对末期癌症患者及其家属的护理支持的适用性:德尔菲研究
Jun Kako1, Kohei Kajiwara2, Masamitsu Kobayashi3
1Graduate School of Medicine, Mie University, Tsu, Japan.
The American journal of hospice & palliative care
|April 5, 2024
概括
护理支持是非常适用于管理症状和护理人员负担的终末期癌症患者. 这项研究评估了50种护理支持类型,用于预后为数月或数周的患者,发现其在症状管理和护理人员支持方面具有很高的适用性.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 瘤科 护理 护理专业
- 症状管理 症状管理
背景情况:
- 调查了护理支持对终极癌症患者及其家属的适用性.
- 专注于有几个月和几周的预后的患者.
研究的目的:
- 评估护理支持适用于五个关键症状的适用性:呼吸障碍,疼痛,恶心/吐,便秘和妄想.
- 评估护理支持对终极癌症患者家庭护理人员负担的影响.
主要方法:
- 利用了一项德尔菲研究,涉及八名日本症状缓解专家.
- 评估了几个月和几周的预后患者的护理支持类型.
- 定义共识为≥70%的高或低适用性协议.
主要成果:
- 50种护理支持类型对92%的预后为几个月的患者非常适用.
- 78%的护理支持对预后为几周的患者非常适用.
- 对照护理人员负担的六种护理支持类型在两个预后组中都非常适用.
结论:
- 护理支持的适用性可能会受到侵入性,知识可访问性和预期有效性的影响.
- 需要进一步的研究来证实高度适用的护理支持干预措施对终身癌症护理的有效性.
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