Centre for Health Research & Psycho-oncology, The Cancer Council NSW, University of Newcastle, Hunter Medical Research Institute & Priority Research Centre in Health Behaviour, Callaghan, Australia.
BMC Palliat Care. 2010 Jan 11;9:2. doi: 10.1186/1472-684X-9-2.
Palliative care should be provided according to the individual needs of the patient, caregiver and family, so that the type and level of care provided, as well as the setting in which it is delivered, are dependent on the complexity and severity of individual needs, rather than prognosis or diagnosis [1]. This paper presents a study designed to assess the feasibility and efficacy of an intervention to assist in the allocation of palliative care resources according to need, within the context of a population of people with advanced cancer.
METHODS/DESIGN: People with advanced cancer and their caregivers completed bi-monthly telephone interviews over a period of up to 18 months to assess unmet needs, anxiety and depression, quality of life, satisfaction with care and service utilisation. The intervention, introduced after at least two baseline phone interviews, involved a) training medical, nursing and allied health professionals at each recruitment site on the use of the Palliative Care Needs Assessment Guidelines and the Needs Assessment Tool: Progressive Disease - Cancer (NAT: PD-C); b) health professionals completing the NAT: PD-C with participating patients approximately monthly for the rest of the study period. Changes in outcomes will be compared pre-and post-intervention.
The study will determine whether the routine, systematic and regular use of the Guidelines and NAT: PD-C in a range of clinical settings is a feasible and effective strategy for facilitating the timely provision of needs based care.
ISRCTN21699701.
姑息治疗应根据患者、护理人员和家属的个体需求提供，以便所提供的护理类型和水平以及提供护理的环境取决于个体需求的复杂性和严重程度，而不是预后或诊断[1]。本文介绍了一项旨在评估根据需要分配姑息治疗资源的干预措施的可行性和效果的研究，该研究针对的是晚期癌症人群。
方法/设计：在长达 18 个月的时间内，晚期癌症患者及其护理人员每月通过两次电话访谈来评估未满足的需求、焦虑和抑郁、生活质量、护理满意度和服务利用情况。在至少进行两次基线电话访谈后引入干预措施，包括：a）在每个招募地点对医疗、护理和联合健康专业人员进行姑息治疗需求评估指南和需求评估工具：进展性疾病-癌症（NAT：PD-C）的使用培训；b）健康专业人员在研究期间的剩余时间内每月为参与患者完成大约一次的 NAT：PD-C。将比较干预前后的结果变化。
该研究将确定在一系列临床环境中常规、系统和定期使用指南和 NAT：PD-C 是否是促进及时提供基于需求的护理的可行且有效的策略。
ISRCTN21699701。
