METHODS: Based on a PubMed literature search with the free-text term \"death rattle\", nine studies published in the last ten years were included.
UNASSIGNED: No significant correlation between DR intensity and patients\' respiratory distress could be found. Some relatives experience high levels of distress and express a need for DR care improvement. Health professionals are often influenced in their decision-making to intervene by external pressure or their need \'to do something\'. Both repositioning and explaining DR to relatives are seen as useful first-line non-pharmacological interventions by health professionals. The severity of DR does not improve when suctioning is performed before starting anticholinergics.
CONCLUSIONS: Variation in DR-related experiences and needs exists among relatives and health professionals. More research is needed into the effectiveness of non-pharmacological interventions for DR management and the most suitable measurement tools to objectify DR-related outcomes.
方法:基于PubMed文献搜索,使用自由文本术语“死亡拨浪鼓”,纳入了过去十年发表的九项研究。
■DR强度与患者呼吸窘迫无显著相关性。一些亲属经历高度的痛苦,并表示需要改善DR护理。卫生专业人员在决策时往往受到外部压力或他们“做某事”的需要的影响。重新定位和向亲属解释DR都被卫生专业人员视为有用的一线非药物干预措施。在开始抗胆碱能药物之前进行抽吸时,DR的严重程度没有改善。
结论:亲属和卫生专业人员之间存在DR相关经历和需求的差异。需要更多研究非药物干预措施对DR管理的有效性以及最合适的测量工具来客观化DR相关结果。