Routine dyspnea assessment on unit admission.
Routine dyspnea assessment on unit admission.
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DOI：
10.1097/01.naj.0000437112.43059.a0
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发表时间：
2013-11
期刊：
影响因子：
--
通讯作者：
Banzett R
中科院分区：
文献类型：
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作者：
Baker K;Barsamian J;Leone D;Donovan BC;Williams D;Carnevale K;Lansing R;Banzett R
呼吸困难评估在诊断、预后、症状管理和针对性干预以及患者护理资源的分配和管理方面具有重要价值。与疼痛一样，呼吸困难的评估取决于患者的自我报告。专家共识小组呼吁对呼吸困难进行定量测量，并定期记录，就像对疼痛的实践一样。但是关于如何系统地测量和记录呼吸困难等级的信息很少。因此，呼吸困难在医院环境中的患病率可能比通常认识到的要高，并且呼吸困难可能没有得到充分的管理。本文介绍了一个试点研究，试图测试的可行性，测量呼吸困难的一部分，在几个住院单位的一个大型城市医院的护士进行初步的病人评估。
Dyspnea assessment is valuable in diagnosis, prognosis, symptom management, and targeted intervention, and in the allotment and management of patient care resources. The assessment of dyspnea, like that of pain, depends on patient self-report. Expert consensus panels have called for dyspnea to be measured quantitatively and documented on a routine basis, as is the practice with pain. But little information is available on how to measure and record dyspnea ratings systematically. Consequently, the prevalence of dyspnea in hospital settings may be greater than is generally recognized, and dyspnea may be insufficiently managed. This article describes a pilot study that sought to test the feasibility of measuring dyspnea as part of the initial patient assessment performed by nurses within several inpatient units of a large urban hospital.