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神经精神疾病患者的护理(姑息医学)

Nursing care (palliative medicine) in patients with neuropsychiatric disorders.

作者信息

Rezaei Fatemeh, Reamazannezhad Nasibeh, Douki Maedeh Faraji, Shayadeh Fataneh Sabzalipour, Nejati Elahe, Ahmadian Zaynab

机构信息

Department of Nursing and Midwifery, Golestan University of Medical Sciences, Golestan, Babol, Iran.

Department of Nursing, Islamic Azad University, Babol Branch, Babol, Iran.

出版信息

J Family Med Prim Care. 2020 Jan 28;9(1):25-30. doi: 10.4103/jfmpc.jfmpc_701_19. eCollection 2020 Jan.

DOI:10.4103/jfmpc.jfmpc_701_19
PMID:32110560
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7014906/
Abstract

BACKGROUND AND PURPOSE

Palliative medicine is a special status focusing on the quality of life of patients suffering from special or advanced diseases. Palliative medicine can be helpful at any stage of the disease, including the diagnosis. Thus, the present study aims at reviewing the application of palliative care in mental disorders.

METHOD

In the present study, as many as 1,149 studies were found in the period of 1985 to 2018 by searching on different websites including Medline, Embase, ProQuest, Global Health, GoogleScholar, and Scopus. As many as 53 studies having to do with mental disorders were found, and more specifically, as many as 36 articles related to palliative medicine were applied.

FINDINGS

Reviewing the related literature indicates that the care needs of mental disorders patients are quite complicated. The findings indicated that predicting the complications of the disease, as well as advanced planning in terms of caring for these patients, are of significant importance. The findings indicated that over the last decade two palliative care models have been developed: integrative and consultative.

CONCLUSION

With the growth development of palliative care in developed countries, the knowledge of palliative care can be shared with the nurses and practitioners of neurological diseases, and this knowledge can be applied to palliate and reduce the pains and sufferings of the patients and their families.

摘要

背景与目的

姑息医学是一种专注于患有特殊或晚期疾病患者生活质量的特殊领域。姑息医学在疾病的任何阶段都可能有所帮助,包括诊断阶段。因此,本研究旨在综述姑息治疗在精神障碍中的应用。

方法

在本研究中,通过检索包括Medline、Embase、ProQuest、Global Health、GoogleScholar和Scopus在内的不同网站,在1985年至2018年期间共找到1149项研究。发现了53项与精神障碍有关的研究,更具体地说,应用了36篇与姑息医学相关的文章。

研究结果

回顾相关文献表明,精神障碍患者的护理需求相当复杂。研究结果表明,预测疾病并发症以及对这些患者进行护理的提前规划非常重要。研究结果表明,在过去十年中已经开发出两种姑息治疗模式:综合模式和咨询模式。

结论

随着发达国家姑息治疗的发展,可以与神经疾病的护士和从业者分享姑息治疗知识,并且这种知识可以用于减轻和减少患者及其家人的痛苦。

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本文引用的文献

1
Loss of relationship: a qualitative study of families and healthcare providers after patient death and home-based palliative care ends.关系的丧失:一项关于患者死亡及居家姑息治疗结束后家庭与医疗服务提供者的定性研究。
Ann Palliat Med. 2019 Apr;8(2):130-139. doi: 10.21037/apm.2019.03.01. Epub 2019 Apr 1.
2
Palliative care physicians' perspectives on transferring patients to nursing homes and communication strategies to facilitate this transition: A qualitative study.姑息治疗医生对将患者转至养老院的看法以及促进这种转变的沟通策略:一项定性研究。
Palliat Med. 2019 Mar;33(3):323-331. doi: 10.1177/0269216319827803.
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The Development of Pathways in Palliative Medicine: Definition, Models, Cost and Quality Impact.
姑息医学中路径的发展:定义、模式、成本及质量影响
Healthcare (Basel). 2019 Feb 1;7(1):22. doi: 10.3390/healthcare7010022.
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Triggered Palliative Care for Late-Stage Dementia: A Pilot Randomized Trial.晚期痴呆症的触发式姑息治疗:一项试点随机试验。
J Pain Symptom Manage. 2019 Jan;57(1):10-19. doi: 10.1016/j.jpainsymman.2018.10.494. Epub 2018 Oct 18.
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Tube Feeding in US Nursing Home Residents With Advanced Dementia, 2000-2014.2000 - 2014年美国晚期痴呆症疗养院居民的管饲情况
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Treatment of Advanced Parkinson Disease and Related Disorders.
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Understanding the challenges to improve transition to palliative care: An issue for the primary malignant brain tumour population.了解改善向姑息治疗过渡的挑战:原发性恶性脑肿瘤患者面临的一个问题。
Can J Neurosci Nurs. 2016;38(1):48-55.
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Parkinson disease patients' perspectives on palliative care needs: What are they telling us?帕金森病患者对姑息治疗需求的看法:他们在告诉我们什么?
Neurol Clin Pract. 2016 Jun;6(3):209-219. doi: 10.1212/CPJ.0000000000000233.
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Reducing Readmissions After Stroke With a Structured Nurse Practitioner/Registered Nurse Transitional Stroke Program.通过结构化的护士执业医师/注册护士过渡性中风项目减少中风后的再入院。
Stroke. 2016 Jun;47(6):1599-604. doi: 10.1161/STROKEAHA.115.012524. Epub 2016 Apr 28.
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The lack of documentation of preferences in a cohort of adults who died after ischemic stroke.一组缺血性中风后死亡的成年人缺乏偏好记录。
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