超越"迟到比永远好":在妇科癌症患者的首次息护理访问时,高症状负担和功能状况下降
Pamela N Peters1, Julia M Moyett2, Steven P Wolf3
1Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, Duke University Health System, Durham, North Carolina, USA.
Journal of palliative medicine
|August 7, 2024
概括
息治疗 (PC) 在妇科癌症患者中使用不足. 最初的PC遭遇揭示了显著的症状负担和功能障碍,特别是在门诊患者中,突出了对及时PC转诊的关键需求.
科学领域:
- 妇科瘤学 妇科瘤学
- 抚慰性护理是一种缓解性护理.
- 症状管理 症状管理
背景情况:
- 妇科恶性瘤会导致严重的身体和情绪上的痛苦.
- 息治疗 (PC) 在这个患者群体中未得到充分利用.
- 了解PC转诊模式和初次接触时的患者状态至关重要.
研究的目的:
- 描述妇科癌症患者的转诊实践.
- 评估症状负担和功能状态在最初的息护理接触.
- 识别跨护理环境的症状负担和功能状态的差异.
主要方法:
- 从息治疗的质量数据收集工具 (QDACT-PC) 中提取的数据.
- 分析症状负担 (中度/严重症状的平均数量).
- 使用息性绩效量表 (PPS) 评估功能状态.
主要成果:
- 患者在初次PC遭遇时报告了平均3.3个中度/严重症状.
- 门诊患者的症状负担最高 (平均3.9个症状).
- 72.7%的患者有功能状况受损 (PPS <70);住院患者的PPS (48.8) 平均值低于门诊患者 (67.0).
结论:
- 妇科癌症患者在最初的PC接触时存在相当大的症状负担.
- 门诊患者,尽管功能状况更好,但报告症状负担更高.
- 及时和适当的息治疗转诊对于在妇科癌症患者中管理复杂的症状需求至关重要.
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