Terminal lucidity in the teaching hospital setting

Terminal lucidity in the teaching hospital setting
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教学医院环境中的最终清醒

DOI:
10.1080/07481187.2018.1541943
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发表时间:
2018
期刊:
影响因子:
3.8
通讯作者:
S. Shin
S. Shin
中科院分区:
医学4区
文献类型:
--
作者:
Chi;J. Park;D. Y. Kim;K. D. Yoo;H. Kim;Yunmi Kim;S. Shin

文献摘要

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摘要终末清醒是一种不可预测的临终体验,在为死亡做准备方面具有宝贵的意义。我们在一所大学教学医院回顾性评估了晚期清醒情况。在研究期间发生的338例死亡(187例在ICU,151例在普通病房)中,6例在普通病房中确定了终末清醒。清醒的时间从几个小时到4天不等。在经历了最终的清醒之后,一半的患者在一周内死亡,其余的在9天内死亡。更多的注意力应该集中在理解终端清醒,以改善临终关怀的有意义的方式。
Abstract Terminal lucidity is an unpredictable end-of-life experience that has invaluable implications in preparation for death. We retrospectively evaluated terminal lucidity at a university teaching hospital. Of 338 deaths that occurred during the study period (187 in the ICU and 151 in general wards), terminal lucidity was identified in 6 cases in general wards. Periods of lucidity ranged from several hours to 4 days. After experiencing terminal lucidity, half of the patients died within a week, and the remainder died within 9 days. More attention should be directed toward understanding terminal lucidity to improve end-of-life care in a meaningful way.