在亚洲门诊癌症中心使用痛苦查的多学科支持性护理模型的影响:一个集群随机对照试验
Yu Ke1, Patricia Soek Hui Neo1, Grace Meijuan Yang1,2
1Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.
JCO oncology practice
|June 5, 2024
概括
可访问的癌症护理以支持癌症幸存者 (ACCESS) 计划改善了癌症幸存者的功能和减少了癌症幸存者的心理痛苦. 虽然生活质量没有显著改善,但该计划显示支持性护理的前景.
科学领域:
- 在瘤学瘤学.
- 支持性护理是一种支持性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症幸存者面临的挑战影响生活质量和日常功能.
- 多学科的支持性护理模式旨在解决这些幸存者问题.
- 常规的应急查可以识别癌症幸存者需要额外的支持.
研究的目的:
- 评估一年内可访问癌症护理以支持癌症幸存者 (ACCESS) 计划的临床影响.
- 评估多学科的支持性护理模式与应急查是否能改善癌症幸存者的结果.
主要方法:
- 在瘤学家层面进行集群随机试验,比较获得常规护理的机会.
- 包括新确诊的乳腺癌或妇科癌症的成年患者.
- 在12个月内评估生活质量,功能,症状负担和活动水平.
主要成果:
- 访问计划没有显著改善生活质量 (主要结果).
- 接收者在9个月后表现出改善的身体和角色功能以及更高的活动水平.
- 与通常的护理相比,12个月后,ACCESS接受者经历了心理痛苦的减少.
结论:
- 访问计划并没有改善整体生活质量,但加速了功能恢复.
- 在ACCESS干预组中观察到心理痛苦减少.
- 常规的应急查有效地识别了需要密集支持性护理的幸存者.
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