医院息护理团队参与血液恶性病患者的住院治疗:一项回顾性研究
Anja M Caspers1, Dennis A Eichenauer2, Anne Pralong1
1Department of Palliative Medicine, University Hospital Cologne, Germany and Centre for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO), University Hospital Cologne, Cologne, Germany.
Journal of palliative medicine
|September 30, 2024
概括
医院息护理团队 (HPCT) 管理的血液恶性瘤 (HM) 患者不同于固体瘤 (ST) 患者. HM患者在晚些时候得到护理,出现了类似的症状,并有更高的ICU入院率.
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:
- 有限的数据存在于医院息护理团队 (HPCT) 在血液恶性瘤 (HM) 患者管理中的参与.
- 了解HM患者的特征和需求,转移到息护理对于优化护理至关重要.
- 与实体瘤 (ST) 患者的比较可以突出显示HM息护理的独特挑战.
研究的目的:
- 为了描述HM的住院患者,我们将其称为HPCT.
- 用德国临终关怀和息护理评估工具来评估症状负担.
- 将HM患者与通过HPCT管理的ST患者进行比较.
主要方法:
- 对HM和ST住院患者的回顾性分析指的是综合癌症中心的HPCT.
- 在2015年1月1日至2019年12月31日期间收集的数据.
- 在HM和ST组之间比较患者特征,症状负担和临床过程.
主要成果:
- 这项研究包括2885名患者 (412名HM,2473名ST).
- HM患者患有更多的抑郁和迷失方向,而ST患者患有更高的疼痛,恶心,虚弱和食欲丧失率.
- HM患者的ICU入院率更高,ICU停留时间更长,住院死亡率更高,整体息治疗持续时间更短.
结论:
- 与ST患者相比,患有HM的住院患者后来被转介到HPCT.
- HM患者面临着类似的整体症状负担,但在转诊后的ICU利用率更高.
- 这些发现强调了需要更早地将HPCT整合到HM护理途径中.
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