在早期癌症临床试验中提前护理规划的文档:澳大利亚单中心体验
Nancy Huang1,2, Joseph Descallar3,4, Samuel Vo4,5
1Liverpool Cancer Therapy Centre, Liverpool Hospital, Liverpool, NSW 2170, Australia.
Cancers
|November 27, 2025
概括
提前护理规划 (ACP) 文档发生在早期瘤学试验中的64%患者身上,通常是在疾病晚期. 早些时候,需要进行结构化的讨论,以使护理与患者的目标保持一致.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 临床试验 临床试验
背景情况:
- 在早期阶段试验中,患有无法治愈的癌症的患者面临预后不确定性.
- 对于这些患者来说,提前护理计划 (ACP) 讨论往往会延迟.
研究的目的:
- 评估前期护理计划 (ACP) 讨论在早期瘤学试验中的患者之间的文档.
主要方法:
- 在早期临床试验 (2012-2021) 中对成年人电子病历的回顾性审查.
- 收集的数据包括从转移性诊断到第一次ACP讨论的时间,临床因素,社会人口统计学,讨论触发因素和临床医生的专业.
主要成果:
- 在170名患者中,64%的患者发现了ACP文件.
- ACP通常是在生命的最后一年开始 (73.8%),转移性诊断后的中位数为23.5个月.
- 疾病进展和住院是常见的触发因素;讨论经常集中在侵入性护理的局限性上.
结论:
- 在早期瘤学试验中,三分之二的患者有预先护理规划文件,但往往发生迟.
- 建议将早期的,结构化的ACP讨论纳入瘤治疗途径,以改善目标协调和终身护理.
相关概念视频
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
Cancer Survival Analysis
633
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...
633
Clinical Trials: Overview
4.5K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.5K
Clinical Trials
10.1K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
10.1K
Standards of Care II
1.0K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.0K
Cancer Prevention
7.6K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
7.6K


