Consensus statement:: Palliative and supportive care in advanced heart failure
Consensus statement:: Palliative and supportive care in advanced heart failure
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DOI：
10.1016/j.cardfail.2003.09.006
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发表时间：
2004-06-01
影响因子：
6
通讯作者：
Renlund, DG
中科院分区：
文献类型：
--
作者：
Goodlin, SJ;Hauptman, PJ;Renlund, DG
背景资料：召开了一次共识会议，以确定目前的状态和重要的知识差距，并需要研究“姑息治疗和支持性护理在先进的心力衰竭。“证据：证据来自专家意见和广泛的医学文献，循证指南，和reviews.Conclusions：会议确定了目前的知识，实践和研究的差距，有关prestication，症状管理和支持性治疗晚期心力衰竭（HF）。具体结论包括：（1）虽然支持性护理应在晚期HF患者的整个治疗过程中进行整合，但需要数据来了解如何最好地减少晚期HF的身体和心理负担，并满足患者和家庭的需求;（2）晚期HF的诊断是困难的，需要数据来了解哪些患者将受益于哪些干预措施，以及如何最好地为晚期HF患者提供咨询;（3）需要进行研究，以确定哪些干预措施可以提高生活质量，并最好地实现患者和家庭成员所期望的结果;（4）护理应在护理地点之间进行协调，并且必须有计划地解决循证实践的障碍;（5）需要更多的研究来确定与晚期HF患者沟通预后和治疗方案的内容和技术;护理晚期HF患者的医生必须发展技能，以更好地将患者的偏好纳入护理目标。
Background: A consensus conference was convened to define the current state and important gaps in knowledge and needed research on "Palliative and Supportive Care in Advanced Heart Failure."Evidence: Evidence was drawn from expert opinion and from extensive review of the medical literature, evidence-based guidelines, and reviews.Conclusions: The conference identified gaps in current knowledge, practice, and research relating to prognostication, symptom management, and supportive care for advanced heart failure (HF). Specific conclusions include: (1) although supportive care should be integrated throughout treatment of patients with advanced HF, data are needed to understand how to best decrease physical and psychosocial burdens of advanced HF and to meet patient and family needs; (2) prognostication in advanced HF is difficult and data are needed to understand which patients will benefit from which interventions and how best to counsel patients with advanced HF; (3) research is needed to identify which interventions improve quality of life and best achieve the outcomes desired by patients and family members; (4) care should be coordinated between sites of care, and barriers to evidence-based practice must be addressed programmatically; and (5) more research is needed to identify the content and technique of communicating prognosis and treatment options with patients with advanced HF; physicians caring for patients with advanced HF must develop skills to better integrate the patient's preferences into the goals of care.