护士带领的查触发了晚期肺癌患者的早期专业化息治疗计划:多中心随机对照试验
Yoshihisa Matsumoto1,2, Shigeki Umemura3, Ayumi Okizaki1,4,5
1Department of Palliative Medicine, National Cancer Center Hospital East, Kashiwa, Japan.
Cancer medicine
|November 18, 2024
概括
一个护士为晚期肺癌患者领导的息护理计划没有显示出立即的好处,但可能会在以后改善生活质量. 这种早期干预模式在临床实践中是可行的.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 护理 护理 护理
背景情况:
- 评估护士主导的,查触发的晚期肺癌早期专业化息治疗.
- 评估干预措施在改善患者结果方面的有效性.
研究的目的:
- 为了确定护士主导的缓和护理干预在晚期肺癌患者的疗效.
- 为了比较干预和常规护理组之间的结果.
主要方法:
- 在204名晚期肺癌患者的随机对照试验中 (干预与常规护理).
- 干预:护士领导的需求评估,咨询和协调.
- 主要终点:12周的试验结果指数 (TOI) 变化;次要:20周的TOI,抑郁,焦虑,生存.
主要成果:
- 在12周没有显著的TOI改善 (p=0.107),但在20周有显著的改善 (p=0.043).
- 两组之间抑郁,焦虑或生存率没有显著差异.
- 干预组在生活质量指标上表现出延迟的好处.
结论:
- 护士主导的早期息治疗在12周后没有表现出优越性,但表明延迟的好处.
- 干预模型在临床实践中是可行的,并且可能是可以接受的.
- 进一步的研究可能会探索对生活质量的长期影响.
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