家庭护理医生对被诊断为死因是衰老的患者使用人工补液:横断面研究

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL
Teruhiko Imanaga MD, PhD
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引用次数: 0

摘要

本研究旨在调查老年患者在最后一周使用人工补液(AH)的频率、效果和原因,以及与使用人工补液相关的患者相关因素。2023 年 4 月至 5 月期间,我在日本家庭护理支持诊所网络的附属医疗机构中开展了一项横断面研究。符合条件的病例包括 2022 年 1 月 1 日至 2022 年 12 月 31 日期间死亡证明上将衰老列为死因的病例。调查问题包括:AH 的使用情况、AH 的原因、AH 后症状的改善或恶化情况。此外,还询问了患者的特征,包括年龄、性别、死亡地点、治疗时间和痴呆并发症。研究人员进行了描述性统计。有 83 家医疗机构(12.5%)提供了回复,共计 714 个病例。有 236 个病例(33.1%)使用了 AH。最常见的原因是 "出于家庭偏好",有 110 例(46.6%)。135例(57.2%)报告 "症状无改善",176例(74.6%)报告 "症状无恶化"。通过对 699 个病例进行完整病例多变量分析,发现年龄(风险比 [RR]:0.98,95% 置信区间 [CI]:0.96-0.99)和女性(RR:0.73,95% 置信区间 [CI]:0.58-0.92)与使用 AH 相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Use of artificial hydration in patients diagnosed with senility as the cause of death by home care physicians: A cross₋sectional study

Use of artificial hydration in patients diagnosed with senility as the cause of death by home care physicians: A cross₋sectional study

Background

The aim of this study was to investigate the frequency, effectiveness, and reasons for the use of artificial hydration (AH) in senile patients in the last week, and patient-related factors associated with its usage.

Methods

Between April and May 2023, I conducted a cross₋sectional study among medical institutions affiliated with the Japan Network of Home Care Supporting Clinics. Eligible cases included those in which senility was listed as the cause of death on the death certificate from January 1, 2022, to December 31, 2022. The questions asked use of AH, reasons for AH, and symptoms that improved or worsened with AH. Patient characteristics, including age, gender, place of death, length of treatment, and complication of dementia, were also asked. Descriptive statistics were performed. Univariate and multivariate analyses were conducted to examine the association between patient characteristics and the use of AH.

Results

Eighty-three medical institutions (12.5%) provided responses, contributing a total of 714 cases. AH was administered in 236 cases (33.1%). The most common reason was “due to family preference” in 110 cases (46.6%). One hundred thirty-five cases (57.2%) reported “no improved symptoms,” while symptom worsening was reported as “no worsened symptoms” in 176 cases (74.6%). Multivariate analysis on 699 cases using complete-case analysis identified age (risk ratio [RR]:0.98, 95% confidence interval [CI]: 0.96–0.99) and female (RR:0.73, 95% CI:0.58–0.92) as factors associated with the use of AH.

Conclusion

This study revealed that AH was commonly used based on family preferences and to alleviate psychological burdens on the family.

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来源期刊
Journal of General and Family Medicine
Journal of General and Family Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.10
自引率
6.20%
发文量
79
审稿时长
48 weeks
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