老年慢性心力衰竭患者居家缓和医疗照护模式的研究进展

Research progress on home based palliative care model for elderly patients with chronic heart failure

目前,我国慢性心力衰竭的患病率居高不下,且老年人群高发,缓和医疗照护模式可积极改善患者预后,提高患者生活质量。受交通、经济成本等因素的影响,患者及照顾者更倾向于居家缓和医疗照护模式。本文对国内外居家缓和医疗照护模式在慢性心力衰竭患者中的应用进行综述,包括慢性心力衰竭、缓和医疗照护的概念,国内外慢性心力衰竭患者居家缓和医疗照护模式的研究现状,居家缓和医疗照护的需求、意义、现存问题并提出发展建议,旨在促进居家缓和医疗照护模式在我国的发展。

At present,the incidence of chronic heart failure in China remains high,with a high incidence among the elderly.Palliative care model can actively improve patient prognosis and enhance their quality of life.Affected by factors such as transportation and economic costs,patients and caregivers tend to prefer the home based palliative care model.This paper reviews the application of the home based palliative care model in patients with chronic heart failure both domestically and internationally,including the concepts of chronic heart failure and palliative care,the status of home based palliative care models for patients with chronic heart failure,the needs,significance,existing problems of home based palliative care,and proposes development suggestions,aiming to promote the development of the home based palliative care model in China.