在接受息治疗咨询的患者中,功能状态和症状严重程度的关联
Moritz Blum1, Li Zeng1, Emily Chai1
1Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Journal of palliative medicine
|February 14, 2024
概括
患有严重疾病的患者根据其功能状态有不同的症状概况. 较低的功能状态与更严重的症状,如昏昏欲睡和呼吸障碍有关,而较高的状态与恶心和焦虑有关.
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
- 老年医学 老年医学
背景情况:
- 严重疾病中的功能状态和症状严重程度尚不清楚.
- 息护理咨询对于在住院患者中管理复杂症状至关重要.
研究的目的:
- 探索在接受息治疗的住院患者的功能状态和各种症状的严重程度之间的关系.
- 识别与不同水平的功能状态相关的不同症状概况.
主要方法:
- 对接受息治疗治疗的住院患者的注册表数据的回顾性分析.
- 使用了澳大利亚修改的卡诺夫斯基绩效状态 (KPS) 和埃德蒙顿症状评估系统 (ESAS) 评分.
- 采用顺序逻辑回归来评估功能状态和症状严重程度之间的关联.
主要成果:
- 恶心,身体不适,焦虑,抑郁和便秘在功能状态较高的患者中更严重.
- 在功能状态较低的患者中,昏昏欲睡,不活动,呼吸障碍,厌食症和兴奋更为严重.
- 经过对混因素进行调整后,这些关联仍然显著.
结论:
- 息治疗患者的功能状况较低与整体症状负担较高有关.
- 症状概况在功能状况降低或维持的患者之间有显著差异,为量身定制的护理提供了信息.
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