在急性息护理单位死亡的患者的特征
Sebastiano Mercadante1, Alessio Lo Cascio2, Alessandra Casuccio3
1Main Regional Center for Pain Relief and Supportive/Palliative Care, La Maddalena Cancer Center, Via San Lorenzo 312, 90146, Palermo, Italy. terapiadeldolore@lamaddalenanet.it.
概括
在急性息护理单位 (APCU) 死亡的晚期癌症患者通常具有较高的症状负担,从家庭息护理中转诊,并且不再接受癌症治疗. 及时的生命末期护理至关重要.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
背景情况:
- 急性息治疗单位 (APCU) 管理患有晚期癌症的患者.
- 了解APCU患者的患者特征和死亡风险因素对于优化护理至关重要.
研究的目的:
- 为了确定在APCU中死亡的晚期癌症患者的特征.
- 确定与这些患者单位内死亡率相关的风险因素.
主要方法:
- 在13个月内接受APCU治疗的成人晚期癌症患者的前性评估.
- 收集的数据包括人口统计,入院详细信息,缓冲症,治疗状态,埃德蒙顿症状评估系统 (ESAS) 和纪念狂妄症评估量表 (MDAS).
- 在APCU中死亡的患者与活出院的匹配样本进行了比较.
主要成果:
- 在APCU中,12%的患者 (54/450) 死亡.
- 与单位内死亡相关的因素包括较高的MDAS分数,认知衰退,从家庭息护理转诊,缓解症,停止癌症治疗以及较高的症状负担 (总ESAS).
- APCU死亡率的独立预测因素是MDAS,家庭息护理转诊,治疗结束状态,疼痛,呼吸困难和ESAS总得分.
结论:
- 在APCU中死亡风险与家庭息护理转诊,显著的症状负担和停止癌症治疗有关.
- 这些发现强调了对晚期癌症患者进行更主动和及时的终身护理计划的需要.
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