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Palliative Care in Emergency Medicine. What Are We Missing?
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作者 Lauren Nigolian Raymund Gantioque Joshua Dexheimer 《Open Journal of Emergency Medicine》 2019年第1期8-15,共8页
Patients present to the emergency department with critical and complex medical conditions that require a broad scope of medicine to achieve patient outcomes. Emergency medicine physicians are recognizing the importanc... Patients present to the emergency department with critical and complex medical conditions that require a broad scope of medicine to achieve patient outcomes. Emergency medicine physicians are recognizing the importance and positive outcomes that arise when palliative care teams are consulted in the emergency room. Today, medical schools, residency programs, and emergency departments are requiring palliative care curriculum apart of their education. However, there continues to be a gap in early initiation of palliative care in emergency medicine. Nurse practitioners are becoming pivotal in the emergency department, and patients are considering them key providers in their medical journey. The role of an advanced practice nurse in an emergency room may be optimal for the early onset of palliative care consultation. This manuscript examines current knowledge that explores the background of palliative care, the current practice in the emergency department, the positive outcomes and gaps that still exist today, and the increasing role of an advanced practice nurse in the emergency room and their impact on palliative care initiation. 展开更多
关键词 EMERGENCY Department (ED) EMERGENCY Room (ER) palliative care CONSULTATION (pcC) palliative care (pc) NURSE Practitioners (NPs)
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安宁疗护评估量表的汉化及信效度检验 被引量:8
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作者 黄晓香 彭刚艺 +4 位作者 应文娟 黄锦屏 周玉华 孔秋焕 郑锐华 《护理研究》 北大核心 2020年第19期3401-3407,共7页
[目的]对安宁疗护评估量表(interRAI-PC)进行汉化,并进行信效度检验。[方法]对英文版interRAI-PC量表进行翻译和跨文化调试,形成中文版interRAI-PC量表。选取广东省广州市和汕头市7所医院晚期癌症病人206例,使用中文版interRAI-PC量表... [目的]对安宁疗护评估量表(interRAI-PC)进行汉化,并进行信效度检验。[方法]对英文版interRAI-PC量表进行翻译和跨文化调试,形成中文版interRAI-PC量表。选取广东省广州市和汕头市7所医院晚期癌症病人206例,使用中文版interRAI-PC量表对病人进行调查,评价量表的信度和效度。[结果]中文版interRAI-PC量表各分量表的Cronbach′sα系数为0.323~0.930,折半信度Spearman-Brown系数为0.299~0.921,重测信度为0.928~1.000。各个条目内容效度指数(I-CVI)为0.8~1.0,总量表内容效度指数(S-CVI/Ave)为0.987。中文版interRAI-PC中的日常活动能力维度和改良巴氏指数(MBI)得分呈负相关(r=-0.946,P=0.000),疼痛维度与数字疼痛评估法(NRS)得分呈正相关(r=0.314,P=0.000)。探索性因子分析结果显示,各分量表共提取出19个特征根>1的公因子,各分量表的累积方差贡献率均>60%。[结论]中文版interRAI-PC量表在晚期癌症病人群体中具有良好的信效度,可以作为我国晚期癌症病人安宁疗护的评估工具。 展开更多
关键词 安宁疗护 interRAI安宁疗护评估量表 晚期癌症 临终关怀 信度 效度
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