When and how to stop palliative antineoplastic treatment and to organise palliative care for patients with incurable cancer.

International journal of palliative nursing Pub Date : 2023-10-02 DOI:10.12968/ijpn.2023.29.10.499

Mette Raunkiær, Jahan Shabnam, Kristoffer Marsaa, Geana Paula Kurita, Per Sjøgren, Mai-Britt Guldin

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Abstract

Background: Improving the organisational aspects of the delivery of palliative care in order to support patients throughout their disease trajectory has received limited attention.

Aim: To investigate the opportunities and barriers related to organising palliation for people with terminal cancer and their families.

Methods: An explorative interview study was conducted among 31 nurses and three physicians concerning an intervention facilitating a fast transition from treatment at a cancer centre at a university hospital to palliation at home. A thematic analysis was conducted.

Findings: This article presents three out of seven themes: 1) improvement in the cessation of antineoplastic treatment in palliation; 2) improvement in organisations delivering palliation; and 3) improvement in multidisciplinary and cross-sectoral collaboration.

Conclusions: The results demonstrate the demand for flexible, family-centred and integrated palliation at all levels, from communication and the collaborative relationship between healthcare professionals and families to service sectors.

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何时以及如何停止姑息性抗肿瘤治疗，并为无法治愈的癌症患者组织姑息治疗。

背景：改善姑息治疗的组织方面，以便在患者的整个疾病轨迹中为其提供支持，但受到的关注有限。目的：探讨为癌症晚期患者及其家属组织姑息治疗的机会和障碍。方法：对31名护士和3名医生进行了一项探索性访谈研究，涉及一项干预措施，该干预措施有助于从大学医院癌症中心的治疗快速过渡到在家缓解。进行了专题分析。研究结果：本文提出了七个主题中的三个：1）在姑息治疗中停止抗肿瘤治疗的改善；2）改善提供缓和的组织；以及3）改进多学科和跨部门合作。结论：研究结果表明，从医疗保健专业人员与家庭之间的沟通和合作关系到服务部门，各个层面都需要灵活、以家庭为中心的综合缓解措施。

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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International journal of palliative nursing

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