在癌症患者的生命终端干预措施
Colleen Webber1,2, Shuaib Hafid3, Anastasia Gayowsky4
1Ottawa Hospital Research Institute, Ottawa, Ontario, Canada cowebber@ohri.ca.
BMJ supportive & palliative care
|August 3, 2023
概括
接近生命终点的癌症患者中,潜在不适当的干预措施是常见的. 年龄,性别,地理位置,收入和癌症类型等因素影响了干预率,突出了护理差异.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症患者在生命的最后一百天经常接受潜在不合适的干预措施.
- 这些干预措施的使用存在根据患者人口统计和癌症类型的变化.
研究的目的:
- 调查癌症患者在生命的最后100天内接受潜在不适当干预的变化.
- 根据患者的特征和癌症部位分析这些变异.
主要方法:
- 在加拿大安大略省进行了一项以人口为基础的回顾性队列研究,涉及2013-2018年期间的癌症死者.
- 使用医院出院记录识别了可能不适当的干预措施.
- 普森回归分析检查了干预措施与死亡者年龄,性别,农村地区,收入和癌症部位之间的关联.
主要成果:
- 在151,618名癌症死者中,超过81%的人在过去的100天内至少接受过一次干预.
- 老年患者和女性的干预率较低.
- 农村患者,高收入季度患者和胰腺癌患者的干预率更高.
结论:
- 在终身癌症护理中,潜在的不合适的干预措施很普遍.
- 干预使用的差异可能源于预后意识,医疗保健准入和护理偏好.
- 早期的息护理整合可以帮助减少生命终端干预.
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