德国专家息家庭护理中的症状和问题集群 - - 对非瘤和瘤患者的症状负担进行了因子分析
Daniela Gesell1, Farina Hodiamont2, Julia Wikert2
1Department of Palliative Medicine, LMU University Hospital, LMU Munich, Munich, Germany. daniela.gesell@med.uni-muenchen.de.
BMC palliative care
|November 18, 2023
概括
非瘤疾病的专家息家庭护理 (SPHC) 患者经历了更多的症状集群,而瘤患者有额外的沟通/实践集群. 有效的护理规划对于两组患者的症状管理至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 症状管理 症状管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 专业的息性家庭护理 (SPHC) 旨在提高社区患者的生活质量.
- 瘤和非瘤患者之间的症状负担可能有所不同,但SPHC的诊断相关差异尚未得到充分理解.
研究的目的:
- 描述成人SPHC患者身体症状和心理社会问题的患病率.
- 在SPHC人群中识别与诊断相关的症状集群.
主要方法:
- 一项前性多中心研究的二次分析 (DRKS00020517).
- 用描述性统计来评估身体症状负担和心理社会问题.
- 探索性和确认性因素分析确定了症状和问题集群.
主要成果:
- 分析了778个SPHC发作;27.2%的非瘤诊断.
- 非瘤患者报告移动能力差 (91.9%),而瘤患者报告疲弱 (92.4%).
- 在非瘤患者中发现了两个症状集群 (心理社会,身体);在瘤患者中发现了三个 (心理社会,身体,沟通/实践). 非瘤患者 (39.2%) 比瘤患者 (30.4%) 更容易受到症状集群的影响.
结论:
- 非瘤患者的发作时间较短,症状集群患病率较高,而瘤患者有额外的集群.
- 研究结果强调了护理规划对于SPHC中预期性症状控制对两组患者的重要性.
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