医院息护理团队干预量与患者结果之间的关联
Hiroaki Abe1, Masahiko Sumitani2, Hiroki Matsui3
1Department of Pain and Palliative Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
International journal of clinical oncology
|June 24, 2024
概括
更高的医院息护理团队 (PCT) 干预量与更好的患者结果有关. 在癌症治疗中增加PCT体积与妄,死亡率和日常生活活动的减少有关.
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:
- 已知对于晚期癌症患者的息护理的好处.
- 息治疗团队 (PCT) 技能对患者结果的影响需要进一步调查.
- 本研究研究了医院PCT干预量与癌症患者患者的治疗结果之间的关联.
研究的目的:
- 评估住院癌症患者的医院PCT干预量和患者结局之间的关联.
- 为了确定更高的PCT干预量是否与改善的患者结果相关.
- 分析PCT干预量与特定不良事件 (如狂妄症,死亡率和功能衰退) 之间的关系.
主要方法:
- 使用日本全国性住院患者数据库 (2015-2020) 的回顾性队列研究.
- 包括接受化疗和PCT干预的癌症患者.
- 评估结果:30天妄,30天死亡率,在出院时日常生活活动 (ADL) 的下降.
- 医院PCT干预量分为低,中等和高的组,基于第三者.
- 使用多变量逻辑回归和受限立方线回归进行分析.
主要成果:
- 这项研究包括29,076名癌症患者.
- 较高的医院PCT干预量 (中等和高组) 与较低体积组相比,与较低体积组相比,与30天妄,30天死亡率和退院时ADL下降的几率明显相关.
- 高体积组的特定赔率比率表明,在所有研究结果中,风险大幅降低.
结论:
- 医院息护理团队的干预量与癌症患者的不良结果相反相关.
- 在医院中PCT干预量较高与妄,死亡率和功能衰退的几率降低有关.
- 研究结果表明,优化PCT干预量可能会改善住院癌症患者的护理.
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