摘要
呼吸困难是普通、停用的症状呼吸并且心疾病，它在发生正在成长。在医院承认期间，呼吸急促下面诊断、下面对待，尽管有为控制症状可得到的治疗。我们开发了指导到医药职员在处理呼吸困难支持这些药理学和非药理学工具的应用程序的定制的实现策略。主要目的是不收到呼吸困难的足够的消除的病人的率到减少。这是四阶段的伪试验性的研究。干预在将在心病学和呼吸的药部门被教的二次教学谈话在于。内容将被辩解的照顾专家准备，基于为呼吸困难和病人需要的管理的可得到的工具。在就医的病人的呼吸困难的代表性的研究将在干预前后被执行在诊所由于变化在呼吸困难紧张查明改进。最后阶段为根据我们的经验基于的呼吸困难管理在一致协议的创造在于。这研究的结果被期望价值大并且在不久的将来可以改变临床的实践并且支持一变化为呼吸困难照顾更好。
Dyspnea is a common and disabling symptom of respiratory and heart diseases, which is growing in incidence. During hospital admis- sion, breathlessness is under-diagnosed and under-treated, although there are treatments available for controlling the symptom. We have developed a tailored implementation strategy directed to medical staff to promote the application of these pharmacological and non-pharmacological tools in dealing with dyspnea. The primary aim is to decrease the rate of patients that do not receive an adequate relief of dyspnea. This is a four-stage quasi-experimental study. The intervention consists in two teaching talks that will be taught in Cardiology and Respiratory Medicine Departments. The contents will be prepared by Palliative Care specialists, based on available tools for management of dyspnea and patients＇ needs. A cross-sectional study of dyspnea in hospitalized patients will be performed before and after the intervention to ascertain an improvement in dyspnea intensity due to changes in medical practices. The last phase consists in the creation of consensus protocols for dyspnea management based in our experience. The results of this study are expected to be of great value and may change clinical practice in the near future and promote a changing for the better of dyspnea care.
