患有危及生命的疾病的患者在专门的息护理和基本的息护理中所经历的症状和问题的差异 - 全国横截面研究
Maiken Bang Hansen1,2,3, Mogens Groenvold4,5, Mette Raunkiær6
1Palliative Care Research Unit, Department of Geriatrics and Palliative Medicine GP, Copenhagen University Hospital - Bispebjerg and Frederiksberg, University of Copenhagen, Copenhagen, Denmark. maiken.bang.hansen@regionh.dk.
概括
接受专门息护理的患者报告的症状和问题比接受基本护理的患者多. 这凸显了需要精细化专门的息护理服务的转诊标准.
科学领域:
- 息护理研究 息护理研究
- 症状管理 症状管理
- 瘤学和血液学 在线
背景情况:
- 患有危及生命的疾病的患者往往需要复杂的息护理.
- 获得专门的息治疗应该与患者需求的复杂性保持一致.
- 需要进一步的研究来比较专门和基本息治疗机构之间的需求.
研究的目的:
- 为了比较患有危及生命的疾病,接受专门的息护理的患者的息护理需求与基本的息护理.
- 为了确定两个护理环境之间的症状和问题患病率的差异.
主要方法:
- 来自丹麦的患者报告的症状和问题的二次数据分析.
- 利用了填写EORTC QLQ-C15-PAL问卷的患者的数据.
- 采用顺序逻辑回归来分析差异,控制混因素.
主要成果:
- 包括6367名患有危及生命的疾病的患者.
- 与基本息护理患者相比,接受专业息护理的患者出现症状,功能障碍和生活质量下降的可能性更高.
- 观察到身体功能受损 (OR 8.3) 和疲劳 (OR 5.1) 的几率明显更高.
结论:
- 专门息治疗的患者面临更大的症状负担和问题,特别是非癌症患者.
- 当前的转介实践可能无法完全捕捉到最复杂的需求.
- 未来的研究应该检查症状轨迹,以优化转诊到专门的息治疗.
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