Carpenter Joan G
Res Gerontol Nurs. 2017 Jan 1;10(1):25-34. doi: 10.3928/19404921-20161209-02.
Although palliative care consultation teams are common in U.S. hospitals, follow up and outcomes of consultations for frail older adults discharged to nursing facilities are unclear. To summarize and critique research on the care of patients discharged to nursing facilities following a hospital-based palliative care consult, a systematic search of PubMed, CINAHL, Ageline, and PsycINFO was conducted in February 2016. Data from the articles (N = 12) were abstracted and analyzed. The results of 12 articles reflecting research conducted in five countries are presented in narrative form. Two studies focused on nurse perceptions only, three described patient/family/caregiver experiences and needs, and seven described patient-focused outcomes. Collectively, these articles demonstrate that disruption in palliative care service on hospital discharge and nursing facility admission may result in high symptom burden, poor communication, and inadequate coordination of care. High mortality was also noted. [Res Gerontol Nurs. 2017; 10(1):25-34.].
尽管姑息治疗咨询团队在美国医院很常见，但对于出院后入住护理机构的体弱老年人，咨询的后续跟进及结果尚不清楚。为总结和评论关于在医院进行姑息治疗咨询后出院至护理机构患者护理情况的研究，2016年2月对PubMed、CINAHL、Ageline和PsycINFO进行了系统检索。提取并分析了这些文章（共12篇）的数据。以叙述形式呈现了反映五个国家研究情况的12篇文章的结果。两项研究仅关注护士的看法，三项描述了患者/家属/护理人员的经历和需求，七项描述了以患者为中心的结果。总体而言，这些文章表明，出院时及入住护理机构时姑息治疗服务的中断可能导致高症状负担、沟通不畅以及护理协调不足。还注意到高死亡率。[《老年护理研究》。2017年；10(1):25 - 34。]
