儿童和青少年患有癌症的非结构化息治疗笔记中的症状文档
Katherine Bernier Carney1, Jacob Wilkes2, Tumilara Aderibigbe3
1School of Nursing (K.B.C), University of Connecticut, Storrs, Connecticut, USA.
Journal of pain and symptom management
|January 18, 2025
概括
儿科息护理团队记录了癌症儿童的多种症状,但严重程度和痛苦不一致地记录. 需要一个系统的方法来更好地管理症状.
科学领域:
- 儿科瘤学 儿科瘤学
- 抚慰性护理是一种缓解性护理.
- 症状管理 症状管理
背景情况:
- 患有癌症的儿童和青少年经常经历复杂的症状,需要专门的息治疗.
- 儿童息治疗小组目前缺乏标准化的症状记录方法.
- 优化症状支持需要了解现有的文档实践.
研究的目的:
- 探索儿童息护理临床医生如何在儿童癌症患者的非结构化临床笔记中记录症状患病率和特征.
- 分析该人口中常见症状的症状严重程度和痛苦的文档.
主要方法:
- 来自115名患有癌症的儿童和青少年的非结构化临床笔记的内容分析.
- 使用的记忆症状评估尺度 10-18 数据抽象的仪器项目.
- 对六种常见症状的严重程度和痛苦的评估文件:睡眠困难,悲伤,疲劳,恶心/吐,疼痛和担忧.
主要成果:
- 在662个笔记中,针对106名患者发现了1420种症状,平均每名患者出现5种症状.
- 疼痛是最常见的记录症状 (74.5%的患者).
- 常见症状的严重程度和痛苦记录不一致,尽管83%的患者经历了至少六个关键症状中的一个.
结论:
- 儿科息护理临床医生经常在患有癌症的儿童中记录多个同时出现的症状.
- 非结构化的笔记提供了关于症状对患者日常生活的影响的见解.
- 一种系统的文档方法可以增强症状识别和团队间的沟通.
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