在生命末期进行瘤治疗:一项回顾性研究
Cristina Gurizzan1, Andrea Esposito1, Luigi Lorini1
1Medical Oncology, Department of Medical & Surgical Specialties, Radiological Sciences & Public Health, University of Brescia, ASST-Spedali Civili, Piazzale Spedali Civili 1, 25125, Brescia, Italy.
Future oncology (London, England)
|February 29, 2024
概括
有相当数量的患者在生命末期 (EOL) 期间接受全身疗法. 诸如更好的表现状况和缺乏息护理激活等因素会影响EOL治疗决策.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 老年医学 老年医学
背景情况:
- 评估生命终端 (EOL) 治疗模式对于了解患者护理至关重要.
- 以前的研究还没有完全阐明在生命的最后几个月使用全身疗法的程度.
研究的目的:
- 确定在生命最后一个月接受全身疗法或在生命最后三个月开始新疗法的患者的比例.
- 确定与生命终端 (EOL) 治疗的延续或开始相关的因素.
主要方法:
- 从486名患者回顾性数据收集.
- 在生命末期 (EOL) 期间对全身治疗的分析.
- 对影响EOL治疗决策的因素的统计评估.
主要成果:
- 42.3%的患者在生命末期 (EOL) 接受了全身疗法.
- 更好的表现状态与更高的EOL治疗概率有显著的关联.
- 缺乏息护理激活也与接受EOL全身治疗的可能性增加有关.
结论:
- 很大一部分患者在生命末期 (EOL) 阶段在现实环境中继续进行全身治疗.
- 绩效状况和息护理参与是EOL治疗的关键决定因素.
- 需要进一步的研究来优化EOL护理和治疗决策.
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