在瘤学中对息护理需求的查:患者报告结果措施的验证
Evelyn Müller1, Michael Josef Müller1, Christopher Boehlke2
1Department of Palliative Medicine (E.M., M.J.M., G.B.), Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Journal of pain and symptom management
|December 28, 2023
概括
患者报告的结果措施 (PROM) 有效地确定了患有无法治愈的癌症患者需要专业息护理的需求. 实施PROM可以帮助更快地整合SPC服务,改善患者护理.
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:
- 领先的瘤学会建议患者报告的结果措施 (PROMs) 监测症状和支持需求.
- 对于评估专业息护理 (SPC) 需求的PROMs的实用性仍然未被探索.
- 目前的SPC整合研究主要集中在耗时的工作人员评估的选工具上.
研究的目的:
- 评估综合息结果量表 (IPOS) 和NCCN困境温度计 (NCCN DT) 的诊断准确性,以确定患有无法治愈的癌症患者需要SPC的需求.
主要方法:
- 一项涉及患有无法治愈的癌症 (预后<2年) 并完成PROMs的患者的横截面研究.
- 息治疗咨询服务 (PCCS) 独立评估的SPC需要使用多专业病例审查作为参考标准.
- 使用接收器操作特征 (ROC) 分析来确定诊断有效性.
主要成果:
- 在208名参与者中,71人 (34.1%) 被确定需要SPC.
- IPOS获得了90.2%的灵敏度 (特异性为50%,AUC为0.791),用于识别SPC需求,截止值为≥2项.
- 在NCCN DT实现了80%的灵敏度 (特异性49.5%,AUC0.687),截止值≥5.5.
结论:
- PROMs是识别癌症患者SPC需求的宝贵工具.
- 实施PROM可以促进SPC服务的及时整合.
- 未来的研究应该探索使用PROM进行综合评估,以优化患者和工作人员的资源.
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