Palliative Medicine in Practice最新文献_第10页

Assessment of oral health problems and oral hygiene practices among palliative care patients using a new tool: A pilot study 使用新工具评估姑息治疗患者的口腔健康问题和口腔卫生实践：一项试点研究

Palliative Medicine in Practice Pub Date : 2021-10-20 DOI: 10.5603/PMPI.2021.0030

Nur Afiqah Hamizah Amran, H. Rahman, Z. Murang, Poh Shyh Teo, Appalasamy Nara, J. Dhaliwal

{"title":"Assessment of oral health problems and oral hygiene practices among palliative care patients using a new tool: A pilot study","authors":"Nur Afiqah Hamizah Amran, H. Rahman, Z. Murang, Poh Shyh Teo, Appalasamy Nara, J. Dhaliwal","doi":"10.5603/PMPI.2021.0030","DOIUrl":"https://doi.org/10.5603/PMPI.2021.0030","url":null,"abstract":"Introduction: This research paper is a cross-sectional study that aims to estimate the prevalence of oral health problems among adult patients in palliative care, as well as to investigate the oral hygiene practices of palliative care patients in Brunei Darussalam. Patients and methods: In this study, the Oral Palliative Care and Assessment and Referral tool (OPCAR) along with a 15–item questionnaire were utilized as reliable tools for measurements. All palliative care patients who had been assessed in this study were invited to participate. A total of 90 palliative care patients were invited to participate and 73 patient data were used for the subsequent data analysis. Results: The three most common problems among in palliative care patients were saliva, lips, and teeth category. Fisher’s exact test identified there was a significantly higher teeth-related problems (teeth caries, fracture, broken root stumps) in non-denture wearing patients as compared with denture wearing patients. However, other associations between denture wearing to oral hygiene was of little significance. Conclusions: Using the normal approximation sample method, it was revealed that almost all the participants were eligible to be referred to the dental clinic for at least one oral problem.","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48116603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endocrine and metabolic disorders in cancer patients 癌症患者的内分泌和代谢紊乱

Palliative Medicine in Practice Pub Date : 2021-06-30 DOI: 10.5603/pmpi.2021.0012

M. Niemiec, A. Niemiec

引用次数: 0

The role of cannabinoids in the management of symptoms in palliative care patients 大麻素在姑息治疗患者症状管理中的作用

Palliative Medicine in Practice Pub Date : 2021-06-30 DOI: 10.5603/pmpi.2021.0016

M. Graczyk, W. Leppert

引用次数: 0

Editorial 编辑

Palliative Medicine in Practice Pub Date : 2021-06-30 DOI: 10.5603/pmpi.2021.0020

Wojciech Leppert

引用次数: 0

Edmonton Symptom Assessment System: Psychometric validation of six-point Verbal Rating Scale in Polish hospice setting 埃德蒙顿症状评估系统:波兰临终关怀环境中六分言语评定量表的心理计量学验证

Palliative Medicine in Practice Pub Date : 2021-05-20 DOI: 10.5603/PMPI.2021.0017

