增强的支持性护理:瘤患者和护理人员的前性队列研究
Sally Taylor1,2, Amy Vercell3, Chelsea Sawyer3
1Christie Patient Centred Research Team, The Christie NHS Foundation Trust, Manchester, UK sally.taylor38@nhs.net.
BMJ supportive & palliative care
|September 11, 2023
概括
增强的支持性护理 (ESC) 服务改善了患者的生活质量,减少了焦虑和疼痛,减少了医疗服务的使用. 护理人员报告说,未满足的需求较少,尽管整体改善不那么明显.
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:
- 综合性癌症中心提供专业护理.
- 增强型支持性护理 (ESC) 服务旨在改善患者和护理人员的福祉.
- 评估这些服务的有效性对于优化癌症护理至关重要.
研究的目的:
- 评估ESC服务的临床有效性.
- 探索ESC对患者和护理人员结果和经验的影响.
- 确定需要改善服务的领域.
主要方法:
- 一项前性队列研究,涉及184名患者和67名护理人员.
- 在基线,4周和8周通过问卷收集的定量数据.
- 与13名患者进行了定性采访,以探索经验.
- 定量数据的统计分析和定性数据的专题分析.
主要成果:
- 4周后,患者报告生活质量改善 (EQ5D评分,p=0.004),焦虑减少 (p=0.006),疼痛减少 (p=0.02).
- 患者体验到自我效能增加,更多的问题得到解决,医疗服务利用率降低.
- 护理人员报告说,未满足的需求减少了,但观察到的整体改善较少.
- 定性数据表明患者对ESC的普遍满意度,建议提高意识和提前转诊.
结论:
- ESC服务对患者报告的结果产生积极影响,包括生活质量和症状管理.
- 该服务还证明了在医疗服务利用方面的好处.
- 提高意识和促进患者早期参与ESC可能会进一步优化结果和满意度.
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