在非癌症患者中早期整合息治疗:系统性审查
Joana Rodrigues Mós1, Paulo Reis-Pina2
1Faculty of Medicine (J.R.M., P.R.P.), University of Lisbon, Lisbon, Portugal.
Journal of pain and symptom management
|January 8, 2025
概括
早期息治疗 (PALC) 在非癌症患者中显示出混合的结果,改善了一些症状和预先的护理计划,但并没有持续提高整体生活质量. 需要进一步的研究来优化其整合.
科学领域:
- 息护理研究 息护理研究
- 慢性疾病管理 慢性疾病管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 息治疗 (PALC) 传统上专注于终身癌症护理.
- 新出现的证据表明,PALC对晚期非瘤性疾病有好处.
研究的目的:
- 系统地审查早期PALC对生活质量 (QOL),症状管理,预先护理计划 (ACP) 和医疗保健资源利用 (HRU) 的影响.
- 专注于患有非瘤疾病的成年患者.
主要方法:
- 随机对照试验和临床研究的系统审查 (2018年1月 - 2023年4月).
- 在PubMed,科学网和Scopus上进行了搜索.
- 使用Cochrane工具评估偏差风险.
主要成果:
- 包括七项研究 (1118名患者).
- 早期PALC改善了疼痛,疲劳,再入院率,以及在特定条件下 (HF,ESLD) 在医院外生存的日子.
- 在症状负担 (艾滋病毒),焦虑/抑郁 (中风) 和ACP (COPD,IPF) 中观察到好处,但在各种疾病中,质量生活改善不一致.
结论:
- 早期PALC对非瘤疾病的健康结果的影响是不一致的.
- 早期PALC整合的障碍需要解决.
- 进一步高质量的研究对于优化护理途径至关重要.
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