Erfarenheter av palliativ avancerad hemsjukvård för patienter med svår kronisk hjärtsvikt
Engelsk titel: Experiences with home-based palliative care of patients suffering from severe chronic heart failure
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Författare:
Forssell A
;
Boman K
Email: anna.forsell@vll.se
Språk: Swe
Antal referenser: 18
Dokumenttyp:
Artikel
UI-nummer: 06103021
Sammanfattning
This is a retrospective, pilot study
of patients suffering from severe
heart failure. The participants
(n=43) were living in their own
homes and treated by a multidisciplinary,
home-based team for
palliative care. Patients suffering
from severe heart failure were a
new group connected to this care
organisation. The aims were to
examine how the diagnosis was
verified and to scrutinize the
underlining cardiovascular disorders
and the medical treatment.
Furthermore to investigate the
frequency of hospital readmission
after vs. before the patients´ connection
to the homecare team.
The majority (81 %) of the patients
had had their diagnoses verified
with echocardiography. Most
of the patients (88 %) were treated
with an ACE-inhibitor or an
angiotensin-II -receptor blocker,
while 44 % of the patients were
prescribed a betareceptor-blocker.
We found that patients were
readmitted to the hospital significantly
less often, after connection
to the palliative homecare team.
The hospital readmission decreased
during 0-90 days by -63 %
and in 0-180 days by -58 %.