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Symptom Burden and Quality of Life in Inpatient Palliative Care: Prospective Evaluation With IPOS-POL
Monika Grochowicka1, Wojciech Leppert, Małgorzata Reysner
1Author Affiliations: Department of Palliative Medicine, Poznan University of Medical Sciences, Poznań, Poland (Mrs Grochowicka, Dr Reysner, Dr Sopata, Dr Reysner, Dr Kowalski, Prof Wieczorowska - Tobis), University Clinical Hospital in Poznań, Poznan University of Medical Sciences, Poznań, Poland (Prof Leppert), Department of Palliative Medicine, Institute of Medical Sciences, Collegium Medicum, University of Zielona Góra, Zielona Góra, Poland (Prof Leppert, Mrs Kropińska), and Center for Postgraduate Studies and Continuing Education, Poznan University of Medical Sciences, Poznań, Poland (Mrs Grochowicka, Prof Leppert, Dr Reysner, Mrs Kropińska, Dr Sopata, Dr Reysner, Dr Kowalski, Prof Wieczorowska-Tobis).
None:
Effective palliative care requires a comprehensive assessment of symptoms to improve quality of life. This study evaluated the clinical utility of the Polish version of the Integrated Palliative Care Outcome Scale (IPOS-POL) in an inpatient setting. One hundred patients (68 oncological, 32 non-oncological) completed IPOS-POL at admission (T1) and after seven days (T2) between July 2022 and February 2023. While total IPOS scores remained stable (p = 0.3603), psychosocial distress increased significantly (p = 0.0217). Staff tended to underestimate drowsiness and psychosocial distress compared with patient self-reports. Female patients reported higher distress (p = 0.0374), and bedridden patients experienced more pain (p = 0.0146). Oncological patients reported greater pain (p = 0.0189), whereas non-oncological patients more frequently experienced breathlessness (p = 0.0297). These findings emphasize discrepancies in symptom perception between patients and staff and underline the importance of tailored interventions based on gender and functional status. Enhanced psychosocial support should be a priority in inpatient palliative care.
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