早期息护理参与对接受癌症手术的风险较高患者的影响
Peter A Bryant1, Onur M Orun2, Rameela Raman2
1Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee; Center for Biomedical Ethics and Society, Vanderbilt University, Nashville, Tennessee.
The Journal of surgical research
|October 5, 2025
概括
早期专家息干预没有显示出对患有腹部恶性瘤的特定亚组患者有一致的益处. 通常的护理团队似乎足够地解决了这些患者的息需求.
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:
- 两项临床试验表明,早期专家息干预对接受非息手术的腹部恶性瘤患者没有整体益处.
- 假设对处于风险的患者子组有潜在的益处,需要进一步调查.
研究的目的:
- 进行对现有试验数据的二次性后期分析.
- 通过检查治疗效果的异质性来确定可能受益于早期专家息干预的特定患者子组.
主要方法:
- 使用相互作用术语的回归模型来分析基于年龄,脆弱性和患者报告的基线结果 (PROs) 的治疗效应.
- 在术后90天,在五个PRO中评估治疗效果的异质性.
- 根据患者特征探索潜在的益处修改.
主要成果:
- 对几种PRO的年龄和基线PRO观察到治疗效果可能异质的证据,包括生活质量,焦虑,抑郁和生活空间.
- 然而,图形检查并没有显示出一个一致的模式,表明风险较高的患者获得更大的益处.
结论:
- 没有确定一贯的患者小组从早期专家息干预中受益.
- 这些发现支持了当前的护理模式充分满足这些患者的息需求的结论.
相关概念视频
Cancer Survival Analysis
645
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
645
Peripheral Artery Disease V: Postoperative Nursing Management
376
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
376
Nursing Ethical Principles II
2.1K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.1K
Continuing Care
1.9K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.9K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
560
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
560
Patient-centered Care
2.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.9K
