早期息护理整合对新诊断多发性骨髓瘤患者的影响
Renato V Samala1, Daniel P Nurse2, Xiaoying Chen3
1Department of Palliative and Supportive Care, Taussig Cancer Institute, Cleveland Clinic, 9500 Euclid Ave. CA-53, Cleveland, OH, 44195, USA. samalar@ccf.org.
概括
早期息治疗 (EPC) 改善了新诊断的多发性骨髓瘤 (MM) 患者的生活质量,功能健康和疼痛. 每月EPC集成是可行的,尽管最佳时机需要进一步研究.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 血液学 血液学 血液学
背景情况:
- 关于多发性骨髓瘤 (MM) 的早期息治疗 (EPC) 的数据有限,与固体瘤不同.
- 这项研究调查了EPC对新诊断的症状MM患者的影响和可行性.
研究的目的:
- 确定将早期息护理 (EPC) 整合到新诊断的症状多发性骨髓瘤 (MM) 治疗中的影响.
- 对MM患者进行结构化,每月一次EPC治疗的可行性进行评估.
主要方法:
- 对20名新诊断MM患者进行前性队列研究.
- 在12个月内每月进行息护理咨询.
- 经过验证的问卷 (FACT-G,FACT-MM,HADS) 在基线和每季度进行管理.
主要成果:
- 在12个月后,在整体生活质量 (FACT-G分数),功能健康和疼痛管理方面观察到显著的改善.
- 没有注意到抑郁或焦虑得分的显著变化.
- 可行性得到了60-65%的评估完成率在12个月后的支持.
结论:
- 12个月的早期息治疗 (EPC) 参与改善了新诊断的MM患者的生活质量,功能健康和疼痛控制.
- 每月EPC似乎是可行的,但需要进一步的研究来优化MM疾病轨迹中的干预时间.
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