Amare Nigist, Gintamo Biniyam, Tukeni Kedir Negesso, Gebremichael Ermias Habte, Abera Eyob Girma
Department of Gynecology and Obstetrics, St. Paul Hospital, Addis Ababa, Ethiopia.
Department of Public Health, Addis Ababa Medical and Business College, Addis Ababa, Ethiopia.
Risk Manag Healthc Policy. 2023 Jun 28;16:1203-1214. doi: 10.2147/RMHP.S415532. eCollection 2023.
Cancer has been the leading cause of death worldwide with its various enormous socio-economic impacts. Hence, early palliative care implementation is a potent addition to oncology for the treatment of physical, mental, and psychological pain in cancer patients. Therefore, this article aims to assess the prevalence of patients requiring palliative care and its associated factors among admitted cancer patients.
A cross-sectional study was conducted among cancer patients who were admitted to oncology wards during the data collection period at St. Paul Hospital, Ethiopia. The Palliative Care Indicators Tool in Low-Income Settings (SPICT-LIS) was used to determine the need for palliative care. The collected data was entered into EpiData version 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 26 for analysis. A multivariable logistic regression was used to analyze the predictors of palliative care need.
A total of 301 cancer patients were included in this study, with a mean age of 42 years (SD=1.38). The prevalence of palliative care needs among the patients in this study was 10.6% (n=32). The study revealed that the need for palliative care increases as the age of the patient increases and suggested that cancer patients who were above 61 years old were two times (AOR=2.39 95% CI=0.34-16.55) more likely to need palliative care than others. Male patients had a significantly higher requirement for palliative care compared to female patients (AOR=5.31, 95% CI=1.68-11.79).
The manuscript describes the palliative care needs of patients with cancer admitted to St. Paul Hospital in Ethiopia. The study revealed that the health status of a significant number of cancer patients in the hospital was deteriorating. Hence, the hospital administrators and the oncology ward staff are recommended to pay attention to the identified factors.
癌症一直是全球主要死因，具有各种巨大的社会经济影响。因此，早期实施姑息治疗是肿瘤学领域治疗癌症患者身体、精神和心理疼痛的有力补充。因此，本文旨在评估住院癌症患者中需要姑息治疗的患者患病率及其相关因素。
在埃塞俄比亚圣保罗医院数据收集期间，对入住肿瘤病房的癌症患者进行了一项横断面研究。采用低收入环境下的姑息治疗指标工具（SPICT-LIS）来确定姑息治疗需求。收集的数据录入EpiData 3.1版本，并导出到社会科学统计软件包（SPSS）26版本进行分析。采用多变量逻辑回归分析姑息治疗需求的预测因素。
本研究共纳入301例癌症患者，平均年龄42岁（标准差=1.38）。本研究中患者的姑息治疗需求患病率为10.6%（n = 32）。研究表明，姑息治疗需求随着患者年龄的增加而增加，提示61岁以上的癌症患者比其他患者需要姑息治疗的可能性高出两倍（调整后比值比=2.39，95%置信区间=0.34 - 16.55）。男性患者对姑息治疗的需求明显高于女性患者（调整后比值比=5.31，95%置信区间=1.68 - 11.79）。
该手稿描述了埃塞俄比亚圣保罗医院住院癌症患者的姑息治疗需求。研究表明，该医院大量癌症患者的健康状况正在恶化。因此，建议医院管理人员和肿瘤病房工作人员关注已确定的因素。
