在患有晚期肺癌的患者中,针对呼吸不良的护士领导的简短行为干预的随机对照试验
Joseph A Greer1,2, Kathryn E Post1,2, Reena Chabria1
1Massachusetts General Hospital, Boston, MA.
概括
一个简短的行为干预有效地减少了晚期肺癌患者的呼吸障碍. 这种由护士领导的方法改善了喘息和功能健康,为症状管理提供了可扩展的解决方案.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 行为科学 行为科学
背景情况:
- 呼吸不良是晚期肺癌患者常见和衰弱的症状.
- 这种人群中呼吸障碍的有效治疗方法有限.
- 研究了一项由护士领导的行为干预,以解决这个未满足的需求.
研究的目的:
- 评估护士领导的简短行为干预措施对改善晚期肺癌患者呼吸障碍的疗效.
- 评估干预对生活质量,心理症状和活动水平的影响.
主要方法:
- 一项随机试验涉及247名晚期肺癌患者,中度呼吸困难.
- 干预组接受了一项由护士领导的两会计划 (呼吸技巧,姿势姿势,风扇疗法) 与通常的护理相比.
- 在基线和8,16和24周使用经过验证的尺度 (mMRCDS,CDS,FACT-L,HADS,Godin-Shephard) 测量结果.
主要成果:
- 这项干预措施在8周的mMRCDS上显著改善了患者报告的呼吸障碍 (差异 = -0.33).
- 接受干预的患者在CDS感觉不适子表上报告呼吸障碍较少,功能福祉更好 (FACT-L).
- 没有观察到群体之间的整体生活质量,心理症状或活动水平有显著差异.
结论:
- 一个可扩展的,由护士领导的行为干预可以缓解晚期肺癌患者的难治性呼吸障碍.
- 该干预措施有望改善症状负担和功能健康的特定方面.
- 进一步的研究是有必要的,以增强长期影响和扩大结果的改进.
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