在头癌患者中使用息护理:基于人口的分析分析
Talia A Wenger1, Jaynelle Gao1, Margaret Nurimba2
1Keck School of Medicine of University of Southern California, 1975 Zonal Ave., Los Angeles, CA 90033, USA.
Oral oncology
|January 28, 2025
概括
息治疗 (PC) 在头癌 (HNC) 患者中未得到充分利用,转诊往往延迟近一年. 早期整合PC服务对这一群体至关重要.
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:
- 头癌 (HNC) 与显著的发病率和死亡率有关.
- 息治疗 (PC) 可以改善HNC患者的生活质量.
- 目前,HNC患者中PC的使用率不足于最佳水平.
研究的目的:
- 确定接受PC的HNC患者的比例.
- 分析HNC患者PC转诊的时间.
- 评估与HNC中PC接收相关的心理健康和临床结果.
主要方法:
- 从TriNetX数据库中使用非识别电子病历的回顾性队列研究.
- 根据PC遭遇状态分类的HNC患者.
- 分析首次PC遭遇的时间,死亡率,心理健康诊断,预先护理规划 (ACP) 和支持性护理准入.
主要成果:
- 在304,404名HNC患者中,只有7.4%接受了PC.
- 从诊断到PC转诊的中位时间为318天.
- 接受PC与增加的死亡率,抑郁症,焦虑,无法壮成长有关,但也有较高的ACP和支持性护理准入率.
结论:
- 在头癌患者中,息治疗的利用率仍然很低.
- 认证程序提交的重大延迟,通常接近一年,表明存在大量未满足的需求.
- 早期综合性息治疗对于改善HNC患者的治疗结果至关重要.
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