癌症儿童,护理人员和护理团队报告症状的差异
Anna L Olsavsky1, Kathleen E Montgomery2, Mariam Kochashvili1
1The Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital (ALO, MK, AB, MAS), Columbus, Ohio, USA.
Journal of pain and symptom management
|June 4, 2025
概括
儿童癌症患者报告的症状比护理人员和护理团队更多,这表明需要更好地记录儿童的经历. 这项研究强调了儿童-护理人员-护理团队三元组在症状报告方面存在重大分歧.
科学领域:
- 儿科瘤学 儿科瘤学
- 症状管理 症状管理
- 患者报告的结果
背景情况:
- 儿童,护理人员和护理团队关于癌症症状的报告之间存在差异.
- 这些群体之间的三元协议很少被评估.
研究的目的:
- 评估儿童护理人员护理团队三元组报告的31种癌症相关症状的一致性.
- 为了识别儿童癌症治疗期间症状报告中的差异.
主要方法:
- 55名儿童 (6-17岁) 和他们的护理人员使用纪念症状评估量表报告了31种症状.
- 症状数据还从医疗记录中提取,用于护理团队的文件.
- 使用麦克纳马测试和加权的卡帕统计数据来分析差异和一致性.
主要成果:
- 与儿童相比,护理人员和护理团队报告的症状明显不足.
- 儿童护理人员协议仅在61%的症状中是合理的.
- 在96.7%的症状中,儿童护理团队的协议很差,在这个三组中观察到的最大的分歧.
结论:
- 在儿童,护理人员和护理团队三位一体中,症状报告存在重大分歧.
- 儿童的症状报告往往更全面,这表明他们的观点可能被忽视.
- 需要进一步的研究来改善儿童症状经验的识别和记录,以优化癌症护理.
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