Uysal Neşe, Şenel Gülçin, Karaca Şerife, Kadıoğulları Nihal, Koçak Nesteren, Oğuz Gonca
Department of Nursing, Gazi University Faculty of Health Sciences, Ankara, Turkey.
Palliative Care Unit, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey.
Agri. 2015;27(2):104-10. doi: 10.5505/agri.2015.26214.
The purpose of this study was to determine the symptoms observed during admission to palliative care in patients that would be provided palliative support, to measure their intensity, and to evaluate the effect of palliative care on patient symptoms by recording changes during the first week after admission to hospital.
The sample of the study was determined as 108 according to the population mean significance test conducted by using preliminary application data. Patients who were able to complete the Edmonton Symptom Assessment Scale during admission to hospital, on the 3(rd) and 7(th) days of hospitalization were included into the evaluation. The Introductory Characteristics Questionnaire, Edmonton Symptom Assessment Scale and Palliative Performance Scale were used for the collection of the data.
While 50% of the patients defined pain intensity as 5 and over during admission, this rate was determined to be 6.5% on the 7(th) day. Mean values of the symptoms of pain, insomnia, loss of appetite, and status of well-being decreased significantly on the 3(rd) and 7(th) days after admission compared to the time of admission to the hospital. Besides, no statistically significant difference was found among the symptoms of nausea, anxiety, shortness of breath, and constipation.
In this study, it was determined that the intensity of symptoms deteriorating the life quality of cancer patients such as pain, fatigue, insomnia, loss of appetite, and status of well-being improved rapidly with palliative care support.
本研究旨在确定接受姑息治疗的患者在入院时观察到的症状，测量其严重程度，并通过记录入院后第一周内的变化来评估姑息治疗对患者症状的影响。
根据使用初步应用数据进行的总体均值显著性检验，将研究样本确定为108例。能够在入院时、住院第3天和第7天完成埃德蒙顿症状评估量表的患者纳入评估。使用介绍性特征问卷、埃德蒙顿症状评估量表和姑息治疗表现量表收集数据。
入院时50%的患者将疼痛强度定义为5及以上，而在第7天这一比例为6.5%。与入院时相比，入院后第3天和第7天疼痛、失眠、食欲不振和幸福感症状的平均值显著下降。此外，恶心、焦虑、呼吸急促和便秘症状之间未发现统计学上的显著差异。
在本研究中，确定了疼痛、疲劳、失眠、食欲不振和幸福感等会恶化癌症患者生活质量的症状强度在姑息治疗支持下迅速改善。
