A novel acute basic palliation concept for patients without specialised palliative needs.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Danish medical journal Pub Date : 2024-11-12 DOI:10.61409/A10230621

Mike B Astorp, Dorte Melgaard, Johannes Riis, Anne Lund Krarup

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Abstract

Introduction: Among all Danish dying patients, 80% rely on non-specialised palliative care, an area lacking national and international guidelines. In this pilot study, we developed and tested an acute basic palliation concept (ABPC), a structured end-of-life (EOL) care plan for patients discharged from the emergency department to die at home compared with standard care.

Methods: This study compared symptom scores and EOL care statement scores during a standard care period with an ABPC period using unvalidated questionnaires. Each period included 25 patients. The study was conducted across two emergency departments in Denmark and included patients aged ≥ 18 nearing EOL. Furthermore, we asked if healthcare professionals would use the ABPC again.

Results: Relatives reported better symptom scores for three of four symptoms during the ABPC period. Doctors and municipal caregivers reported better scores for most EOL care statements during the ABPC period, whereas hospital nurses' scores remained unchanged between periods. All (100%, n = 67) healthcare professionals would use the ABPC again, and 96% provided positive free-text comments.

Conclusions: Relatives and healthcare professionals reported better symptom and EOL care scores during the ABPC period, with all healthcare professionals stating that they would use the ABPC again. Larger sample sizes and validated questionnaires are needed to verify our findings.

Funding: Funding was provided by Beta.Health, the Health Innovation Fund of the North Denmark Region, and Health Hub by Spar Nord Fund.

Trial registration: Not relevant.

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一个新的急性基本姑息概念，为患者没有专门的姑息治疗需求。

在所有丹麦垂死病人中，80%依赖非专业姑息治疗，这一领域缺乏国家和国际指南。在这项试点研究中，我们开发并测试了急性基本姑息概念（ABPC），这是一种结构化的生命末期（EOL）护理计划，用于从急诊科出院的患者在家中死亡，与标准护理相比。方法：本研究使用未验证的问卷，比较标准治疗期和ABPC期的症状评分和EOL护理陈述评分。每期25例。该研究在丹麦的两个急诊科进行，包括年龄≥18岁接近EOL的患者。此外，我们询问医疗保健专业人员是否会再次使用ABPC。结果：亲属报告在ABPC期间，四种症状中的三种症状评分较好。在ABPC期间，医生和市政护理人员报告的大多数EOL护理声明得分较高，而医院护士的得分在两个时期之间保持不变。所有（100%,n = 67）医疗保健专业人员都会再次使用ABPC， 96%的人提供了积极的自由文本评论。结论：亲属和医疗保健专业人员在ABPC期间报告了更好的症状和EOL护理评分，所有医疗保健专业人员表示他们会再次使用ABPC。需要更大的样本量和有效的问卷来验证我们的发现。资金：资金由Beta提供。卫生、北丹麦地区卫生创新基金和Spar Nord基金的卫生中心。试验注册：不相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.