息镇静和家庭息护理中的死亡时间:回顾性分析
Daniele Marinelli1, Giulio Ravoni2, Maria Fusilli2
1Department of Experimental Medicine, Sapienza University, Rome, Italy danielemarinelli1@gmail.com.
BMJ supportive & palliative care
|June 6, 2023
概括
这项研究发现,东部合作瘤学集团 (ECOG) 的绩效状况,性别和抗癌治疗对接受家庭息护理的晚期癌症患者的生存时间有显著影响. 在38%的患者中,用于治疗妄和呼吸障碍等症状,使用了息镇静剂.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 老年医学 老年医学
背景情况:
- 家庭息治疗对于晚期癌症患者至关重要.
- 了解影响生存和症状管理的因素至关重要.
研究的目的:
- 描述在接受家庭息护理的晚期癌症患者的生存时间和息镇静率.
- 为了确定与生存和息镇静的使用相关的因素.
主要方法:
- 意大利托斯卡纳州143名晚期癌症患者的回顾性队列研究.
- 纳入标准:晚期恶性瘤和可用的死亡日期.
- 结果措施:死亡的时间和接受息镇静剂.
主要成果:
- 东部合作性瘤组 (ECOG) 的绩效状态 (PS) 和年龄与入院时的抗癌治疗有关.
- 较高的ECOGPS得分与较短的生存时间相关;女性和接受抗癌治疗的人的生存时间更长.
- 38%的患者接受了息镇静,在年轻患者和患有脑癌或肺癌的患者中更为常见,主要用于狂妄症和呼吸障碍.
结论:
- 在晚期癌症患者中,ECOG PS,性别和抗癌治疗显著影响生存时间.
- 38%的患者在耐火性症状,特别是妄和呼吸障碍方面使用了家庭息镇静剂.
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