与恶性伤口相关的心理症状负担:前性队列研究的二次分析
Shigemasa Takamizawa1, Hiroto Ishiki1, Shunsuke Oyamada2
1Department of Palliative Medicine, National Cancer Center Hospital, Tokyo, Japan.
Palliative & supportive care
|August 1, 2023
概括
恶性伤害显著增加了绝症患者的心理痛苦. 解决这种痛苦需要综合心理支持,并与身体症状管理一起改善生活质量.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 心理医学 心理医学
背景情况:
- 恶性伤口在临终期的患者中会引起显著的身体和心理痛苦.
- 恶性伤口的心理影响仍未得到充分研究,尽管需要支持.
研究的目的:
- 评估生命末期患有恶性伤害的患者的心理痛苦.
- 在这个患者群体中确定与心理困扰相关的因素.
主要方法:
- 一项前性队列研究的二次分析,涉及1896名在日本息治疗单位的晚期癌症患者.
- 使用综合息护理结果表 (IPOS) 评估的心理困扰 - 感觉和平得分 (2-4).
- 研究了影响痛苦和死亡质量的因素 (良好的死亡量表).
主要成果:
- 恶性伤口存在于8.2%的患者中,在女性和年轻人中更常见.
- 患有恶性伤口的患者表现出更高的中度至重度心理困扰率 (41.0%对31.3%,p=0.024).
- 心理困扰与疼痛和更换带的频率相关;恶性伤害没有影响死亡质量.
结论:
- 恶性伤口与生命末期癌症患者的心理痛苦增加有关.
- 这些患者需要专注的心理支持,而不仅仅是身体症状治疗.
- 综合护理对于改善患有恶性伤口的患者的生活质量至关重要.
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