Current state and prospects for nursing care in the palliative care system

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BACKGROUND: The demographic trends of the 21st century increase the need for long-term care and challenge the volume and quality of palliative and nursing care. Nursing homes and units are created to increase the availability of palliative care (PC) to patients in need of 24-h nursing care who do not have medical indications for permanent medical supervision. The availability of PC and effectiveness in nursing care beds require further analysis.

AIM: This study aimed to examine the current PC state in nursing care beds and determine the need for further development of this area for patients requiring PC in the Russian Federation.

MATERIALS AND METHODS: Data analysis of PC provision in automated medical statistics monitoring system (asmms.mednet.ru) was conducted using descriptive statistics. The sociological method was used to determine the conditions/diseases of patients requiring PC and nursing care.

RESULTS: Patients beyond the working age need PC in nursing care beds. The structural subdivisions of medical organizations and facilities that provide PC in nursing care beds are unevenly distributed throughout the Russian Federation. The availability of nursing care beds and the average bed-days differ among constituent entities of the Russian Federation.

CONCLUSIONS: A positive increase in PC beds has been observed since 2012. For Q1 2021, the average bed-days in a nursing care bed and PC bed were 28.2 and 22.3, respectively. For adult patients receiving PC in inpatient settings, individuals beyond the working age with reduced functional activity, insufficient independent care, and in need of 24-h nursing supervision and care prevailed.

作者简介

Nataliya Kasimovskaya

Sechenov Fist Moscow State Medical University (Sechenov University)

编辑信件的主要联系方式.
Email: kasimovskaya_n_a@staff.sechenov.ru
ORCID iD: 0000-0002-1046-4349
Scopus 作者 ID: 57202926192
Researcher ID: AAK-5352-2020

MD, Cand. Sci. (Med.), assistant professor

俄罗斯联邦, Mosсow

Diana Nevzorova

Sechenov Fist Moscow State Medical University (Sechenov University)

Email: nevzorova_d_v@staff.sechenov.ru
ORCID iD: 0000-0001-8821-2195

MD, Cand. Sci. (Med.), assistant professor

俄罗斯联邦, Mosсow

Natalya Geraskina

Sechenov Fist Moscow State Medical University (Sechenov University)

Email: geraskina_n_s@staff.sechenov.ru
ORCID iD: 0000-0001-7018-2688
Scopus 作者 ID: 57222372994
Researcher ID: AAB-4619-2019

assistant lecturer

Mosсow

参考

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2. Fig. 1. Current system of specialized palliative care for adults in the Russian Federation.

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3. Fig. 2. Provision and dynamics of deployed palliative care beds from 2012 to 2020 (n, per 10 thousand population) [23].

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4. Fig. 3. Availability of adult palliative and nursing care beds by federal districts (per 10,000 population, for Q1 2021)Note (here and in Fig. 4, 6 and in Table 2): ЦФО, Central Federal District; СЗФО, Northwestern Federal District; ЮФО, Southern Federal District; СКФО, North Caucasian Federal District; ПФО, Volga Federal District; УФО, Urals Federal District; СФО, Siberian Federal District; ДФО, Far Eastern Federal District; РФ, Russian Federation.

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5. Fig. 4. Average duration of hospital stays (average bed-day) in nursing and palliative care beds by federal districts of the Russian Federation (Q1 2021, days)

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6. Fig. 5. Dynamics of the average patient stay in a palliative care bed from 2015 to 2018 (days).

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7. Fig. 6. Adult patients who received palliative care in inpatient settings in Q1 2021 (% of the total).

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8. Fig. 7. Prevalence of the main groups of diseases/conditions of palliative patients in need of professional nursing care in inpatient settings (per 100 respondents).

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版权所有 © Kasimovskaya N.A., Nevzorova D.V., Geraskina N.S., 2022

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此作品已接受知识共享署名-非商业性使用-禁止演绎 4.0国际许可协议的许可。
 


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