评估谁接受早期息护理咨询的差异
Heather Halperin1, Philip Akude2, Seema King2
1Department of Internal Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.
Current oncology (Toronto, Ont.)
|September 26, 2025
概括
对于第四阶段肺癌患者来说,早期专业息治疗 (SPC) 的准入是不公平的. 老年,男性性别和社会经济贫困等因素影响了SPC咨询的接受度,突出了针对性干预的必要性.
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:
- 早期的息治疗改善了临终性疾病患者的生活质量.
- 获得专业息护理 (SPC) 往往是不公平的.
- 第四期肺癌患者可以从早期的SPC中显著受益.
研究的目的:
- 评估新诊断的第四阶段肺癌患者早期专业息护理 (SPC) 咨询中的差异.
- 确定影响SPC咨询验收的人口和社会经济因素.
- 为改善平等获得早期息治疗的干预措施提供指导.
主要方法:
- 在阿尔伯塔省南部 (2021年6月至2022年3月) 对113名新诊断的第四阶段肺癌患者的回顾性图表审查.
- 对人口因素和咨询结果的分析 (接受,不符合条件,拒绝/无法获得).
- 使用了Pampalon贫困指数和NamSor姓名分析作为股权相关变量的代理.
主要成果:
- 76.2%的患者有资格接受SPC咨询,67.4%的符合条件的患者接受.
- 年龄较大 (>65岁),男性性别和高社会经济贫困与SPC下降相关 (p <0.05-0.01).
- 独自生活或与非伴侣生活增加了SPC接受率 (p < 0.05).
结论:
- 年龄,性别,社会经济贫困和生活状况显著影响了SPC的接受.
- 识别这些差异对于制定有针对性的干预措施至关重要.
- 需要采取干预措施,确保所有第四阶段肺癌患者平等获得早期专业息护理.
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