Brinkkemper Tijn, Rietjens Judith A C, Deliens Luc, Ribbe Miel W, Swart Siebe J, Loer Stephan A, Zuurmond Wouter W A, Perez Roberto S G M
Department of Anaesthesiology, VU University Medical Center Amsterdam, Amsterdam, the Netherlands EMGO Institute for Health and Care Research (EMGO+), VU University Medical Center Amsterdam, Amsterdam, the Netherlands.
Department of Public Health, Erasmus MC, Rotterdam, the Netherlands.
Am J Hosp Palliat Care. 2015 Mar;32(2):129-36. doi: 10.1177/1049909113512411. Epub 2013 Dec 2.
Comparing characteristics of a favorable sedation course during palliative sedation to a less favorable course based on the reports Dutch physicians and nurses.
Cases identified as having a favorable sedation course less often concerned a male patient (P = .019 nurses' cases), reached the intended sedation depth significantly quicker (P < .05 both nurses and physicians' cases), reached a deeper level of sedation (P = .015 physicians' cases), and had a shorter total duration of sedation compared (P < .001 physicians' cases) to patients with a less favorable sedation course.
A favorable course during palliative sedation seems more probable when health care professionals report on a (relatively) shorter time to reach the required depth of sedation and when a deeper level of sedation can be obtained.
根据荷兰医生和护士的报告，比较姑息性镇静期间理想镇静过程与欠佳镇静过程的特征。
被认定为具有理想镇静过程的病例中男性患者较少（护士报告的病例中P = 0.019），达到预期镇静深度的速度明显更快（护士和医生报告的病例中P均<0.05），达到的镇静深度更深（医生报告的病例中P = 0.015），并且与镇静过程欠佳的患者相比，镇静总时长更短（医生报告的病例中P < 0.001）。
当医疗保健专业人员报告达到所需镇静深度的时间（相对）较短且能够获得更深的镇静水平时，姑息性镇静期间出现理想过程的可能性似乎更大。
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