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姑息治疗患者症状的监测与管理:最佳实践实施项目

Monitoring and Management of the Palliative Care Patient Symptoms: A Best Practice Implementation Project.

作者信息

Coelho Adriana, Rocha Ana, Cardoso Daniela, Rodrigues Rogério, Costeira Cristina, Gomes Sara, Parola Vitor

机构信息

The Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), 3004 Coimbra, Portugal.

Portugal Centre for Evidence-Based Practice: A JBI Centre of Excellence, 3000 Coimbra, Portugal.

出版信息

Nurs Rep. 2022 May 7;12(2):365-370. doi: 10.3390/nursrep12020035.

DOI:10.3390/nursrep12020035
PMID:35645361
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9149824/
Abstract

BACKGROUND

In palliative care, symptoms are multiple and combined, evolving and changing, with a multidimensional character and multifactorial causes, and a high prevalence, negatively influencing the patient's and family's quality of life. Nurses who provide palliative care need to recognize and respond effectively to their patients' symptoms.

METHODS

A project will be applied to implement the best practice in monitoring and managing palliative care patients' symptoms. The Joanna Briggs Institute Practical Application of Clinical Evidence System (JBI PACES) and Getting Research into Practice (GRiP) audit and feedback tool will be used. The JBI PACES and GRiP framework for promoting evidence-based healthcare involves three phases of activity. First, a baseline audit. In a second phase, feedback will be given to the project team after the conclusion of the baseline audit report. Then, a third phase will be conducted as a follow-up audit.

CONCLUSIONS

This project will improve the practice of the nursing team in monitoring and managing the symptoms of palliative care patients, positively influencing the quality of life of the patient and his family. The implementation and dissemination of this project could boost its replication in other centres.

摘要

背景

在姑息治疗中,症状是多样且综合的,不断演变和变化,具有多维度特征和多因素成因,且患病率高,会对患者及其家庭的生活质量产生负面影响。提供姑息治疗的护士需要识别并有效应对患者的症状。

方法

将应用一个项目来实施监测和管理姑息治疗患者症状的最佳实践。将使用乔安娜·布里格斯循证实践中心(JBI PACES)和将研究转化为实践(GRiP)审核与反馈工具。JBI PACES和GRiP促进循证医疗保健的框架包括三个活动阶段。首先,进行基线审核。在第二阶段,在基线审核报告完成后向项目团队提供反馈。然后,第三阶段将作为后续审核进行。

结论

该项目将改善护理团队监测和管理姑息治疗患者症状的实践,对患者及其家庭的生活质量产生积极影响。该项目的实施和推广可能会促使其在其他中心得到复制。

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