患有生命限制疾病的人的总体痛苦和生活意愿:来自伊比利亚多中心研究的结果
Miguel Julião1, Bárbara Antunes2,3, Carolina Simões1
1Equipa Comunitária de Suporte em Cuidados Paliativos PalCo, ULS Amadora/Sintra, Amadora, Portugal.
Palliative & supportive care
|July 31, 2025
概括
生命限制条件的患者的生存意愿 (WtL) 波动,与身体和心理症状相关. 了解WtL对于改善息护理和管理全部痛苦至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理社会瘤学
- 生活质量研究 研究 生命质量研究
背景情况:
- 总体的痛苦是复杂的,不断发展的经验,在患者的生命限制条件.
- 生命的愿望 (WtL) 随着时间的推移而变化,并且受到绝症患者的多种因素的影响.
研究的目的:
- 客观地调查总体痛苦和WtL动态.
- 为了检查WtL随着时间的推移的波动.
- 评估WtL与息护理患者社会人口统计学,临床,身体和心理症状之间的关联.
主要方法:
- 葡萄牙和西班牙的多中心研究,共有107名参与者.
- 每日30天评估WtL使用视觉模拟尺度.
- 每天使用埃德蒙顿症状评估量表 (ESAS) 评估症状.
主要成果:
- WtL显示了各种模式,包括稳定性和显著波动.
- WtL与所有ESAS项目有显著的相关性,包括身体和心理子分数.
- 大多数WtL和ESAS项目之间的相关性在统计上是显著的,尽管强度往往较弱.
结论:
- 了解WtL对于改善终身护理至关重要.
- 需要进一步的研究来开发针对总体痛苦的干预措施.
- 基于证据的关于WtL的见解可以改善对面临生命限制疾病的患者和家庭的支持.
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