以质量求发展，以服务铸品牌

护理学报 ›› 2019, Vol. 26 ›› Issue (17): 22-26.doi: 10.16460/j.issn1008-9969.2019.17.022

• 文献研究 • 上一篇    下一篇

COPD患者预立医疗照护计划的研究进展

田丽1, 李梦媛2, 李佳倩1, 朱冰洁1, 张青月2, 阎玲2   

  1. 1.天津中医药大学研究生院,天津 300000;
    2.天津医科大学肿瘤医院 护理部,天津 300060
  • 收稿日期:2019-06-06 发布日期:2020-07-13
  • 通讯作者: 阎 玲（1972-）,女,天津人,硕士,副主任护师,护理部副主任。
  • 作者简介:田 丽（1994-）,女,河北石家庄人,本科学历,硕士研究生在读,护士。

  • Received:2019-06-06 Published:2020-07-13

PDF (PC)

299

赞

摘要： 目的 综述预立医疗照护计划在COPD患者的研究进展,为我国COPD患者预立医疗照护计划的开展提供参考。方法 主要从预立医疗照护计划的内涵、相关概念、COPD患者实施预立医疗照护计划的现状、影响因素和策略进行阐述。结果 预立医疗照护计划作为COPD患者护理中的重要一部分,但在临床执行力不高。影响因素有：疾病性质、医生方面、患者方面与沟通方面。干预策略主要包括增加以护士为主导的干预、进行多学科的合作与培训、加强医护人员与患者的沟通。结论 COPD患者可以从预立医疗照护计划中受益,应该采取相应措施将其应用到我国COPD患者身上。

关键词: COPD, 预立医疗照护计划, 综述

中图分类号: 

