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放疗病房的姑息治疗-通过多学科查房改善临床护理。

Palliative care on the radiation oncology ward-improvements in clinical care through interdisciplinary ward rounds.

机构信息

Department of Radiation Oncology, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149, Muenster, Germany.

Department of Palliative Care, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149, Muenster, Germany.

出版信息

Strahlenther Onkol. 2023 Mar;199(3):251-257. doi: 10.1007/s00066-022-01989-0. Epub 2022 Aug 11.

DOI:10.1007/s00066-022-01989-0
PMID:35951037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9938032/
Abstract

INTRODUCTION

Palliative care is essential for patients with terminal diseases and aims at effective symptom control. This may stand in opposition to radiation treatment as an oncological treatment modality. The hereby presented work demonstrates the successful integration of a palliative care service in the radiation oncology ward.

METHODS

Since 2015, 1018 patients were seen by the palliative care service on the radiation oncology ward and have been analyzed in this single center study. To assess teaching efficacy of the consultation service, a survey was conducted among 15 radiation oncology residents.

RESULTS

Cooperation between the two departments proved to be efficient with rising patient numbers. Palliative care was able to guide appropriate postdischarge care with the number of patients dying on the radiation oncology ward decreasing significantly (p = 0.009). The main topics for consultation were pain medication (92.3%), organization of postdischarge care (92.3%), and psycho-oncological support (84.6%). Most residents had a positive image of the palliative care service and consented on adjectives like "enriching", "empathic", "collegial", "professionally founded", and a "low threshold for consultation". All participants agreed that cooperation deepened their knowledge on palliative care.

CONCLUSION

A synergistic cooperation between a palliative care consultation service and a radiation oncology department addresses patient symptoms on an individual level. It confers advanced knowledge on palliative care which is essential for resident education and patient treatment.

摘要

简介

姑息治疗对于患有终末期疾病的患者至关重要，旨在有效控制症状。这可能与作为肿瘤治疗方式的放射治疗相对立。本文介绍了成功地将姑息治疗服务整合到放射肿瘤科病房中的经验。

方法

自 2015 年以来，姑息治疗服务在放射肿瘤科病房共为 1018 名患者提供了服务，本研究对此进行了单中心分析。为了评估咨询服务的教学效果，对 15 名放射肿瘤学住院医师进行了调查。

结果

两个部门之间的合作效率很高，患者数量不断增加。姑息治疗能够指导适当的出院后护理，放射肿瘤科病房的死亡人数明显减少（p=0.009）。咨询的主要主题是疼痛药物治疗（92.3%）、出院后护理的组织（92.3%）和心理肿瘤支持（84.6%）。大多数住院医师对姑息治疗服务有积极的印象，并同意使用“丰富”、“有同理心”、“协作”、“专业基础扎实”和“咨询门槛低”等形容词。所有参与者都同意合作加深了他们对姑息治疗的了解。

结论

姑息治疗咨询服务与放射肿瘤科之间的协同合作可以针对患者的个体症状进行治疗。它提供了姑息治疗方面的先进知识，这对住院医师教育和患者治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b77/9938032/e20c6629cdd5/66_2022_1989_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b77/9938032/aaece7ff11bb/66_2022_1989_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b77/9938032/157bb4b976e5/66_2022_1989_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b77/9938032/b71e0bbe3ad5/66_2022_1989_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b77/9938032/990a76b17d8e/66_2022_1989_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b77/9938032/e20c6629cdd5/66_2022_1989_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b77/9938032/aaece7ff11bb/66_2022_1989_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b77/9938032/157bb4b976e5/66_2022_1989_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b77/9938032/b71e0bbe3ad5/66_2022_1989_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b77/9938032/990a76b17d8e/66_2022_1989_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b77/9938032/e20c6629cdd5/66_2022_1989_Fig5_HTML.jpg

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