癌症患者使用特种息护理:基于人口的研究
J Brian Cassel1, Donna McClish2, David Buxton3
1Division of Hematology, Oncology and Palliative Care, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia, United States of America.
在美国的癌症患者中,专业息治疗 (SPC) 的使用率很低,只有24.6%的患者接受这种治疗. 对于那些这样做的人来说,SPC往往是在生命的晚期开始的,突出了访问和时间问题.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在美国,基于人口的专业息护理 (SPC) 评估有限.
- 了解SPC利用对于改善癌症患者生命终端护理至关重要.
研究的目的:
- 检查美国东南部大都市地区癌症患者中SPC的使用情况.
- 确定与SPC使用和时间相关的因素.
主要方法:
- 一项癌症死者的队列研究,涉及12,030人.
- 从州癌症登记处,医院出院数据集和当地SPC提供商的数据链接.
主要成果:
- 只有24.6%的癌症患者使用SPC.
- 在接受SPC的患者中,50.5%的人在生命的最后30天内开始接受护理,26.0%的人在生命的最后一周内开始接受护理.
- 与SPC使用相关的因素包括社会经济地位,种族,癌症类型,生存时间,地理位置和接近SPC服务.
结论:
- 在癌症患者中,特殊息治疗 (SPC) 的使用并不常见,很大一部分患者在疾病发展轨迹中很晚就接受了这种治疗.
- 调查结果强调了SPC获得和时间上的差异,需要有针对性的干预措施来改善及时获得息护理服务.
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