Green Emilie, Gardiner Clare, Gott Merryn, Ingleton Christine
University of Sheffield Medical School, Sykes House, St. Luke's Hospice, Little Common Lane, Sheffield, UK.
J Palliat Care. 2011 Summer;27(2):107-16.
The aim of this study was to explore the perspectives of health care professionals (HCPs) on the transition of heart failure (HF) patients to a palliative care approach.
Qualitative data were generated from 24 HCPs specializing in cardiology, care for the elderly, and palliative care. Data were analyzed using the principles of thematic analysis.
Emergent themes related to the unpredictable trajectory of HF, causing prognostic ambiguity; the use of structured pathways in end-of-life decision making; and comparison of HF and cancer patients in terms of their requirements and access to high-quality palliative care.
There is a need for both established prognostic guidelines and further education to develop the communication skills to facilitate end-of-life discussions with HF patients.
本研究的目的是探讨医疗保健专业人员（HCPs）对心力衰竭（HF）患者向姑息治疗方法过渡的看法。
从24名专门从事心脏病学、老年护理和姑息治疗的HCPs中收集定性数据。使用主题分析原则对数据进行分析。
出现的主题包括HF不可预测的病程导致预后不明确；在临终决策中使用结构化路径；以及在需求和获得高质量姑息治疗方面对HF患者和癌症患者的比较。
既需要既定的预后指南，也需要进一步开展教育以提高沟通技巧，从而促进与HF患者进行临终讨论。
