决策树模型用于预测末期癌症患者的宿舍息护理使用情况
Hee-Ja Lee1, Im-Il Na2, Kyung-Ah Kang3
1Special Nursing Team, Korea Institute of Radiological & Medical Sciences, Seoul, Korea.
Journal of hospice and palliative care
|September 7, 2023
概括
末期癌症患者与他人住在一起,接受疼痛控制,并在生命维持治疗 (POLST) 的两个月内死亡,最有可能使用临终关怀和息护理 (HPC). 这一发现有助于及时做出HPC决策.
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:
- 及时获得临终关怀和息护理 (HPC) 对患有终末期癌症的患者至关重要.
- 维持生命治疗的医生订单 (POLST) 是生命终端护理计划的关键文件.
- 了解影响HPC利用的因素对于制定临床指南至关重要.
研究的目的:
- 制定临床指导方针,以便在适当的时间内使用临终关怀和息护理 (HPC).
- 确定HPC在终末癌症患者中使用的特征,这些患者已经完成了维持生命治疗 (POLST) 的医生订单.
主要方法:
- 追溯性研究涉及韩国首尔394名终末期癌症患者.
- 使用决策树分析来识别HPC利用的模式.
- 从2019年1月1日到2021年3月31日收集的数据,包括POLST完成.
主要成果:
- 一个预测模型确定了HPC使用的三个关键因素:同居,疼痛控制和POLST后死亡时间.
- 末期癌症患者与同居者,接受疼痛控制,并在POLST后2个月内死亡,HPC使用率为87.5%.
- 与那些没有 (1.7%) 相比,同居者显著增加了HPC使用率 (55.1%).
结论:
- 这项研究为优化HPC决策提供了有价值的临床见解.
- 这些发现可以帮助临床医生和患者确定启动HPC服务的适当时间.
- 证据支持在终身护理计划中考虑患者生活状况和症状管理的重要性.
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