重症监护病房中的姑息治疗：住院医师是否接受了充分培训以向重症患者提供最佳护理？
Palliative Care in the Intensive Care Unit: Are Residents Well Trained to Provide Optimal Care to Critically ill Patients?
作者信息
Kamel Ghassan, Paniagua Miguel, Uppalapati Aditya
机构信息
Department of Internal Medicine, St Louis University School of Medicine, St Louis, MO, USA.
Division of General Internal Medicine, Section of Hospital Medicine, St Louis University School of Medicine, St Louis, MO, USA.
出版信息
Am J Hosp Palliat Care. 2015 Nov;32(7):758-62. doi: 10.1177/1049909114536979. Epub 2014 May 30.
UNLABELLED
Palliative care (PC) and end-of-life (EOL) care are gaining importance in the management of critically ill patients in the ICU. Residents form a significant work force in the ICU and most often are the only group that provides round the clock coverage.
METHODS
We conducted a cross sectional study where residents were surveyed to assess their knowledge, skills and perceived barriers towards palliative care in the ICU.
RESULTS
The most common barrier identified by our residents was discrepancies in goals of care between the medical team and patients/families (18.7%). A palliative care consult was most commonly obtained when the patient was terminally ill (22.9%).
DISCUSSION
Teaching should focus on overcoming the identified barriers especially communication with patients and their families. More studies are needed to identify the best method to teach Palliative care in the ICU.
未标注
姑息治疗（PC）和临终关怀（EOL）在重症监护病房（ICU）危重症患者的管理中日益重要。住院医师是ICU的重要劳动力群体，且通常是唯一提供全天候护理的团队。
方法
我们开展了一项横断面研究，对住院医师进行调查，以评估他们对ICU姑息治疗的知识、技能和感知到的障碍。
结果
我们的住院医师确定的最常见障碍是医疗团队与患者/家属之间的护理目标差异（18.7%）。当患者处于终末期时，最常进行姑息治疗咨询（22.9%）。
讨论
教学应侧重于克服已确定的障碍，尤其是与患者及其家属的沟通。需要更多研究来确定在ICU教授姑息治疗的最佳方法。
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