临终关怀患者及其照顾者的精神存在性痛苦
Sebastiano Mercadante1, Marco Travia2, Alessandro Valle3
1Pain Relief and Supportive Care, Casa di Cura La Maddalena SpA, Palermo, Italy 03sebelle@gmail.com.
BMJ supportive & palliative care
|November 9, 2025
概括
临终关怀显著减少了患者的精神存在性痛苦,并改善了身体症状. 虽然护理人员经历了痛苦,但他们的整体精神存在症状在息治疗中没有显著改变.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理瘤学 心理瘤学
- 临终关怀医院和息医学
背景情况:
- 精神存在性痛苦是临终关怀机构中患者和护理人员的重要关注点.
- 综合性息治疗旨在缓解身体和心理的痛苦.
研究的目的:
- 评估临终关怀对患者及其照顾者的精神存在性痛苦的影响.
- 在一周的息治疗后,评估身体症状和精神存在性痛苦的变化.
主要方法:
- 一组159名患者和87名护理人员入院于两个临终医院,在入院时 (T0) 和一周后 (T7) 进行了评估.
- 使用了标准化尺度,包括埃德蒙顿症状评估尺度 (ESAS) 和精神存在症状评估尺度 (PeSAS).
- 收集的数据包括人口统计,诊断,卡诺夫斯基表现状态和认知评估.
主要成果:
- 患者在一周的息治疗后,大多数身体症状 (ESAS) 和整体心理存在性痛苦 (PeSAS) 显著改善.
- 照顾者报告了类似的痛苦程度,但他们的总体PeSAS得分没有显著变化.
- 在患者和护理人员的痛苦水平 (PeSAS) 和身体症状 (ESAS) 的变化之间观察到正相关性.
结论:
- 住院住院有效改善身体症状,并显著减少患者的精神存在性痛苦.
- 虽然护理人员经历了类似的痛苦,但在研究期间,综合性息护理并没有导致他们精神存在症状的重大整体变化.
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