'If only someone had told me...' - A review of the care of patients dying in hospital
'If only someone had told me...' - A review of the care of patients dying in hospital
复制标题
DOI：
10.7861/clinmedicine.3-2-149
复制
发表时间：
2003-03-01
影响因子：
4.4
通讯作者：
Rogers, A
中科院分区：
文献类型：
--
作者：
Edmonds, P;Rogers, A
大约一半的死亡患者是在医院死亡的。尽管英国出现了姑息治疗，但有证据表明，许多患者在医院疾病的最后阶段接受的护理很差。在一个病人死亡的入院期间，一个内城医院信托基金提供的信息的丧亲家属的意见的研究的基础上，本文探讨了可能导致在医院死亡的病人的次优护理的因素。特别是，缺乏开放的沟通，难以准确的说明和缺乏临终关怀的规划都可能导致护理不善。改善护理的策略，如使用综合护理途径，预先指示和教育举措，进行了讨论。
Approximately half of all patients who die do so in hospital. Despite the advent of palliative care in the UK, there is evidence that the care that many patients receive in the final phase of their illness in hospital is poor. Building on a study of bereaved relatives' views of the information provided by an inner city hospital trust during an admission in which a patient died, this article explores the factors that may contribute to sub-optimal care for patients dying in hospital. In particular, a lack of open communication, difficulties in accurate prognostication and a lack of planning of end-of-life care can all result in poor care. Strategies to improve care, such as the use of integrated care pathways, advance directives and education initiatives, are discussed.