多专业提供的强化支持性护理可改善无法治愈癌症患者的生活质量。
Multi-professional-delivered enhanced supportive care improves quality of life for patients with incurable cancer.
作者信息
Monnery Daniel, Benson Sinead, Griffiths Ann, Cadwallader Claire, Hampton-Matthews Julian, Coackley Alison, Cooper Malcolm, Watson Amanda
机构信息
Consultant in palliative medicine, The Clatterbridge Cancer Centre NHS Foundation Trust, Wirral.
Clinical nurse specialist in palliative care, The Clatterbridge Cancer Centre NHS Foundation Trust, Wirral.
出版信息
Int J Palliat Nurs. 2018 Oct 2;24(10):510-514. doi: 10.12968/ijpn.2018.24.10.510.
BACKGROUND
: Enhanced supportive care (ESC) promotes the earlier implementation of supportive care within cancer care. While earlier supportive care has been demonstrated to improve patient outcomes, the model of delivery is variable. The Clatterbridge Cancer Centre has developed a multi-professional delivered model with clinical nurse specialists providing ongoing patient review and care.
METHOD
: A retrospective single-system design was used to assess longitudinal changes in Integrated Palliative Care Outcome Scale (IPOS) scores as indicators of quality of life. For other outcomes, a retrospective case control analysis was undertaken.
RESULTS
: Statistically significant improvements in all IPOS scores were observed for patients attending ESC. Compared to controls, quantitative outcomes included prolonged survival and reduced chemotherapy-related mortality. Multi-professional delivered ESC successfully improves quality of life and outcomes.
背景
强化支持性护理（ESC）促进了在癌症护理中更早地实施支持性护理。虽然早期支持性护理已被证明可改善患者预后，但提供模式各不相同。克拉特布里奇癌症中心已开发出一种多专业提供模式，由临床护士专家对患者进行持续评估和护理。
方法
采用回顾性单系统设计，评估综合姑息治疗结果量表（IPOS）评分的纵向变化，以此作为生活质量指标。对于其他结果，进行回顾性病例对照分析。
结果
接受ESC的患者在所有IPOS评分上均有统计学意义的显著改善。与对照组相比，定量结果包括生存期延长和化疗相关死亡率降低。多专业提供的ESC成功改善了生活质量和预后。
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