  • R473.56
[1] Duenk R G, Verhagen C, Dekhuijzen P N R, et al. The View of Pulmonologists on Palliative Care for Patients with COPD: A Survey Study[J]. Int J Chron Obstruct Pulmon Dis, 2017, 12:299-311.DOI:10.2147/COPD.S121294. eCollection2017.
[2] Rietjens J A C, Sudore R L, Connolly M, et al. Definition and Recommendations for Advance Care Planning: An International Consensus Supported by the European Association for Palliative Care[J]. Lancet Oncol,2017,18(9):e543-e551.DOI:10.1016/S1470-2045(17)30582-X.
[3] Krystal S, Bhasker A, Catherine V, et al.Advance Care Planning in Patients with Primary Malignant Brain Tumors: A Systematic Review[J]. Front Oncol, 2016(6):223-228. DOI:10.3389 / fonc.2016.00223.
[4] Chan H Y L, Ng J S C, Chan K S, et al. Effects of a Nurse-led Post-discharge Advance Care Planning Programme for Community-dwelling Patients Nearing the End of Llife and Their Family Members: A Randomised ControlledTrial[J]. Int J Nurs Stud, 2018, 87:26-33. DOI:10.1016 / j.ijnurstu.2018.07.008.
[5] Sudore R L, Lum H D, You J J, et al. Defining Advance Care Planning for Adults: A Consensus Definition from a Multidisciplinary Delphi Panel[J]. J Pain Symptom Manage, 2017, 53(5):821-832. e1.DOI:10.1016/j.jpainsymman.2016.12.331.
[6] 邓仁丽,杨柳.大陆预立医疗照护计划的临床实践[J].医学研究与教育,2019,36(1):46-52. DOI:10.3969/j.issn.1674-490X.2019.01.009
[7] Matsuoka J, Kunitomi T, Nishizaki M, et al.Advance Care Planning in Metastatic Breast Cancer[J]. Chin Clin Oncol, 2018, 7(3):33-38. DOI:10.21037/cco.2018.06.03.
[8] Patel K, Janssen D J, Curtis J R.Advance Care Planning in COPD[J]. Respirology, 2012, 17(1):72-78. DOI:10.1111/j.1440-1843.2011.02087.x.
[9] Lin C P, Evans C J, Koffman J, et al.The Conceptual Models and Mechanisms of Action that Underpin Advance Care Planning for Cancer Patients: A Systematic Review of Randomized Controlled Trials[J].Palliat Med,2019, 33(1):5-23.DOI:10.1177/0269216318809582.
[10] Dusseldorf J.Advance Care Planning: Putting an End to the Agonizing Perpetuation of a Pointless Debate[J].Onkologie,2013,36:395-396.DOI:10.1159/000354273.
[11] Fried T R, Bullock K, Iannone L, et al.Understanding Advance Care Planning as a Process of Health Behavior Change[J]. J Am Geriatr Soc, 2009, 57(9):1547-1555. DOI:10.1111/j.1532-5415.2009.02396.x.
[12] McMahan R D, Knight S J, Fried T R, et al. Advance Care Planning beyond Advance Directives: Perspectives from Patients and Surrogates[J]. J Pain Symptom Manage, 2013, 46(3):355-365. DOI:10.1016/j.jpainsymman.2012.09.006.
[13] 吴梅利洋,曾铁英. 预立医疗自主计划的意义及实施策略[J].护理研究,2014,28(12B):4355-4357. DOI:10.3969/j.issn.1009-6493.2014.035.002.
[14] 张蓉蓉,姜叙诚.预设医疗指示的研究进展[J].护理学杂志,2017, 32(9):105-109.DOI:10.3870/j.issn.1001-4152.2017.09.105.
[15] Talebreza S, Widera E.Advance Directives: Navigating Conflicts between Expressed Wishes and Best Interests[J]. Am Fam Physician, 2015, 91(7):480-484.
[16] Spelten E R, Geerse O, van Vuuren J, et al. Factors Influencing the Engagement of Cancer Patients with Advance Care Planning: A Scoping Review[J]. Eur J Cancer Care (Engl),2019,28(3):e13091-e13103.DOI:10.1111/ecc.13091.
[17] 邓仁丽,王守碧,张江辉,等.中西文化视野下预立医疗照护计划在医疗卫生体系中的植入[J].中国护理管理,2019,19(3):321-325.DOI:10.3969/j.issn.1672-1756.2019.03.001.
