精神瘤学/头癌患者的支持性护理 接受放射治疗的患者:随机对照试验
Shwetabh Sinha1, Saket Pandey2, Shirley L Salins3
1Department of Radiation Oncology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, India.
South Asian journal of cancer
|December 22, 2025
概括
精神瘤学支持并没有显著减少接受放射治疗的头癌患者的痛苦. 治疗后六个月,标准护理和干预组的痛苦水平,症状,生活质量和生存率在治疗后六个月保持相似.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 高度的痛苦会对头癌患者的结果产生负面影响,包括生活质量 (QoL) 和治疗遵守.
- 早期识别和应急管理对于改善癌症治疗期间患者福祉至关重要.
研究的目的:
- 评估精神瘤学和息/支持护理转诊在减轻头癌患者接受放射治疗的痛苦方面的有效性.
主要方法:
- 一项随机试验,涉及212名头癌患者,具有显著的基线应急 (应急温度计≥4).
- 患者随机分配到标准护理 (常规瘤学家评估) 或干预手臂 (每周转诊精神瘤学/息/支持性护理).
- 主要终点是治疗后6个月显著痛苦的患者比例.
主要成果:
- 在标准 (9%) 和干预 (15.6%) 臂 (p=0.20) 之间,在治疗后6个月出现显著痛苦的患者比例没有显著差异.
- 两组都显示症状 (埃德蒙顿症状评估得分) 和 QoL 的改善,没有统计学上显著的群体间差异.
- 在手臂之间没有观察到症状负担,QoL或生存终点的显著差异.
结论:
- 常规精神瘤学和息/支持性护理转诊没有显著影响头癌患者在治疗后6个月的痛苦,症状负担,QoL或生存率.
- 可能需要进一步的研究来探索在头瘤学中支持性护理整合的最佳模型.
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