首页|142例安宁死亡患者诊疗情况的分析

142例安宁死亡患者诊疗情况的分析

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目的 研究安宁死亡患者一般情况、抢救干预与患者住院终末生存时长、患者生活质量评价的相关性,探讨更优的安宁患者诊疗措施,促进安宁诊疗的规范化.方法 回顾性分析某院2021年1月1日至2022年6月30日安宁死亡患者病历,根据患者主要诊断分为肿瘤组和非肿瘤组,住院期间使用人血白蛋白、死亡前抢救、镇静镇痛等措施,对比两组在住院终末生存时长与患者临终前生活质量.结果 共纳入142例安宁死亡患者分析,中位年龄76(9~97)岁,两组在住院期间使用人血白蛋白、镇静镇痛药物、死亡前抢救,以及终末住院生存时长上差异有统计学意义(P<0.01),在临终前生活质量评分差异无统计学意义(P=0.806 61).结论 安宁患者诊疗具有一定的特殊性,医疗机构收治此类患者应区分晚期肿瘤及非肿瘤患者,根据患者病情、患者及家属的临终前需求使用人血白蛋白、镇静镇痛药物和死亡前抢救,虽能有效延长肿瘤患者的生存时间,但不能改变两组患者临终前生活质量.
Analysis of the diagnosis and treatment of 142 patients with hospice death
Objective To study the correlation between the general condition of patients with hospice death and rescue inter-vention,and the survival length of end stage of patients'hospitalization and evaluation of patients'quality of life,to explore better diag-nosis and treatment measures for patients with hospice,and to improve the standardization of diagnosis and treatment for hospice pa-tients.Methods The medical records of patients who died in hospice from January 1,2021 to June 30,2022 were retrospectively an-alyzed,and the patients were divided into tumor group(A)and non-tumor group(F)according to their main diagnosis.Human albu-min,pre-mortem resuscitation,and sedation and analgesia were applied during patients'hospitalization.The survival length of end stage of patients'hospitalization and patients'quality of life of the two groups were compared.Results A total of 142 patients with hos-pice death were included in the analysis,with a median age of 76(9-97),with application of human albumin,pre-mortem resus-citation,and sedation and analgesia,and the difference between the two groups was statistically significant in the survival length of end stage of patients'hospitalization(P<0.01),but there was no significant difference in the quality of life score before death(P=0.806 61).Conclusion The diagnosis and treatment of hospice patients has certain specificity,and medical institutions need to dis-tinguish the indications for advanced tumor and non-tumor hospice patients,and formulate standardized and personalized diagnosis and treatment plans for these two types of patients,so as to achieve the results that patients,medical institutions and society are all satisfied.

deathtranquilitytreatmentmalignancy

周斌、李晓春、顾冬梅、李晖

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210000 南京,东部战区空军医院质量管理科

222000 连云港,解放军94575部队航医室

死亡 安宁 诊疗 恶性肿瘤

2024

医学研究生学报
南京军区南京总医院

医学研究生学报

CSTPCD北大核心
影响因子:1.652
ISSN:1008-8199
年,卷(期):2024.37(3)
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