患有急性白血病的成年患者需要息护理:一项前性观察性研究
Jyothsna Kuriakose1, Jayita K Deodhar2, Hasmukh Jain3
1Department of Palliative Medicine, Christian Medical College, Vellore, India.
Journal of palliative medicine
|January 22, 2025
概括
患有急性白血病 (AL) 的成年人经历了显著的症状负担和息护理需求. 这些需求,特别是身体和功能需求,在诱导化疗后增加,这强调了早期息护理整合的重要性.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 血液学 血液学 血液学
背景情况:
- 急性白血病 (AL) 显著影响患者的福祉和症状负担.
- 成年AL患者的息护理需求和症状负担从诊断到诱导化疗的前四周被评估.
研究的目的:
- 评估诊断为急性白血病的成年患者的息护理需求和症状负担.
- 评估从诊断到诱导化疗的初始阶段症状负担的变化.
主要方法:
- 一项前性研究,涉及100名新诊断的成人AL患者,接受治疗意图治疗.
- 癌症治疗-白血病 (FACT-白血病) 功能评估问卷在诊断和诱导后治疗时进行.
- 分析子尺度得分,以确定高需求和白血病特异性症状负担的领域.
主要成果:
- 患者在诊断和诱导后报告了身体,功能和白血病特异性领域的最低得分.
- 在诱导化疗后,身体和功能症状得分显著恶化 (p < 0.05).
- 主要症状包括诊断时的疲劳和诱导后无法执行通常的活动.
结论:
- 患有AL的成年患者在诊断时表现出相当大的身体,功能和白血病特异性症状需求.
- 这些症状负担在初始诱导化疗阶段加剧.
- 从急性白血病患者的诊断点开始,息护理的整合至关重要.
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