Department of Internal Medicine, Faculty of Medical Sciences, University of Campinas, Campinas, Brazil.
Oncology Division, General Hospital, University of Campinas, Campinas, Brazil.
Palliat Support Care. 2023 Aug;21(4):651-657. doi: 10.1017/S1478951522000967.
The characterization of clinical-emotional aspects of advanced cancer patients is essential for palliative care. To date, there is scarce information regarding the socio-demographic and clinical profiles, as well as the quality of care given to hospitalized patients under this condition, particularly in South American countries. The objectives of this study were to analyze the socio-demographic profile, symptoms (including psychological well-being), and the quality of life of advanced cancer patients admitted to the oncology ward of the General Hospital of the University of Campinas, Brazil.
In this cross-sectional study, patients were invited to fill the selected questionnaires such as Edmonton Symptom Assessment Scale (ESAS) and Palliative Care Outcome Scale (POS). Descriptive analyses were performed, regarding socio-demographic profile, symptoms, level of information over treatment aims, and quality-of-life scores.
Fifty-nine patients were included, of whom 29 were male and 30 female, with a mean age of 58 years. Overall, 31.9% presented pain at the time of the interview, 52.5% depression, and 76.3% anxiety. The median individual scores for ESAS and POS (and interquartile range) were, respectively, 27 (17-41) and 14 (9-19). Patients with previous knowledge of treatment objectives reported worse depression scores in the ESAS (median 2 vs. 0, 0.02), even when correcting for possible confounders.
In contrast to current literature, in which pain is a prevalent report, depression and anxiety were more evident in this specific population of hospitalized patients. This framework reflects the need for valuing not only physical but also emotional symptoms to achieve the integrality of care.
对晚期癌症患者的临床情绪特征进行描述，对于姑息治疗至关重要。迄今为止，有关社会人口学和临床特征，以及在这种情况下住院患者所接受的护理质量的信息，尤其是在南美洲国家，仍然非常有限。本研究的目的是分析巴西坎皮纳斯大学综合医院肿瘤病房住院晚期癌症患者的社会人口学特征、症状（包括心理健康）以及生活质量。
在这项横断面研究中，邀请患者填写所选问卷，如埃德蒙顿症状评估量表（ESAS）和姑息治疗结果量表（POS）。针对社会人口学特征、症状、对治疗目标的信息了解程度以及生活质量评分，进行描述性分析。
共纳入 59 例患者，其中 29 例为男性，30 例为女性，平均年龄为 58 岁。总体而言，31.9%的患者在接受采访时存在疼痛，52.5%的患者存在抑郁，76.3%的患者存在焦虑。ESAS 和 POS 的个体中位数评分（四分位距）分别为 27（17-41）和 14（9-19）。对治疗目标有预先了解的患者在 ESAS 中报告的抑郁评分更差（中位数 2 与 0，P=0.02），即使在纠正可能的混杂因素后也是如此。
与目前的文献相比，疼痛是常见的报告，但在这一特定的住院患者群体中，抑郁和焦虑更为明显。这种情况反映了不仅要重视身体症状，还要重视情绪症状，以实现护理的完整性。
