Palliative Care Support Improves Quality of Life of Patients with Fibrotic Interstitial Lung Disease.

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES

Palliative medicine reports Pub Date : 2026-07-12 eCollection Date: 2026-01-01 DOI:10.1177/26892820261463086

Arturo Cortes-Telles, Diana Lizbeth Ortíz-Farias, Julia Carel Martínez-Ponce, Lucy Esther López-Pavón, Marco Antonio Cansino-Torres, Christopher J Ryerson

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Abstract

Background: We sought to analyze the effect of a palliative care intervention on quality of life (QoL) in patients with fibrotic interstitial lung disease (fILD).

Design: This was a prospective observational study including 14 patients with fILD treated with a bundle of care provided by multidisciplinary specialists in pain and palliative care, a psychologist, physical therapists, and a nutritionist, with all patients initiating 10 mg of morphine sulfate. Measurements at baseline, 30 days, and 90 days included cough, dyspnea, pain, tiredness, nausea, depression, anxiety, sleepiness, appetite, and difficulty sleeping. QoL was recorded using the modified St. George's Respiratory Questionnaire (SGRQ-1). Change over time in each endpoint was analyzed.

Results: Baseline assessment reflected an impaired QoL (median SGRQ-1, 91 points). All symptom scores improved at 90 days, with a statistically significant and clinically meaningful 20-point decrease in the SGRQ-1 (p = 0.001).

Conclusion: Palliative care intervention improves symptom and QoL in fILD.

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姑息治疗支持改善纤维化间质性肺病患者的生活质量。

背景：我们试图分析姑息治疗干预对纤维化间质性肺病（field）患者生活质量（QoL）的影响。设计：这是一项前瞻性观察性研究，包括14例field患者，由疼痛和缓和治疗的多学科专家、心理学家、物理治疗师和营养学家提供一系列护理，所有患者开始使用10mg硫酸吗啡。基线、30天和90天的测量包括咳嗽、呼吸困难、疼痛、疲劳、恶心、抑郁、焦虑、嗜睡、食欲和睡眠困难。使用改良的圣乔治呼吸问卷（SGRQ-1）记录生活质量。分析每个终点随时间的变化。结果：基线评估反映生活质量受损（sgrq - 1,91分中位数）。所有症状评分在90天均有所改善，SGRQ-1评分下降20分，具有统计学意义和临床意义（p = 0.001）。结论：姑息治疗干预可改善field患者的症状和生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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