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护士主导的姑息治疗对老年癌症患者症状管理和生活质量结局的影响:一项回顾性研究。

Impact of nurse-led palliative care on symptom management and life quality outcomes in elderly cancer patients: A retrospective study.

机构信息

General Practice Medical Center, West China Hospital, Sichuan University, Chengdu City, Sichuan Province, China.

Department of Rehabilitation Medicine, West China Hospital of Sichuan University, Chengdu City, Sichuan Province, China.

出版信息

Medicine (Baltimore). 2024 Oct 4;103(40):e39817. doi: 10.1097/MD.0000000000039817.

Abstract

The objective was to explore impacts of nurse-led palliative care interventions on elderly cancer patients in terms of symptom management and life quality outcomes. This retrospective study examined 150 cancer patients from January 2021 to September 2023, divided into 2 groups based on nurse-led palliative care receipt. The observation group (n = 90) received nurse-led palliative care while the control group (n = 60) received routine nursing frequency was 3 times per week for 6 months. The treatment-related symptoms (therapy-related symptoms checklist, TRSC) was used to evaluate the symptom improvement rate of patients, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) was used to evaluate the improvement of patients' quality of life, and Chinese version of the Brief Pain Inventory (BPI-C) and Chinese version of the Brief Fatigue Inventory (BFI-C) were used to access the improvement of pain and fatigue respectively. Following the intervention, symptom improvement rate in the observation group exhibited markedly superior compared to the control group (100% vs 91.67%, P < .05) and a significant improvement in the patient's health-related quality of life was observed in the observation group at 1, 3, and 5 months postintervention (P < .05). In additional, the observation group displayed notably lower scores on both BPI-C and the BFI-C in contrast to the control group (P < .05). Nurse-led palliative care interventions can effectively improve symptom management and quality of life in elderly cancer patients compared to routine nursing care.

摘要

目的在于探讨护士主导的姑息治疗干预对老年癌症患者在症状管理和生活质量方面的影响。本回顾性研究纳入了 2021 年 1 月至 2023 年 9 月的 150 名癌症患者,根据是否接受护士主导的姑息治疗将其分为两组。观察组(n=90)接受护士主导的姑息治疗,对照组(n=60)接受常规护理,频率为每周 3 次,持续 6 个月。采用治疗相关症状检查表(therapy-related symptoms checklist,TRSC)评估患者症状改善率,欧洲癌症研究与治疗组织生活质量问卷(EORTC QLQ-C30)评估患者生活质量改善情况,中文版简明疼痛量表(Brief Pain Inventory,BPI-C)和中文版简明疲劳量表(Brief Fatigue Inventory,BFI-C)分别评估疼痛和疲劳的改善情况。干预后,观察组的症状改善率明显优于对照组(100%比 91.67%,P<0.05),观察组患者在干预后 1、3 和 5 个月的健康相关生活质量显著改善(P<0.05)。此外,观察组在 BPI-C 和 BFI-C 上的评分均明显低于对照组(P<0.05)。与常规护理相比,护士主导的姑息治疗干预可以有效改善老年癌症患者的症状管理和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/761f/11460916/3a12cf54eb3f/medi-103-e39817-g001.jpg

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