Interdisciplinary Center for Palliative Medicine, University Hospital Würzburg, Germany.
Department of Internal Medicine I, University Hospital Würzburg, Germany.
Eur J Cardiovasc Nurs. 2020 Dec;19(8):702-710. doi: 10.1177/1474515120919386. Epub 2020 May 5.
The aim of this study was to evaluate the suitability and comprehensibility of the integrated palliative care outcome scale for the evaluation of palliative care needs in patients with heart failure.
This cross-sectional study investigated 100 heart failure patients (40 women, 60 men; median age 79 years) within the first few days of their hospitalisation by applying the integrated palliative care outcome scale (3-day recall period) and two additional self-developed questions about the suitability and comprehensibility of the integrated palliative care outcome scale. Clinically relevant somatic and psycho-emotional symptoms were reported very frequently (approximately 75% each), followed by communicational needs or practical issues. Ninety-five per cent of patients thought the integrated palliative care outcome scale very easy to understand, and 91% judged the integrated palliative care outcome scale suitable to assess palliative care needs.
The integrated palliative care outcome scale was well accepted by hospitalised patients with heart failure and identified a high burden of both physical and psycho-emotional symptoms. Screening for palliative care has to consider patients and their relatives alike, and should be part of a comprehensive care concept jointly integrated into clinical routine by primary and specialised palliative care teams.
本研究旨在评估综合姑息治疗结局量表用于评估心力衰竭患者姑息治疗需求的适宜性和可理解性。
本横断面研究通过应用综合姑息治疗结局量表（3 天回顾期）以及另外两个关于综合姑息治疗结局量表适宜性和可理解性的自我开发问题，调查了 100 例心力衰竭住院患者（40 名女性，60 名男性；中位年龄 79 岁）。报告了非常频繁的临床相关躯体和心理情绪症状（各约 75%），其次是沟通需求或实际问题。95%的患者认为综合姑息治疗结局量表非常容易理解，91%的患者认为综合姑息治疗结局量表适合评估姑息治疗需求。
综合姑息治疗结局量表被住院心力衰竭患者很好地接受，并确定了身体和心理情绪症状的高负担。姑息治疗的筛查必须同时考虑患者及其家属，并且应该作为一个综合关怀概念的一部分，由初级和专门的姑息治疗团队共同纳入临床常规。
