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Systematic Review and Meta-Synthesis about Patients with Hematological Malignancy and Palliative Care.血液恶性肿瘤患者的姑息治疗的系统评价和元综合
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超越“不要复苏”医嘱：比较癌症患者在临终关怀需求方面所接受的护理。

Going Beyond the Do-Not-Resuscitate Order: Comparing the Care Received by Cancer Patients with Respect to Hospice Care Needs.

作者信息

Alnaeem Mohammad M, Bani Hani Salam, Abujebbeh Raid

机构信息

Department of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan.

Department of Nursing, Irbid National University, Irbid, Jordan.

出版信息

Indian J Palliat Care. 2025 Apr-Jun;31(2):159-166. doi: 10.25259/IJPC_241_2024. Epub 2025 Apr 23.

DOI:10.25259/IJPC_241_2024
PMID:40836997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12362038/
Abstract

OBJECTIVES

The purpose of this study is to compare the treatment given to cancer patients in intensive care units (ICUs) who require or do not require hospice care.

MATERIALS AND METHODS

A descriptive retrospective design was used. A total of 193 files were reviewed for admitted cancer patients.

RESULTS

Individuals requiring hospice care had longer hospital stays (t=1.22, p<.05) and were less likely to be sent to palliative care (X2= 183.5, p<.05). The majority of patients were intubated (72.4%), got intravenous hydration (84.5%), and received antibiotics (81.3%). There was a statistically significant difference in the fluid administration (X2= 1.76, p<.05), antibiotic administration (X2= 1.64, p<.05), and mechanical ventilation (X2= 2.71, p<.05) between individuals who require hospice care and those who do not.

CONCLUSION

It is necessary to enhance the dialogue between doctors, patients, and caregivers regarding peaceful death and reduce unnecessary treatment.

摘要

目的

本研究旨在比较重症监护病房（ICU）中需要或不需要临终关怀的癌症患者所接受的治疗。

材料与方法

采用描述性回顾性设计。共查阅了193份癌症住院患者的病历。

结果

需要临终关怀的患者住院时间更长（t = 1.22，p <.05），被转至姑息治疗的可能性更小（X2 = 183.5，p <.05）。大多数患者接受了插管（72.4%）、静脉补液（84.5%）和抗生素治疗（81.3%）。需要临终关怀和不需要临终关怀的患者在液体给药（X2 = 1.76，p <.05）、抗生素给药（X2 = 1.64，p <.05）和机械通气（X2 = 2.71，p <.05）方面存在统计学显著差异。

结论

有必要加强医生、患者和护理人员之间关于安详死亡的对话，并减少不必要的治疗。