晚期血液恶性瘤的早期息护理:以患者为中心的结果的系统审查
Patrícia Fernandes-Almeida1, Paulo Reis-Pina1,2
1Center for Palliative Medicine, Faculty of Medicine, University of Lisbon, 1649-028 Lisbon, Portugal.
Healthcare (Basel, Switzerland)
|November 13, 2025
概括
早期息治疗 (EPC) 改善了症状负担,并影响了血液恶性瘤 (HM) 患者的死亡地点. 此外,EPC还降低了医疗保健成本和利用率,尽管生活质量的结果仍然不确定.
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:
- 患有血液性恶性瘤 (HM) 的患者面临着显著的症状负担和降低的生活质量 (QOL).
- 早期息护理 (EPC) 对HM的影响尚未得到充分证实,与其在固体瘤中已知的好处不同.
研究的目的:
- 系统地审查EPC对HM患者以患者为中心的结果的影响.
- 综合关于EPC对症状负担,QOL,死亡地点,医疗费用和HM患者利用率的影响的证据.
主要方法:
- 在主要数据库 (MEDLINE,科学网,Cochrane,Scopus) 中系统地进行文献搜索,寻找2020-2024年发表的文章.
- 包括比较EPC与高级HM成人常规护理的研究,报告特定的以患者为中心的结果.
- 对12项高质量研究的结果进行叙述综合,这些研究涉及超过42,000名参与者.
主要成果:
- EPC持续改善症状负担,包括疼痛,食欲和功能健康.
- 质量生活和心理结局 (焦虑,抑郁) 的发现是混合的或不一致的.
- EPC与更高的家庭/宿舍死亡概率和医疗保健利用率和成本的显著降低有关.
结论:
- 早期息护理 (EPC) 对症状负担有明显的益处,并影响了血液瘤 (HM) 的生命终端护理决策.
- EPC有助于降低HM患者的医疗保健成本和利用率.
- 需要进一步的研究来澄清EPC对QOL和HM心理结果的影响.
相关概念视频
Continuing Care
1.8K
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,...
1.8K
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
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
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
Cancer Survival Analysis
634
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...
634
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
