血液和固体癌症患者的息护理的利用和质量:一个基于人口的研究
Cordula Gebel1,2, Bianka Ditscheid3, Franziska Meissner3
1Department of Palliative Care, University Hospital Jena, Friedrich-Schiller University Jena, Jena, Germany. cordula.gebel@med.uni-jena.de.
Journal of cancer research and clinical oncology
|April 12, 2024
概括
与固体瘤 (ST) 相比,息治疗 (PC) 在血液恶性瘤 (HM) 中使用不足. 较早和更频繁的PC可以改善所有癌症患者的终身护理,特别是那些患有ST的患者.
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:
- 息治疗 (PC) 通过解决身体,心理和精神需求,改善癌症患者的终身护理.
- 现有研究表明,与固体瘤 (ST) 相比,PC在血液恶性瘤 (HM) 中使用率较低.
研究的目的:
- 为了比较PC在HM和ST患者中的使用情况.
- 评估PC对HM和ST患者生命终端质量结果的影响.
主要方法:
- 对已故癌症患者 (2016-2020年) 德国医疗保险索赔数据的分析.
- 在HM和ST患者之间比较PC频率和时间.
- 回归分析,以评估PC对终生质量指标的调整影响.
主要成果:
- 与ST患者相比,PC在HM患者中使用的次数较少 (40.4%与55.6%) 和较晚 (34与50天死亡前) .
- 对于两组人来说,PC显著改善了所有六个寿命终端质量指标.
- 与HM患者相比,ST患者在6个质量指标中的5个中从PC中获得更大的好处.
结论:
- 将息治疗整合到血液恶性瘤护理中需要提高频率,时间和有效性.
- 确保公平及时获得PC对于优化所有癌症类型的终身护理至关重要.
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