了解欧洲在癌症患者生命终端护理期间下抗血栓药物处方的模式
E S L Martens1, D Becker2, C Abele2
1Department of Medicine - Division of Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, the Netherlands.
Thrombosis research
|December 12, 2024
概括
抗血栓治疗 (ATT) 在终身癌症护理中经常继续,尽管存在风险. 考虑取消ATT的处方,但很少实行,因专业和患者因素而异.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 抚慰性护理是一种缓解性护理.
- 临床药房 临床药房
背景情况:
- 在生命末期的癌症护理中,抗血栓治疗 (ATT) 的延续可能会造成伤害,包括出血并发症和降低生活质量.
- 目前在癌症患者的终身护理 (EOLC) 中ATT的实践模式在欧洲还不清楚.
研究的目的:
- 调查欧洲医疗保健专业人员在癌症患者的EOLC中对ATT的做法和观点.
- 确定影响有关ATT管理决策的因素.
主要方法:
- 国际横截面调查使用快闪集团研究方法.
- 用多项逻辑回归进行离散选择实验分析.
- 参与欧洲各地的医疗保健专业人员管理癌症患者的ATT和EOLC.
主要成果:
- 208名医疗保健专业人员参与了调查,53%的人将EOLC定义为<3个月的预期寿命.
- 对于ATT抑郁症的中位数考虑是每年10次,每年有5次实际抑郁症;20%从未抑郁.
- 降低处方优惠的患者表现不佳,高出血风险,以及那些在低分子量肝素口服ATT.
结论:
- 癌症EOLC中ATT的医疗决策是复杂的,并且在医疗保健专业人员之间存在差异.
- 专业重点和地区影响ATT的观点.
- 需要进一步的研究来优化癌症患者在EOLC中的ATT管理.
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