Based on the analysis of emergency dying patients to explore the demand of emergency palliative care
10.3760/cma.j.cn211501-20210301-00597
- VernacularTitle:基于急诊临终患者病例分析探讨急诊舒缓护理需求
- Author:
Yan WU
1
;
Qinyan GU
;
Jiaqi ZHU
;
Haifei WU
;
Rong TANG
;
Changxiang SONG
;
Ying WANG
Author Information
1. 苏州大学附属第二医院急重症医学科 215000
- Keywords:
Emergency;
Terminal patients;
Do not resuscitation;
Palliative care
- From:
Chinese Journal of Practical Nursing
2021;37(25):1984-1988
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the demand and mode of palliative care for emergency dying patients by analyzing the case data of emergency death and cardiopulmonary resuscitation.Methods:The data of 776 cases of emergency clinical death and cardiopulmonary resuscitation in the Second Affiliated Hospital of Soochow University from 2017 to 2020 were retrospectively analyzed.Results:A total of 687 patients were included with (70.38 ± 16.57) years old, and 49.8% (342/687) of them were 75 years old and above; among them, 36.0% (247/687) patients or their families chose not to give cardiopulmonary resuscitation (DNR) in the last stage of their lives,and 63.2%(156/247) of DNR patients were 75 years old and above. The top four etiology of DNR were cerebral hemorrhage, respiratory failure, multiple organ dysfunction syndrome and out of hospital cardiac and respiratory arrest.After successful cardiopulmonary resuscitation, 37.5% (45/120) of the patients' family members chose to give up treatment again. The median stay time of DNR patients in the emergency room was 738.7 minutes.Conclusions:The patients who choosed DNR were mainly 75 years old and above, with cerebral hemorrhage, respiratory failure, multiple organ failure and cardiac and respiratory arrest. The detention of these patients in the emergency room increases the congestion of the emergency room, and at the same time, they can not get a peaceful palliative care environment. It is suggested that emergency medical staff should strengthen the awareness and improve the ability of palliative care. A relative independent area and corresponding soothing palliative treatment and nursing should be given to the DNR patients.
