一项针对晚期癌症患者的研究表明，在化疗期间提供家庭护理服务与最后一次化疗治疗后立即转为家庭护理之间存在关联。

Association of a home-based nursing service during chemotherapy with the transfer to home care immediately after the last chemotherapy treatment in patients with advanced cancer.

机构信息

Department of General Medicine and Primary Care, University of Tsukuba Hospital, Tsukuba, Japan.

Medical Liaison and Patient Support Services Center, University of Tsukuba Hospital, Tsukuba, Japan.

出版信息

Jpn J Clin Oncol. 2022 Sep 18;52(9):1039-1044. doi: 10.1093/jjco/hyac085.

DOI:10.1093/jjco/hyac085

PMID:35649382

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9486912/

Abstract

BACKGROUND

The appropriate timing of introducing the home-based nursing service to patients with advanced cancer has not been clarified. This study conducted a retrospective cohort study to investigate the associations of the early utilization of the home-based nursing service during chemotherapy with the place of care immediately after the last chemotherapy treatment in patients with advanced cancer.

METHODS

Among the patients referred to the palliative care team of the University of Tsukuba Hospital between January 2018 and December 2019, patients with advanced cancer undergoing chemotherapy or before the start of chemotherapy at referral were included. The study patients who utilized the home-based nursing service during chemotherapy were classified into the early utilization group. The primary endpoint was the place of care immediately after the last chemotherapy treatment.

RESULTS

Of the 1154 patients referred to the palliative care team during the study period, 261 were eligible for this study. Of these patients, 15.3% of patients (n = 40) received the home-based nursing service during chemotherapy. The proportion of patients transferred to home care after the last chemotherapy treatment was 17.5% in the early utilization group and 7.2% in the control group. The multivariate analysis revealed that the early utilization of the home-based nursing service during chemotherapy was significantly associated with the transfer to home care (odds ratio = 3.077; 95% confidence interval, 1.113-8.502).

CONCLUSION

The early utilization of the home-based nursing service during chemotherapy might be associated with the transfer to home care immediately after the last chemotherapy treatment.

摘要

背景

目前尚不清楚为晚期癌症患者引入家庭护理服务的合适时机。本研究通过回顾性队列研究，调查了晚期癌症患者化疗期间尽早使用家庭护理服务与最后一次化疗后护理地点之间的关系。

方法

本研究纳入了 2018 年 1 月至 2019 年 12 月期间被转诊到筑波大学医院姑息治疗团队的患者，这些患者正在接受化疗或在转诊时开始化疗之前。在化疗期间利用家庭护理服务的研究患者被分为早期利用组。主要终点是最后一次化疗治疗后的护理地点。

结果

在研究期间，共有 1154 名患者被转诊到姑息治疗团队，其中 261 名符合本研究的条件。在这些患者中，15.3%（n=40）的患者在化疗期间接受了家庭护理服务。在早期利用组中，有 17.5%的患者在最后一次化疗治疗后转至家庭护理，而对照组中这一比例为 7.2%。多变量分析显示，化疗期间尽早使用家庭护理服务与转至家庭护理显著相关（比值比=3.077；95%置信区间，1.113-8.502）。