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护士为痴呆症患者提供姑息治疗需要哪些支持?

What support do nurses need to provide palliative care for people with dementia?

作者信息

Champion Elizabeth

机构信息

Dementia care, Maidstone and Tunbridge Wells NHS Trust, Kent, England.

出版信息

Nurs Older People. 2017 Aug 31;29(7):34-39. doi: 10.7748/nop.2017.e934.

DOI:10.7748/nop.2017.e934
PMID:28857009
Abstract

The aim of this project was to identify the support required by registered nurses and unregistered healthcare support workers to provide palliative care for people with dementia in an acute hospital in England. A quantitative approach was taken and participants were asked to fill in a questionnaire. Data were collated and analysed to identify support needs and any emerging themes. Respondents were confident in identifying the different stages of dementia. There was less confidence in identifying a patient with dementia for palliative care referral compared with a patient without dementia. Further needs were identified by respondents in supporting the family/carer of the person with dementia and being aware of available support to facilitate palliative care for people with dementia and support for end of life care (EoLC) planning. The findings suggest that further work is required in relation to dementia and EoLC. Practical and educational collaboration with EoLC/palliative care practitioners and dementia leads would be beneficial.

摘要

该项目的目的是确定注册护士和非注册医疗保健辅助人员在英格兰一家急症医院为痴呆症患者提供姑息治疗时所需的支持。采用了定量研究方法,让参与者填写一份问卷。对数据进行了整理和分析,以确定支持需求和任何新出现的主题。受访者在识别痴呆症的不同阶段时很有信心。与识别非痴呆症患者相比,在识别痴呆症患者以进行姑息治疗转诊方面信心较低。受访者还确定了在支持痴呆症患者的家属/护理人员以及了解可获得的支持以促进为痴呆症患者提供姑息治疗和支持临终护理(EoLC)规划方面的进一步需求。研究结果表明,在痴呆症和临终护理方面还需要进一步开展工作。与临终护理/姑息治疗从业者和痴呆症负责人进行实践和教育合作将是有益的。

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