[18] Lanken P N, Terry P B, DeLisser H M, et al. An Official American Thoracic Society Clinical Policy Statement: Palliative Care for Patients with Respiratory Diseases and Critical Illnesses[J]. Am J Respir Crit Care Med, 2008, 177(8):912-927. DOI:10.1164/rccm.200605-587ST.
[19] Siouta N, van Beek K, Preston N, et al. Towards Integration of Palliative Care in Patients with Chronic Heart Failure and Chronic Obstructive Pulmonary Disease: A Systematic Literature Review of European Guidelines and Pathways[J]. BMC Palliat Care, 2016, 15(1):18. DOI:10.1186/s12904-016-0089-4.
[20] Taylor D R, Murray S A.Improving Quality of Care for End-stage Respiratory Disease: Changes in Attitude, Changes in Service[J].Chron Respir Dis,2018,15(1):19-25.DOI:10.1177/1479972317707654.
[21] Smith T A, Kim M, Piza M, et al.Specialist Respiratory Physicians’ Attitudes to and Practice of Advance Care Planning in COPD. A Pilot Study[J]. Respir Med, 2014, 108(6):935-939. DOI:10.1016/j.rmed.2013.12.002.
[22] Wichmann A B, van Dam H, Thoonsen B, et al. Advance Care Planning Conversations with Palliative Patients: Looking through the GP’s Eyes[J]. BMC Fam Pract, 2018, 19(1):184. DOI:10.1186/s12875-018-0868-5.
[23] Hjorth N E, Haugen D F, Schaufel M A.Advance Care Planning in Life-threatening Pulmonary Disease: A Focus Group Study[J]. ERJ Open Res, 2018, 4(2):00101-2017. DOI:10.1183/23120541.00101-2017.
[24] Seamark D, Blake S, Seamark C, et al.Is hospitalisation for COPD an Opportunity for Advance Care Planning? A Qualitative Study[J]. Prim Care Respir J, 2012, 21(3):261. DOI: 10.4104/pcrj.2012.00032.
[25] Taylor D R.Progressive Respiratory Disease: the Importance of Prognostic Conversations and Advance Care Planning[J]. Breathe (Sheff),2017,13(4):269-273. DOI:10.1183/20734735.012917.
[26] Marsaa K, Gundestrup S, Jensen J U, et al.Danish Respiratory Society Position Paper: Palliative Care in Patients with Chronic Progressive Non-malignant Lung Diseases[J]. Eur Clin Respir,2018,5(1):1530029.DOI:10.1080/20018525.2018. 1530029.
[27] Houben C H M, Spruit M A, Luyten H, et al. Cluster-randomised Trial of a Nurse-led Advance Care Planning Session in Patients with COPD and Their Loved Ones[J]. Thorax,2019,74(4):328-336.DOI:10.1136/thoraxjnl-2018-211943.
[28] Nedjat-Haiem F R, Carrion I V, Gonzalez K, et al. Implementing an Advance Care Planning Intervention in Community Settings with Older Latinos: A Feasibility Study[J]. J Palliat Med, 2017,20(9):984-993. DOI:10.1089/jpm.2016.0504.
[29] Uhler L M, Figueroa R E P, Dickson M, et al. InformedTogether: Usability Evaluation of a Web-based Decision Aid to Facilitate Shared Advance Care Planning for Severe Chronic Obstructive Pulmonary Disease[J]. JMIR Hum Factors, 2015, 2(1):e2. DOI:10.2196/humanfactors.3842.
[30] Celli B R, Cote C G, Marin J M, et al.The Body-mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index in Chronic Obstructive Pulmonary Disease[J]. N Engl J Med, 2004, 350(10):1005-1012. DOI:10.1056/NEJMoa021322.
[31] Bloom C I, Ricciardi F, Smeeth L, et al.Predicting COPD 1-year Mortality Using Prognostic Predictors Routinely Measured in Primary Care[J]. BMC Med, 2019, 17(1):73. DOI:10.1186/s12916-019-1310-0.
[32] Green M J, Schubart J R, Whitehead M M, et al.Advance Care Planning does not Adversely Affect Hope or Anxiety among Patients with Advanced Cancer[J]. J Pain SymptomManage,2015, 49(6):1088-1096.DOI:10.1016/j.jpainsymman.2014.11.293.
