患有和没有COPD的肺癌患者的息护理:基于人口的队列研究
Stacey J Butler1, Alexander V Louie2, Rinku Sutradhar3
1Institute of Medical Sciences (S.J.B., A.S.G.), University of Toronto, Toronto, ON, Canada; ICES (S.J.B., R.K., L.P., A.S.G.), Toronto, ON, Canada; Sunnybrook Research Institute (S.J.B., A.V.L., R.S., L.P., A.S.G.), Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Journal of pain and symptom management
|August 24, 2023
概括
患有慢性阻塞性肺病 (COPD) 和早期肺癌的患者更经常接受息治疗,但仍然有未满足的需求. 慢性肺炎恶化了症状负担,突出了护理缺口.
科学领域:
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 患有慢性阻塞性肺病 (COPD) 的肺癌患者面临增加的症状负担和更差的预后.
- 及时的息治疗对于管理症状和改善晚期癌症患者的生活质量至关重要.
研究的目的:
- 为了比较COPD和没有COPD的肺癌患者之间的息护理提供和症状负担.
- 为了确定对这个脆弱的患者群体的护理的潜在差异.
主要方法:
- 在加拿大安大略省 (2009-2019) 的74993名肺癌患者进行了以人口为基础的回顾性队列研究.
- 分析卫生行政数据库和癌症登记册,以评估获得的息治疗,症状严重程度 (埃德蒙顿症状评估量表) 和COPD状态.
- 使用竞争性风险分析来确定COPD对息治疗概率的影响,并考虑死亡率.
主要成果:
- 50%的肺癌患者在诊断时患有COPD.
- 患有早期 (I-III) 肺癌和COPD的患者比没有COPD的患者更有可能接受息治疗 (aHR 1.05-1.31);在第四阶段没有观察到差异.
- 尽管症状严重,但只有23%的COPD早期患者接受了息治疗,而没有COPD的患者只有18%;COPD加剧了症状负担,特别是在早期阶段.
结论:
- 慢性肺炎严重影响了早期肺癌的息护理和症状负担.
- 有相当数量的严重症状患者,特别是早期疾病和COPD患者,不接受息治疗,这表明存在未得到满足的需求.
- 这些发现强调了需要加强对肺癌患者的息护理的整合,这些患者患有并发性COPD.
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