Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan.
Graduate Institute of Medical Sciences, School of Nursing, National Defense Medical Center, Taipei City 11490, Taiwan.
Int J Environ Res Public Health. 2021 Aug 26;18(17):8992. doi: 10.3390/ijerph18178992.
This study aimed to explore the effectiveness of an inpatient hospice palliative care unit (PCU) and palliative consultation service (PCS) on comprehensive quality of life outcome (CoQoLo) among terminally ill cancer patients. This was a prospective longitudinal study. Terminally ill cancer patients who met the inclusion criteria and received PCU or PCS in a northern Taiwanese medical center were recruited. The CoQoLo Inventory was used to measure CoQoLo level pre- and seven days following hospice care between August 2018 and October 2019. A total of 90 patients completed the study. No significant differences were found in CoQoLo levels between the PCU and PCS groups pre- and seven days following care. However, the CoQoLo level of patients significantly improved seven days following care in both PCU and PCS groups, compared with pre-hospice care. Patients' age, religious belief, marital status, closeness with family, palliative prognostic index (PPI), and symptom severity were significant concerning CoQoLo levels after adjusting for patients' baseline characteristics. PCU and PCS showed no difference in CoQoLo levels, but both of them can improve CoQoLo among terminally ill cancer patients. These patients could receive PCU or PCS to achieve a good CoQoLo at the end-of-life stage.
本研究旨在探讨住院安宁缓和医疗病房（PCU）和缓和医疗咨询服务（PCS）对终末期癌症患者综合生活质量结局（CoQoLo）的影响。这是一项前瞻性纵向研究。我们招募了符合纳入标准并在台湾北部一家医疗中心接受 PCU 或 PCS 的终末期癌症患者。在 2018 年 8 月至 2019 年 10 月期间，我们使用 CoQoLo 量表在接受缓和医疗前和接受缓和医疗后 7 天分别测量 CoQoLo 水平。共有 90 名患者完成了这项研究。在接受缓和医疗前和接受缓和医疗后 7 天，PCU 和 PCS 组之间的 CoQoLo 水平没有显著差异。然而，与接受缓和医疗前相比，PCU 和 PCS 组的患者在接受缓和医疗后 7 天的 CoQoLo 水平显著提高。在调整了患者的基线特征后，患者的年龄、宗教信仰、婚姻状况、与家人的亲近程度、缓和医疗预后指数（PPI）和症状严重程度与 CoQoLo 水平显著相关。PCU 和 PCS 在 CoQoLo 水平上没有差异，但它们都可以改善终末期癌症患者的 CoQoLo。这些患者可以接受 PCU 或 PCS 来实现终末期良好的 CoQoLo。
