充血性心力衰竭的积极治疗方法:早期护理目标讨论和姑息治疗的意义。

IF 1.6 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Future cardiology Pub Date : 2024-01-01 Epub Date: 2024-09-30 DOI:10.1080/14796678.2024.2404323
Bhupinder Singh, Meet A Patel, Shreya Garg, Vasu Gupta, Amishi Singla, Rohit Jain
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引用次数: 0

摘要

充血性心力衰竭(CHF)的发病率和死亡率都很高,而且经常出现再入院的情况,这给医疗保健系统带来了巨大的挑战。所有这些因素都会导致医疗成本增加。除了给医疗保健系统带来负担外,慢性心力衰竭还会给患者带来更深层次的影响,包括心理负担和令人衰弱的呼吸困难症状,所有这些都会降低患者的生活质量。提高患者对自身疾病的预后意识,并让参与护理的人员(医生、护士、社工和患者本人)尽早开始讨论护理目标,有助于减轻这些挑战。采用积极主动的方法来解决患者的偏好、价值观和临终目标,可以改善以患者为中心的护理,提高生活质量,并减轻医疗资源的压力。在这篇叙述性综述中,我们通过 PubMed 搜索确定了相关研究,以了解是什么阻碍了护理目标讨论的启动。其中一些障碍包括患者和护理人员对预后缺乏了解、缺乏经验或不习惯进行这些对话,以及拖延至慢性阻塞性肺疾病晚期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Proactive approaches in congestive heart failure: the significance of early goals of care discussion and palliative care.

Congestive Heart Failure (CHF) poses significant challenges to the healthcare system due to its high rates of morbidity and mortality as well as frequent readmissions. All of these factors contribute to increased healthcare delivery costs. Besides the burden on the healthcare system, CHF has far deeper effects on the patient in terms of psychological burden along with debilitating symptoms of dyspnea, all of which reduce quality of life. Prognostic awareness among patients about their disease along with initiating early goals of care discussion by those involved in the care (physicians, nurses, social worker and patient themselves) can help mitigate these challenges. Adopting a proactive approach to address patient preferences, values and end-of-life goals improves patient-centred care, enhances quality of life and reduces the strain on healthcare resources. In this narrative review, studies have been identified using PubMed search to shed knowledge on what is preventing the initiation of goals of care discussions. Some barriers include lack of knowledge about prognosis in both patients and caregivers, inexperience or discomfort in having those conversations and delaying it until CHF becomes too advanced.

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来源期刊
Future cardiology
Future cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.80
自引率
5.90%
发文量
87
期刊介绍: Research advances have contributed to improved outcomes across all specialties, but the rate of advancement in cardiology has been exceptional. Concurrently, the population of patients with cardiac conditions continues to grow and greater public awareness has increased patients" expectations of new drugs and devices. Future Cardiology (ISSN 1479-6678) reflects this new era of cardiology and highlights the new molecular approach to advancing cardiovascular therapy. Coverage will also reflect the major technological advances in bioengineering in cardiology in terms of advanced and robust devices, miniaturization, imaging, system modeling and information management issues.
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