在息治疗中,心理存在症状变化的现实世界经验
David W Kissane1, Irene Bobevski2, Jane Appleton3
1School of Medicine (D.W.K., I.B., J.A., N.M.), University of Notre Dame Australia, Fremantle, Australia; St. Vincent's Hospital (D.W.K., J.A.), Sydney, New South Wales, Australia; Cabrini Health (D.W.K., I.B., N.M., L.K.), Melbourne, Victoria, Australia; School of Clinical Sciences (D.W.K., I.B., N.M., D.C.), Monash University, Victoria, Australia.
Journal of pain and symptom management
|June 8, 2023
概括
在息治疗中,常规查精神存在性症状改善了许多患者的治疗结果. 虽然有些人经历了新的痛苦,但观察到显著的改善,特别是在那些有严重基线症状的人群中.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理社会瘤学
- 症状管理 症状管理
背景情况:
- 精神存在性症状在息治疗中往往得到不充分的解决.
- 有效的查,监测和治疗可以减轻痛苦.
研究的目的:
- 探索心理存在症状的纵向变化.
- 评估实施心理存在症状评估量表 (PeSAS) 在澳大利亚息护理中的影响.
主要方法:
- 一个多站点滚动设计使用PeSAS监测了319名患者.
- 根据基线严重程度 (轻度,中度,严重) 分析了症状变化得分.
- 回归分析确定了症状变化的预测因素.
主要成果:
- 一半的患者报告没有临床上显著的精神存在症状.
- 更多的患者得到改善而不是恶化;20-60%的中度/重度症状得到改善.
- 严重的基线症状显示明显比中度症状更大改善.
结论:
- 在息治疗中,心理存在性痛苦的查为改善提供了显著的机会.
- 症状控制不足可能源于临床技能,人员或程序文化.
- 以人为中心的,多学科的护理对于解决精神精神和生存困境至关重要.
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