青少年和青年癌症患者的预先医疗护理计划：来自英国一个地区专科中心的回顾性病历审核。
Advance Care Planning for Adolescents and Young Adults with Cancer: A Retrospective Case Note Audit from a Regional Specialist Center in the United Kingdom.
机构信息
Medcial Student, University of Birmingham College of Medical and Dental Sciences, Birmingham, United Kingdom.
Nurse Consultant, University Hospitals Birmingham, Birmingham, United Kingdom.
出版信息
J Adolesc Young Adult Oncol. 2021 Aug;10(4):493-496. doi: 10.1089/jayao.2020.0149. Epub 2020 Dec 21.
The extent of Advance Care Planning (ACP) among Adolescent and Young Adult (AYA) cancer patients is not well characterized. This retrospective case note audit scrutinized the records of all AYA patients (aged 16-25 years) known to a regional specialist center in the United Kingdom, and who died between 2013 and 2019, for evidence of ACP. Eighty-four patients were included. ACP was identified for 67% of patients. Sixty-four percent expressed a preferred place of death; actual place of death reflected this in 65% of cases. Creation of a bespoke document may help to standardize ACP and improve end-of-life care.
青少年和年轻成人（AYA）癌症患者的预先医疗指示（ACP）的程度尚不清楚。本回顾性病历审查仔细检查了英国一个区域专科中心所了解的所有 AYA 患者（16-25 岁）的记录，这些患者在 2013 年至 2019 年期间死亡，以确定有无 ACP。共纳入 84 例患者。67%的患者确定了 ACP。64%的患者表达了他们希望的死亡地点；实际死亡地点在 65%的病例中反映了这一点。创建定制文档可能有助于标准化 ACP 并改善临终关怀。
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