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通过姑息症状管理支持家庭护理人员:对在家中提供急救药箱的定性分析。

Supporting Family Caregivers With Palliative Symptom Management: A Qualitative Analysis of the Provision of an Emergency Medication Kit in the Home Setting.

作者信息

Rosenberg John P, Bullen Tracey, Maher Kate

机构信息

Formerly Calvary Centre for Palliative Care Research, Australian Catholic University, Watson, Australian Capital Territory, Australia Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia

Formerly Calvary Centre for Palliative Care Research, Australian Catholic University, Watson, Australian Capital Territory, Australia Institute of Child Protection Studies, Australian Catholic University, Watson, Australian Capital Territory, Australia.

出版信息

Am J Hosp Palliat Care. 2015 Aug;32(5):484-9. doi: 10.1177/1049909114531326. Epub 2014 May 5.

Abstract

PURPOSE

The purpose of this qualitative analysis was to examine the experiences of family caregivers supporting a dying person in the home setting. In particular, it explores caregivers' perceptions of receiving palliative care at home when supplied with an emergency medication kit (EMK).

RESULTS

Most family caregivers described preexisting medication management strategies that were unable to provide timely intervention in symptoms. The EMK was largely viewed as an effective strategy in providing timely symptom control and preventing readmission to inpatient care. Caregivers reported varying levels of confidence in the administration of medication.

CONCLUSION

The provision of an EMK is an effective strategy for improving symptom control and preventing inpatient admissions of home-dwelling palliative care patients.

摘要

目的

本次定性分析的目的是考察在家中照料临终患者的家庭照护者的经历。具体而言,本研究探讨了在配备急救药箱(EMK)的情况下,照护者对在家接受姑息治疗的看法。

结果

大多数家庭照护者描述了先前存在的药物管理策略,这些策略无法对症状进行及时干预。急救药箱在很大程度上被视为提供及时症状控制和预防再次住院治疗的有效策略。照护者报告在药物管理方面的信心水平各不相同。

结论

提供急救药箱是改善症状控制和防止居家姑息治疗患者住院的有效策略。

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