晚期癌症老年人和平接受疾病:一项随机临床试验
Sule Yilmaz1, Elizabeth Gilbride2, Sofiia Hryniv2
1Department of Medicine (S.Y., M.L.), University of Rochester Medical Center, Rochester, New York, USA.
Journal of pain and symptom management
|October 25, 2025
概括
在患有晚期癌症的老年人中,和平接受疾病的程度很高. 心理障碍,预期寿命缩短和护理人员教育水平较低与接受度较低有关.
科学领域:
- 老年瘤学 老年瘤学
- 抚慰性护理是一种缓解性护理.
- 心理社会瘤学
背景情况:
- 在晚期癌症患者中,和平接受疾病与减少痛苦和更好的预先护理计划有关.
- 有限的研究存在于影响疾病接受的因素,特别是在癌症的老年人中.
研究的目的:
- 调查患者,护理人员和瘤学家与晚期癌症老年患者和平接受疾病相关的特征.
主要方法:
- 一项涉及333名患者-护理人员二元体的老年评估 (GA) 试验的二次分析 (患有晚期癌症和GA损伤的≥70岁患者).
- 使用5项PEACE尺度来衡量和平接受疾病.
- 多变量线性回归分析了PEACE得分与患者,护理人员和瘤学家因素之间的关联.
主要成果:
- 和平的平均分数为17.4 (SD 2.5),表明接受度很高.
- 接受率较低与心理障碍 (b = -0.92),预计寿命较短 (b = -1.06) 和护理人员教育仅限于高中或更少 (b = 0.90) 有关.
- 没有发现与瘤学家特征的显著关联.
结论:
- 患者的心理健康,感知到的预后和护理人员的教育水平是影响和平接受疾病的关键因素.
- 针对患者,护理人员和瘤学家三位一体中的这些因素的干预措施可能会改善晚期癌症老年人的终身护理.
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