加强临终关怀,提供心理支持,并使用名谱来预测晚期固体瘤患者的痴呆症
Juan Chen1, Jingjing Huan1, Chunyan Chen1
1Department of Emergency, The People's Hospital of Rugao Nantong 226500, Jiangsu, China.
American journal of cancer research
|June 11, 2024
概括
将临终关怀与心理干预相结合,可以改善晚期癌症患者的福祉,并减少妄想. 一个新的名图模型准确地预测了妄想风险,有助于个性化护理规划.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 心理学 心理学 心理学
背景情况:
- 晚期癌症患者经常经历健康状况下降和高 Delirium 发病率.
- 目前的护理模式可能无法完全满足这些患者复杂的心理社会和临床需求.
- 准确的妄想预测对于临终关怀机构的及时干预至关重要.
研究的目的:
- 评估综合宿舍护理和心理干预对患者福祉的影响.
- 在晚期癌症患者中开发和验证痴呆风险的预测性名录.
- 加强在宿舍环境中的护理规划和风险管理.
主要方法:
- 分析了381名晚期癌症患者的数据 (2018年9月 - 2023年2月).
- 实验组 (临终关怀+心理干预) 与对照组 (标准护理) 的比较.
- 开发一种基于逻辑回归的诺莫格拉姆模型,包含临床和心理社会变量,用于妄想预测.
主要成果:
- 实验组在情绪健康方面显著改善 (SAS和SDS分数较低).
- 与对照组相比,实验组中 Delirium 的发生率较低.
- 诺莫格拉姆模型显示出对妄风险的高预测准确性 (AUC 0.839培训,0.864验证).
结论:
- 综合性临终关怀与心理干预增强了情感福祉,并减少了晚期癌症患者的妄想.
- 开发的诺莫格拉姆模型为预测妄想风险提供了临床上有用的工具.
- 个性化,综合性护理策略对于优化高级癌症管理结果至关重要.
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