照顾多病症老年患者的挑战,包括癌症
P A L Nelleke Seghers1, Siri Rostoft2, Shane O'Hanlon3
1Department of Geriatric Medicine, Diakonessenhuis, Utrecht 3582 KE, the Netherlands.
Journal of geriatric oncology
|July 16, 2023
概括
照顾患有癌症和多种健康状况的老年患者是复杂的. 需要一种新的以患者为中心的护理途径,以应对治疗决策,生活质量和护理协调方面的挑战,以获得更好的结果.
科学领域:
- 老年瘤学 老年瘤学
- 多发病性疾病管理
- 患者为中心的护理
背景情况:
- 人口老龄化导致癌症和多病症的老年患者数量增加.
- 现有的护理途径可能无法充分满足这一患者群体的复杂需求.
研究的目的:
- 分析癌症和多病症的老年患者临床实践中的挑战.
- 为开发一种新的以患者为中心的整体护理途径提供信息.
主要方法:
- 在线调查与癌症和老年病专家 (n=36).
- 与老年患者和非正式照顾者的深入采访 (n=12).
主要成果:
- 医疗保健专业人员强调,由于缺乏证据,治疗选择和管理治疗与多病症相互作用存在挑战.
- 患者和护理人员强调了治疗结果,症状管理和维持生活质量的困难.
- 出现了五个关键主题:个性化治疗,整合非瘤信息,患者支持,生活质量监测和护理协调.
结论:
- 癌症和多种疾病的老年患者的管理是复杂的,有不适当治疗的风险.
- 一个以患者为中心的护理途径,整合决策,支持和协调的解决方案是必不可少的.
- 超越单一疾病的方法对于改善对这一群体的护理至关重要.
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