Admittance evaluation indicators of palliative care for patients with heart failure: a scoping review
10.3760/cma.j.cn115682-20220609-02775
- VernacularTitle:心力衰竭患者安宁疗护准入评估指标的范围综述
- Author:
Haojie YANG
1
;
Yule HU
;
Chen ZHANG
;
Shiming JI
;
Ru LI
;
Zhe ZHANG
;
Tao LIANG
Author Information
1. 中国医学科学院北京协和医学院护理学院，北京 100144
- Keywords:
Heart failure;
Palliative care;
Admittance evaluation;
Scoping review
- From:
Chinese Journal of Modern Nursing
2023;29(6):722-727
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To review the paper on the admittance evaluation indicators of palliative care for patients with heart failure, and clarify the admittance evaluation indicators of palliative care for patients with heart failure and corresponding evaluation criteria or tools at home and abroad.Methods:Based on the framework of the scoping review, paper retrieval was carried out through computer in PubMed, Web of Science, Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI), WanFang Database, Chinese Biomedical Literature Database and VIP. The retrieval time limit was from the establishment of the database to April 30, 2022. The original research and review on the admittance evaluation of palliative care for patients with heart failure were included, and the data were independently screened and extracted by two researchers.Results:A total of 15 papers were included. The results of document integration showed that the admittance evaluation indicators of palliative care for patients with heart failure included four categories, namely, disease progress, patient needs, medical resource utilization and medical institutions. It included 12 evaluation indicators and corresponding evaluation criteria or evaluation tools, including the patient's expected survival period, cardiac function, high-risk biomarkers, exercise status, complications, advanced treatment, patient's subjective will, complex symptom relief needs, social support needs, multiple unplanned admissions, hospital stay extension, and medical institution software and hardware resources.Conclusions:The content of the admittance evaluation indicators of palliative care for patients with heart failure is comprehensive, but the evaluation criteria for some indicators are not clear, and there is no consensus on the whole. In the future, researchers can select sensitive evaluation indicators on the basis of existing research, construct the admittance evaluation indicators of palliative care for patients with heart failure, and verify it in clinical practice, so as to promote the application of palliative care in the disease management of patients with heart failure.
