Hentsch Lisa, Sobanski Piotr Z, Escher Monica, Pautex Sophie, Meyer Philippe
Division of Palliative Medicine, Geneva University Hospitals, Geneva, Switzerland.
Palliative Care Unit and Competence Center, Department of Internal Disease, Schwyz Hospital, Schwyz, Switzerland.
Front Cardiovasc Med. 2022 Aug 25;9:933977. doi: 10.3389/fcvm.2022.933977. eCollection 2022.
As life expectancy rises and the survival rate after acute cardiovascular events improves, the number of people living and dying with chronic heart failure is increasing. People suffering from chronic ischemic and non-ischemic heart disease may experience a significant limitation of their quality of life which can be addressed by palliative care. Although international guidelines recommend the implementation of integrated palliative care for patients with heart failure, models of care are scarce and are often limited to patients at the end of life. In this paper, we describe the implementation of a model designed to improve the early integration of palliative care for patients with heart failure. This model has enabled patients to access palliative care when they normally would not have and given them the opportunity to plan their care in line with their values and preferences. However, the effectiveness of this interdisciplinary model of care on patients' quality of life and symptom burden still requires evaluation.
随着预期寿命的延长以及急性心血管事件后生存率的提高，患有慢性心力衰竭并伴有生存和死亡风险的人数正在增加。患有慢性缺血性和非缺血性心脏病的患者可能会经历生活质量的显著受限，而姑息治疗可以解决这一问题。尽管国际指南建议对心力衰竭患者实施综合姑息治疗，但护理模式稀缺，且通常仅限于临终患者。在本文中，我们描述了一种旨在改善心力衰竭患者姑息治疗早期整合的模式的实施情况。该模式使患者能够在正常情况下无法获得姑息治疗时获得这种治疗，并让他们有机会根据自己的价值观和偏好规划护理。然而，这种跨学科护理模式对患者生活质量和症状负担的有效性仍需评估。
