中国医学科学院学报2023，Vol.45Issue(6)：949-954,6.DOI:10.3881/j.issn.1000-503X.15707
北京协和医院缓和医疗理念和实践对患者死亡状况的影响
Effect of Concept and Practice of Palliative Care on the Death Status of Patients in Peking Union Medical College Hospital
宁晓红 1闫静 2王友培3
作者信息
- 1. 中国医学科学院 北京协和医学院 北京协和医院老年医学科,北京 100730||中国医学科学院 北京协和医学院 北京协和医院缓和医学中心,北京 100730
- 2. 南宁市第一人民医院全科医学科,南宁 530022
- 3. 青岛市城阳区人民医院老年医学科,山东青岛 266109
- 折叠
摘要
Abstract
Objective To analyze the changes of death status of the inpatients in Peking Union Medical College Hospital before and after the development of palliative care.Methods All the death cases of Peking Union Medical College Hospital in 2013(384 cases)and 2019(244 cases)were included in this study,and the general information of the patients and the details of diagnosis and treatment before death were collected.Results The departments of intensive care,emergency,and respiratory diseases and the international medical services had highest number of deaths in both 2013 and 2019,with the cumulative constituent ratios of 67.7％and 62.7％,respectively.The number of clinical departments that involved or implemented palliative care increased from 7 in 2013 to 14 in 2019.The number of patients who died in 2019 and exposed to palliative care increased(P＜0.001)compared with that in 2013,and increasing patients received humanistic care(P＜0.001).Compared with 2013,2019 witnessed reducing patients receiving vasoactive drugs(P=0.006),cardiopulmonary resuscitation(P=0.002),endotracheal intubation(P=0.002),invasive mechanical ventilation(P＜0.001),and invasive opera-tion(P＜0.001)before death in 2019.Conclusion The concept and practice of palliative care have significant-ly reduced the proportion of terminal patients receiving traumatic treatment.关键词
安宁缓和医疗/死亡/人文关怀/有创救治Key words
hospice and palliative care/death/humanistic care/traumatic treatment分类
医药卫生引用本文复制引用
宁晓红,闫静,王友培..北京协和医院缓和医疗理念和实践对患者死亡状况的影响[J].中国医学科学院学报,2023,45(6):949-954,6.
