早期支持和营养护理对于胰腺癌的成年人:试点研究
Yu Chen Lin1, Kea Turner2, Sahana Rajasekhara3
1Department of Health Outcomes and Behavior (Y.C.L., O.T.N., E.H., O.S., A.A.T.), Moffitt Cancer Center, Tampa, Florida.
Journal of pain and symptom management
|August 15, 2025
概括
这项研究表明,在接受化疗的晚期胰腺癌患者中,数字干预 (STRONG+) 是可行的和可接受的,以改善营养和生活质量. 建议进行进一步的研究来完善该程序.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 营养科学 营养科学
背景情况:
- 晚期胰腺癌的预后不好,需要进行干预,以提高患者的生活质量.
- 这些患者的生活质量受到症状负担和营养状况的重大影响.
- 综合性息和营养护理计划对这一群体至关重要.
研究的目的:
- 评估STRONG+ (通过远程观察和营养指导以及支持性护理提供支持) 干预措施的可行性和可接受性.
- STRONG+是一个为期12周的以团队为基础的数字计划,旨在打击营养不良并改善晚期胰腺癌患者的生活质量.
- 该研究旨在评估干预措施的初步有效性.
主要方法:
- 一个单臂可行性试验,涉及开始缓和化疗的患者.
- 参与者接受了由营养学家主导的营养咨询和息护理专家的访问,同时通过基于网络的仪表板每天记录食物和每月评估结果.
- 使用定量和定性方法评估了可行性,可接受性和初步有效性 (营养不良风险,生活质量).
主要成果:
- 强大+干预措施满足了招聘,消耗和坚持咨询和支持护理的可行性基准.
- 参与者报告说,干预措施的接受度很高 (94%),护理人员也认为干预措施很高 (87%).
- 在16周观察到,营养不良风险显著降低 (P < .001),健康相关生活质量改善 (P = .009).
结论:
- 对于接受缓性化疗的晚期胰腺癌患者来说,STRONG+干预似乎是可行的和可以接受的.
- 需要在更大,更强大的试验中进行进一步的改进和测试.
- 概括性可能仅限于开始缓和化疗的患者.
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