[33] Simpson C.Advance Care Planning in COPD: Care Versus “Code Status”[J]. Chron Respir Dis, 2012, 9(3):193-204. DOI:10.1177/1479972312445897.
[34] Andreas S, Alt-Epping B.Advance Care Planning in Severe COPD: It is Time to Engage with the Future[J]. ERJ Open Res, 2018,4(1):00009-2018. DOI:10.1183/23120541.00009-2018.
[35] Sinclair C, Auret K A, Evans S F, et al.Advance Care Planning Uptake among Patients with Severe Lung Disease: A Randomised Patient Preference Trial of a Nurse-led, Facilitated Advance Care Planning Intervention[J]. BMJ Open, 2017, 7(2):e013415. DOI:10.1136/bmjopen-2016-013415.
[36] 吴小佳,刘光华.心力衰竭患者预立医疗照护计划研究进展[J].护理学杂志,2017,32(15):17-20. DOI:10.3870/j.issn.1001-4152.2017.15.017.
[37] 谌永毅,成琴琴,王英,等.护理人员预立医疗照护计划知信行现状及对策分析[J].中国护理管理,2019,19(3):334-340. DOI:10.3969/j.issn.1672-1756.2019.03.004.
[38] 张丹丹,李虹,赵璠,等.社区医护人员预立医疗照护计划知信行的调查[J].护理学杂志,2019,34(1):77-79. DOI:10.3870/j.issn.1001-4152.2019.01.077.
[39] Spathis A, Booth S.End of Life Care in Chronic Obstructive Pulmonary Disease: In Search of a Good Death[J]. Int [J] Chron Obstruct Pulmon Dis., 2008, 3(1):11.
[40] 陆宇晗. 我国安宁疗护的现状及发展方向[J].中华护理杂志,2017, 52(6):659-664.DOI:10.3761/j.issn.0254-1769.2017.06.004.
[41] 陈裕丽,郑宝宝,巫家强,等.预立医疗照护计划在香港地区的临床实践及过程评价[J]. 中国护理管理, 2019,19(3):330-333. DOI:10.3969/j.issn.1672-1756. 2019.03.003.
[42] Leung D Y P, Chan H Y L, Yau S Z M, et al. A Video-Supported Nurse-led Advance Care Planning on End-of-life Decision-making among Frail Older Patients: Protocol for a Randomized Controlled Trial[J]. J Adv Nurs, 2019, 75(6):1360-1369. DOI:10.1111/jan.13959.
[43] Smallwood N, Currow D, Booth S, et al.Attitudes to Specialist Palliative Care and Advance Care Planning in People with COPD: A Multi-national Survey of Palliative and Respiratory Medicine Specialists[J].BMC Palliat Care, 2018, 17(1):115. DOI:10.1186/s12904-018-0371-8.
[44] Leung D Y P, Chan H Y L, Yau S Z M, et al. A Video-supported Nurse-led Advance Care Planning on End-of-life Decision-making among Frail Older Patients: Protocol for a Randomized Controlled Trial[J]. J Adv Nurs, 2019, 75(6):1360-1369.DOI:10.1111/jan.13959.
[1] 汤琳, 孟爱凤, 智晓旭, 邾萍, 浦亚楼, 路莉静. 癌症青年患者社会心理干预的研究进展[J]. 护理学报, 2020, 27(12): 10-13.
[2] 冯尘尘, 王蒙蒙, 唐秀美, 周煜, 赵淑珍. 早期压力性损伤识别方法研究进展[J]. 护理学报, 2019, 26(3): 20-23.
[3] 尹玲, 胡燕华, 郑凤华, 冉栩. 儿童日间手术焦虑情绪管理研究现状[J]. 护理学报, 2019, 26(15): 27-30.
[4] 孙骏玉,束娇娇,帕丽达·买买提. 国内外护生职业认同研究现状与思考[J]. 护理学报, 2018, 25(9): 31-34.
[5] 郭一峰, 陈亚萍, 王晓杰, 徐园, 马玉芬. 国外急性深静脉血栓患者应用弹力袜治疗的研究进展[J]. 护理学报, 2018, 25(21): 24-28.
[6] 黎喆, 丁欣. 衰弱评估在主动脉瓣狭窄患者中的应用进展[J]. 护理学报, 2018, 25(20): 14-17.
[7] 刘瑞红,张霞,万晶晶,谭文红. 肾移植术后妊娠风险评估研究进展[J]. 护理学报, 2018, 25(2): 33-36.
[8] 胡嘉玳, 胡艳杰, 李继平, 罗艳丽. 中美静脉治疗专科护士职能需求和使用比较及启示[J]. 护理学报, 2018, 25(19): 29-33.
[9] 吴茜,陈蓓敏,吴哓哓,金爱萍,施雁. 国内外痴呆发病风险预测模型研究进展[J]. 护理学报, 2018, 25(12): 34-39.
[10] 刘静,崔朝妹. 俯卧体位在患儿中的应用护理进展[J]. 护理学报, 2018, 25(10): 36-40.
[11] 李雪阳,田秋菊,陈明霞. 逐级加压弹力袜与间歇充气加压装置预防深静脉血栓应用进展[J]. 护理学报, 2017, 24(9): 31-34.
[12] 张然,许勤. 外科非糖尿病患者应激性高血糖的研究进展[J]. 护理学报, 2017, 24(4): 34-38.
[13] 蒋慧琴,东梅. 慢性病多学科协作模式下的护理现状和展望[J]. 护理学报, 2017, 24(22): 28-31.
[14] 白治繁,沈军. 怀旧治疗在老年抑郁症中应用研究进展[J]. 护理学报, 2017, 24(21): 28-30.
[15] 张俊,谢晖,孙婷,侯培娇,汪玲,尹皓. 积极老龄化的概念分析[J]. 护理学报, 2017, 24(15): 32-34.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!