在癌症门诊患者中,人们对息治疗的了解和进入障碍
Lindsay M Schlichte1, Jordan Hildenbrand2, Steven Wolf3
1Duke University School of Medicine (L.M.S.), Durham, North Carolina.
Journal of pain and symptom management
|October 17, 2023
概括
癌症患者对息治疗 (PC) 有很高的了解,但仍然可能感到焦虑. 更好地了解PC,并解决焦虑等障碍,可以改善获得这种支持服务的机会.
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:
- 息治疗 (PC) 经常被公众误解.
- 关于 ambulatory 癌症患者对 PC 和相关访问障碍的理解,信息有限.
研究的目的:
- 评估门诊癌症患者对息治疗 (PC) 的熟悉度,知识和态度.
- 确定癌症门诊患者获得PC服务的障碍.
- 探索癌症阶段,诊断时间和PC熟悉度/兴趣之间的关系.
主要方法:
- 对151名接受癌症治疗的门诊患者进行了横截面调查.
- 该调查评估了对PC的熟悉程度,息护理知识量表 (PaCKS) 评分,对PC的感受,访问障碍和预后理解.
- 用描述性统计和物流回归模型进行分析.
主要成果:
- 达到了32%的响应率.
- 58.9%的患者报告熟悉PC,平均PaCKS得分高 (11.9/13),表明知识很强.
- 一年前被诊断的患者更熟悉PC (OR 2.93). 患有III/IV期癌症的患者对PC的当前兴趣更大 (OR 2.66).
- 阅读PC定义减少了患者的焦虑,增加了患者的信心 (P < 0.05).
结论:
- 一个主要的学术中心的门诊癌症患者表现出高度的PC意识和知识.
- 尽管知识很高,但对PC的持续焦虑表明超出理解范围的因素影响了参与.
- 后勤障碍,焦虑和瘤学家的偏好可能导致PC参与延迟或有限.
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