成人的姑息治疗和晚期心血管疾病：不仅仅是临终关怀：美国心脏协会的科学声明。

IF 35.5 1区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Circulation Pub Date : 2025-04-17 DOI:10.1161/cir.0000000000001323

Lucinda J Graven,Lisa Kitko,Martha Abshire Saylor,Larry Allen,Angela Durante,Lorraine S Evangelista,Amy Fiedler,James Kirkpatrick,Lakeisha Mixon,Rachel Wells,

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引用次数: 0

摘要

尽管最近的科学进步，心血管疾病仍然是成年人发病和死亡的主要原因。虽然人们的寿命延长了，但可能对生活质量产生不利影响，因此需要更多的姑息治疗服务和支持。成人晚期心血管疾病患者的姑息治疗有可能显著改善心血管疾病患者及其非正式护理伙伴的生活质量。有效的沟通、共同决策、老年人友好型护理原则和预先护理计划是姑息治疗的重要组成部分，并支持在晚期心血管疾病轨迹和整个护理环境中进行全面和整体护理。目前的证据强调了姑息治疗在控制症状、减少心理困扰和支持心血管疾病患者及其护理伙伴方面的益处。然而，与非心力衰竭人群、护理伙伴结果和不同人群的姑息治疗实施相关的姑息治疗研究存在显著差距。本科学声明(1)讨论了有效沟通、共同决策、年龄友好型护理和提前护理计划在晚期心血管疾病姑息治疗中的应用；(2)总结了与晚期心血管疾病患者及其护理伙伴的姑息治疗和症状管理、生活质量、精神和心理支持以及丧亲支持相关的最新证据；(3)讨论心血管疾病姑息治疗的多样性、公平性和包容性问题；(4)强调围绕姑息治疗和植入心脏装置的伦理和法律问题；(5)为护理团队提供晚期心血管疾病成人姑息治疗参与策略。

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Palliative Care and Advanced Cardiovascular Disease in Adults: Not Just End-of-Life Care: A Scientific Statement From the American Heart Association.

Cardiovascular disease remains a leading cause of morbidity and mortality in adults despite recent scientific advancements. Although people are living longer lives, there may be an adverse impact on quality of life, necessitating a greater need for palliative care services and support. Palliative care for adults with advanced cardiovascular disease has the potential to significantly improve quality of life for individuals living with cardiovascular disease and their informal care partners. Effective communication, shared decision-making, age-friendly care principles, and advance care planning are vital components of palliative care and support comprehensive and holistic care throughout the advanced cardiovascular disease trajectory and across care settings. Current evidence highlights the benefits of palliative care in managing symptoms, reducing psychological distress, and supporting both people with cardiovascular disease and their care partners. However, significant gaps exist in palliative care research related to non-heart failure populations, care partner outcomes, and palliative care implementation in diverse populations. This scientific statement (1) discusses the application of effective communication, shared decision-making, age-friendly care, and advance care planning in advanced cardiovascular disease palliative care; (2) provides a summary of recent evidence related to palliative care and symptom management, quality of life, spiritual and psychological support, and bereavement support in individuals with advanced cardiovascular disease and their care partners; (3) discusses issues involving diversity, equity, and inclusion in cardiovascular disease palliative care; (4) highlights the ethical and legal concerns surrounding palliative care and implanted cardiac devices; and (5) provides strategies for palliative care engagement in adults with advanced cardiovascular disease for the care team.

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来源期刊

Circulation 医学-外周血管病

CiteScore

45.70

自引率

2.10%

发文量

1473

审稿时长

2 months

期刊介绍： Circulation is a platform that publishes a diverse range of content related to cardiovascular health and disease. This includes original research manuscripts, review articles, and other contributions spanning observational studies, clinical trials, epidemiology, health services, outcomes studies, and advancements in basic and translational research. The journal serves as a vital resource for professionals and researchers in the field of cardiovascular health, providing a comprehensive platform for disseminating knowledge and fostering advancements in the understanding and management of cardiovascular issues.