摘要
目的对北京协和医院急诊科发起的缓和医疗会诊进行总结梳理。方法回顾性分析2017年1月至2020年6月北京协和医院急诊科提出的22次缓和医疗会诊资料。结果共18例患者接受缓和医疗会诊,其中,男6例,女12例,平均年龄(65±8)岁(36~88岁);10例患者会诊1次,6例患者会诊2次,2例患者未完成会诊;15例患者为恶性肿瘤,3例患者为非肿瘤性疾病。会诊原因中,61.1%(11/18)是关于沟通;61.1%(11/18)是减轻患者的痛苦症状。离世地点方面,8例在本院离世,6例在其他医疗机构离世。结论北京协和医院急诊对缓和医疗会诊存在明确需求,会诊能给急诊医患双方带来帮助。
Objective To summarize the palliative care consultations proposed by the Emergency Department of Peking Union Medical College Hospital.Methods A retrospective study was conducted on 22 palliative care consultations in the Emergency Department of Peking Union Medical College Hospital from January 2017 to June 2020.Results A total of 18 patients(6 males and 12 females)received palliative care consultations in the Emergency Department,with the average age of(65±8)years(36-88 years).Specifically,10 and 6 patients received once and twice consultations,respectively,and 2 patients did not complete the consultation.Of the patients receiving palliative care consultations,15 had malignant tumors and 3 had non-neoplastic diseases.The reasons for palliative care consultations included communication(61.1%,11/18)and pain relief(61.1%,11/18).In terms of the place of death,8 patients died in the hospital and 6 patients in other medical institutions.Conclusion There is a clear demand for palliative care consultation in the Emergency Department of Peking Union Medical College Hospital,and the consultation can bring help to both emergency doctors and patients.
作者
宁晓红
李佳颐
戴晓艳
刘茜
史迪
赵小萱
李杰
王磊
葛楠
曲璇
杜铁宽
朱华栋
NING Xiaohong;LI Jiayi;DAI Xiaoyan;LIU Qian;SHI Di;ZHAO Xiaoxuan;LI Jie;WANG Lei;GE Nan;QU Xuan;DU Tiekuan;ZHU Huadong(Department of Geriatrics,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Department of International Medical Services,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Emergency Department,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Department of Information Management,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Department of Vascular Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China)
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2022年第5期763-767,共5页
Acta Academiae Medicinae Sinicae
关键词
缓和医疗
会诊
急诊
综合医院
palliative care
consultation
emergency
general hospital
