改善的症状变化改善了晚期癌症患者的死亡质量:东亚跨文化研究
Hsien-Liang Huang1, Ping-Jen Chen2,3,4, Masanori Mori5
1Department of Family Medicine, College of Medicine and Hospital, National Taiwan University, Taipei, Republic of China.
The oncologist
|September 27, 2023
概括
改善症状管理,特别是呼吸不全和妄想,对于提高癌症患者死亡和死亡的质量至关重要. 有效的症状控制显著影响终身护理结果.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 症状管理 症状管理
背景情况:
- 在整个疾病轨迹中,癌症患者和家属的症状负担增加.
- 关于症状变化与死亡和死亡的质量之间的关联的证据有限.
- 这项研究探讨了症状变化对终身护理质量的影响.
研究的目的:
- 研究身体和心理症状的变化如何影响死亡和死亡的质量.
- 识别与终身护理质量相关的特定症状及其轨迹.
- 为了更好地为息治疗中的症状管理策略提供信息.
主要方法:
- 在日本,韩国和台湾 (2017-2019) 进行的国际前性队列研究 (EASED).
- 包括998名当地晚期或转移性癌症的成年患者入院息治疗单位.
- 使用回归分析评估身体/心理症状和死亡质量 (良性死亡量表).
主要成果:
- 与稳定的呼吸障碍相比,持久性呼吸障碍与死亡和死亡的质量较低有关 (β = -0.427).
- 恶化和持续的妄想显著与死亡和死亡质量降低相关 (分别为β = -1.381和-1.680).
- 症状严重程度的变化,特别是呼吸不全和妄想,会影响生命末期的体验.
结论:
- 改善症状控制,特别是呼吸不全和妄想,与更好的死亡和死亡质量有关.
- 整合对死亡和死亡质量的结果测量对于目标一致的症状管理至关重要.
- 研究结果强调了积极的症状管理在终身癌症护理中的重要性.
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