, provisions to address end-of-life wishes, and support for primary caregivers.The patient's basic pain was controlled (Numeric Rating Scale, NRS2-3), and the score of the Depression Screening Scale (PHQ-9) decreased from 15 to 10 after intervention during hospitalization. In the end, the patient died comfortably and peacefully at home.The hospice shared care team helped the patient with her physical and psychological pain, met her end-of-life wishes, and provided support for the families.© 2023 Qiao et al.