老年精神病学家对姑息治疗的看法：一项全国性调查的结果。
Geriatric Psychiatrists' Perspectives on Palliative Care: Results From A National Survey.
机构信息
Weill Cornell Medicine, New York, NY, USA.
Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
出版信息
J Geriatr Psychiatry Neurol. 2024 Jan;37(1):3-13. doi: 10.1177/08919887231175435. Epub 2023 May 9.
OBJECTIVES
Older adults with psychiatric illnesses often have medical comorbidities that require symptom management and impact prognosis. Geriatric psychiatrists are uniquely positioned to meet the palliative care needs of such patients. This study aims to characterize palliative care needs of geriatric psychiatry patients and utilization of primary palliative care skills and subspecialty referral among geriatric psychiatrists.
METHODS
National, cross-sectional survey study of geriatrics psychiatrists in the United States.
RESULTS
Respondents (n = 397) reported high palliative care needs among their patients (46-73% of patients). Respondents reported using all domains of palliative care in their clinical practice with varied comfort. In multivariate modeling, only frequency of skill use predicted comfort with skills. Respondents identified that a third of patients would benefit from referral to specialty palliative care.
CONCLUSIONS
Geriatric psychiatrists identify high palliative care needs in their patients. They meet these needs by utilizing primary palliative care skills and when available referral to subspecialty palliative care.
目的
患有精神疾病的老年人通常伴有需要症状管理和影响预后的医学合并症。老年精神病医生具有独特的优势，可以满足此类患者的姑息治疗需求。本研究旨在描述老年精神病患者的姑息治疗需求，以及老年精神病医生对初级姑息治疗技能的使用情况和亚专业转诊情况。
方法
对美国老年精神病医生进行的全国性横断面调查研究。
结果
受访者（n=397）报告称，他们的患者有较高的姑息治疗需求（46-73%的患者）。受访者报告称，他们在临床实践中使用了姑息治疗的所有领域，但舒适度各不相同。在多变量模型中，只有技能使用频率预测了对技能的舒适度。受访者认为，三分之一的患者将受益于向专业姑息治疗的转诊。
结论
老年精神病医生发现他们的患者有较高的姑息治疗需求。他们通过使用初级姑息治疗技能和在可用的情况下向亚专业姑息治疗转诊来满足这些需求。
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