在儿童癌症症状管理中的护理途径和指导方针一致的护理
Nicole Crellin-Parsons1, L Lee Dupuis1,2, Emily Vettese1
1Program in Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Canada.
JCO oncology practice
|April 23, 2025
概括
儿童癌症症状管理护理途径和临床实践指南 (CPG) 很少被遵循. 持续的护理对于可观察到的症状更为常见,并且与患者因素相关,这表明需要改进交付策略.
科学领域:
- 儿科瘤学 儿科瘤学
- 症状管理 症状管理
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 十个儿童癌症治疗场所实施了基于临床实践指南 (CPG) 的症状管理护理途径.
- 评估这些途径和CPG的遵守对于优化患者护理至关重要.
- 了解影响持续护理提供因素对于质量改善至关重要.
研究的目的:
- 为了确定护理途径和CPG一致的症状管理的流行率.
- 为了识别患者和症状特征与一致的护理交付相关.
主要方法:
- 在诊断后4周内招募的220名儿科癌症患者 (8-18岁) 的分析.
- 对15种症状的干预措施在注册8周后进行了评估,以确定与部位路径和CPG的一致性.
- 统计分析探讨了症状类型 (可观察与不可观察) 和患者特征与一致护理之间的关联.
主要成果:
- 护理途径一致的护理患病率很低,在15种症状中从0%到52.3%不等 (在14种症状中<27%).
- 对于所有症状,CPG一致的护理患病率低于50%.
- 对于可观察到的症状 (30%的差异),一致的干预更频繁,并且与年龄,种族,种族和癌症类型相关.
结论:
- 坚持儿科癌症症状管理护理途径和CPG是惊人的不常见.
- 可观察到的症状和特定的患者特征与更高的持续护理率有关.
- 需要进一步的研究,以加强在儿科瘤学中提供一致的,基于指南的症状管理.
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