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首页> 外文期刊>Journal of palliative medicine >Comfort care kit: Use of nonoral and nonparenteral rescue medications at home for terminally ill patients with swallowing difficulty
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Comfort care kit: Use of nonoral and nonparenteral rescue medications at home for terminally ill patients with swallowing difficulty

机译：舒适护理套件：用于吞咽困难的绝症患者在家中使用非口服和非胃肠外急救药物

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Introduction: We devised a comfort care kit (CCK) consisting of nonoral and nonparenteral rescue medications for caregivers to use at home for symptom control in imminently dying patients who have lost their ability to swallow. The aim of this study was to evaluate the feasibility of the CCK from the perspective of bereaved caregivers. Methods: CCKs were handed out to caregivers for patients who were entered into the care for the dying pathway (CDP). Each CCK includes morphine and haloperidol ampoules, lorazepam tablets, atropine drops, and paracetamol suppositories given either through sublingual or rectal route. We conducted a telephone survey of bereaved caregivers to assess CCK's feasibility (proportion of use), pattern of use, perceived benefits and challenges, and need to transfer to emergency department at the end of life. Results: Forty-nine caregivers completed the survey. Thirty-three (67%) reported that they used the CCK. A majority (76%) only used one medication from the kit. Atropine drops were the most commonly used, followed by morphine and paracetamol. All family members reported that the CCK was easy to use and 98% found it to be effective for symptom management. All except one patient died at home. Conclusion: The CCK was feasible and perceived to be effective for symptom control and easy to use. Further research is necessary to optimize the use of this kit and to document related outcomes.
机译：简介：我们设计了一种舒适护理套件（CCK），该套件由护理人员使用的非口服和非肠胃外急救药物组成，可在家中控制症状，以应对即将死亡的吞咽能力差的患者。这项研究的目的是从失去亲人的照顾者的角度评估CCK的可行性。方法：将CCKs交给照顾者，让他们进入死亡通道（CDP）的护理。每个CCK包括通过舌下或直肠途径给药的吗啡和氟哌啶醇安瓿，劳拉西m片，阿托品滴剂和扑热息痛栓剂。我们对失去亲人的照顾者进行了电话调查，以评估CCK的可行性（使用比例），使用方式，可感知的好处和挑战，以及在生命终结时需要转移到急诊部门的需求。结果：49名护理人员完成了调查。 33（67％）报告说他们使用了CCK。大部分（76％）仅使用试剂盒中的一种药物。阿托品滴剂是最常用的，其次是吗啡和扑热息痛。所有家庭成员都报告说，CCK易于使用，并且98％的人认为它对症状管理有效。除一名患者外，所有患者均在家中死亡。结论：CCK是可行的，被认为对症状控制有效且易于使用。有必要进行进一步的研究以优化该试剂盒的使用并记录相关结果。

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