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肿瘤科室中影响埃塞俄比亚女性姑息治疗服务需求和利用的因素:一项基于医院的横断面研究。

Factors affecting need and utilization of palliative care services among Ethiopian women in an oncology department: A hospital-based cross-sectional study.

作者信息

Fetene Deriba, Taylor Lesley, Ferrell Betty, Deribe Bedilu, Abdella Jabir, Aynalem Amdehiwot

机构信息

Department of Nursing, School of Health Sciences, College of Medicine and Health Sciences, Madda Walabu University, Bale Robe, Oromia 247, Ethiopia.

Department of Surgery, City of Hope National Medical Center, Duarte, CA, USA.

出版信息

Palliat Care Soc Pract. 2024 May 24;18:26323524241253625. doi: 10.1177/26323524241253625. eCollection 2024.

Abstract

BACKGROUND

Palliative care, which aims to alleviate physical and emotional distress from cancer, is underutilized in many African healthcare systems. Therefore, there is a lack of data on the need and utilization of palliative care services among women with breast cancer in Ethiopia.

OBJECTIVES

The goal of this study was to identify the level of need and utilization of palliative care services and identify associated factors among women in an oncology department of Hawassa comprehensive and specialized hospitals.

DESIGN

Hospital-based cross-sectional study.

METHODS

A total of 121 women age ⩾18 years old with breast cancer participated from 1 August to 30 October 2021. A hospital-based consecutive sampling technique was used. Data regarding the need and utilization of palliative care services were collected questionnaire and interview, entered using EpiData 4.6.0.6, and analyzed by SPSS version 25. Variables with  < 0.25 were considered for multivariate analysis, and those with  < 0.05 indicate an association with palliative care utilization.

RESULT

Seventy-two (59.5%) had worse utilization of palliative care services, with higher odds in rural areas (adjusted odds ratio = 11.82).

CONCLUSION

The study findings indicated that more than half of the study participants had worse utilization of palliative care services, with rural living being a contributing factor.

摘要

背景

旨在缓解癌症带来的身体和情感痛苦的姑息治疗,在许多非洲医疗系统中未得到充分利用。因此,埃塞俄比亚乳腺癌女性患者对姑息治疗服务的需求及利用情况缺乏相关数据。

目的

本研究的目的是确定哈瓦萨综合专科医院肿瘤科女性患者姑息治疗服务的需求水平和利用情况,并确定相关因素。

设计

基于医院的横断面研究。

方法

2021年8月1日至10月30日,共有121名年龄≥18岁的乳腺癌女性患者参与研究。采用基于医院的连续抽样技术。通过问卷调查和访谈收集有关姑息治疗服务需求和利用情况的数据,使用EpiData 4.6.0.6录入数据,并采用SPSS 25版进行分析。对于多因素分析,考虑<0.25的变量,<0.05的变量表明与姑息治疗利用有关联。

结果

72名(59.5%)患者对姑息治疗服务的利用情况较差,农村地区的患者比例更高(调整比值比=11.82)。

结论

研究结果表明,超过一半的研究参与者对姑息治疗服务的利用情况较差,农村居住是一个影响因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7c3/11127578/939559d94d61/10.1177_26323524241253625-fig1.jpg

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