Alicja Hołoń, Tomasz Gradalski

{"title":"Edmonton Symptom Assessment System: Psychometric validation of six-point Verbal Rating Scale in Polish hospice setting","authors":"Alicja Hołoń, Tomasz Gradalski","doi":"10.5603/PMPI.2021.0017","DOIUrl":"https://doi.org/10.5603/PMPI.2021.0017","url":null,"abstract":"Background: The Edmonton Symptom Assessment System (ESAS) quantifying the most common symptoms rated in the numerical rating scale (NRS) for some respondents are cumbersome or incomprehensible. The study aimed to introduce, implement and validate psychometric properties of the ESAS (revisited) six-point Verbal Rating Scale — Polish version (ESAS-r 6VRS-PL) into a Polish hospice setting. Methods: In a cross-sectional, observational prospective psychometric validation study the adult advanced cancer patients admitted to a hospice were evaluated twice for test-retest reliability. Each patient’s evaluation encompassed the ESAS-r 6VRS-PL, which was compared on the first day with the validated Polish version of the European Organisation for Research and Treatment of Cancer QLQ-C15-PAL, considered the gold standard, to accomplish its external construct validity. Results: Of the 57 patients enrolled 48 were evaluated twice and 9 (15.5%) dropped out. All respondents were able to describe their symptoms in < 15 minutes independently without any need to clarify the meaning of the questions and only occasionally with assistance in reading the questions or answers. The high intraclass correlation coefficient of ESAS Global Distress Score was noted (0.825; 95%CI 0.723–0.888). Similar items of the ESAS-r 6VRS-PL and QLQ-C15-PAL showed moderate correlations (range 0.59–0.65; p < 0.001). The internal consistency of the ESAS-r 6VRS-PL measured using Cronbach’s alpha coefficient was fairly high, reaching 0.723 (item range 0.664–0.734). Conclusion: The ESAS-r 6VRS-PL is a simple, valid, reliable and feasible test which allows to estimate the QoL in advanced cancer patients.","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47771501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Practical aspects of nursing care provided to patients diagnosed with amyotrophic lateral sclerosis receiving home mechanical ventilation 肌萎缩性侧索硬化症患者接受家用机械通气的护理实践

Palliative Medicine in Practice Pub Date : 2021-03-31 DOI: 10.5603/PMPI.2021.0005

Katarzyna Butna, A. Pyszora, A. Adamczyk, M. Krajnik

引用次数: 0

Volunteering in palliative care during COVID-19 pandemic COVID-19大流行期间姑息治疗志愿服务

Palliative Medicine in Practice Pub Date : 2021-03-31 DOI: 10.5603/PMPI.2021.0009

L. Pawłowski, W. Leppert

引用次数: 2

Writing prescriptions by palliative care nurses in Poland 波兰姑息治疗护士开处方

Palliative Medicine in Practice Pub Date : 2021-02-26 DOI: 10.5603/PMPI.2021.0008

Bożena Kosińska, Agnieszka Anna Zalas

{"title":"Writing prescriptions by palliative care nurses in Poland","authors":"Bożena Kosińska, Agnieszka Anna Zalas","doi":"10.5603/PMPI.2021.0008","DOIUrl":"https://doi.org/10.5603/PMPI.2021.0008","url":null,"abstract":"Background. The introduction of new permissions, in the field of prescribing medicines and medical devices for nurses and midwives in Poland, took place at the beginning of 2014. Then a draft amendment to the Act on the profession of nurse and midwife was presented by the Ministry of Health. The aim of the study was to explore nurses opinions about the possibility of prescribing drugs and medical devices. Material and methods. The study was conducted in the period from January to February 2020 among 100 nurses related to palliative care from all over Poland. An own survey questionnaire consisting of 23 questions was used. Results. All participants responded to the questionnaire (response rate = 100%). More than half of the respondents (55%) write prescriptions in palliative nursing practice. The decisive majority of respondents (89%) confirmed that the obtained right to prescribe increases the prestige of the nursing profession and 83% of respondents believed that this right contributes to an improvement of the quality of medical services. A total of 57% of surveyed participants indicated the need to expand a list of drugs that could be prescribed by palliative care nurses. Conclusions. The decisive majority of the surveyed nurses expressed views that the obtained possibility to prescribe drugs increases the prestige of the nursing profession and that this right contributes to the improvement of the quality of medical services provided by nurses.","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44294238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acquaintance, attitude, practices and challenges of palliative oral care among healthcare professionals: A cross-sectional survey at a tertiary healthcare institute in India 在医疗保健专业人员中，姑息性口腔护理的认识、态度、实践和挑战:印度一家三级医疗保健机构的横断面调查

Palliative Medicine in Practice Pub Date : 2021-02-19 DOI: 10.5603/PMPI.2021.0007

R. Chowdhry, H. Rahman, P. Mishra, S. Sharma, S. Reddy, S. Dhaliwal, J. Dhaliwal

{"title":"Acquaintance, attitude, practices and challenges of palliative oral care among healthcare professionals: A cross-sectional survey at a tertiary healthcare institute in India","authors":"R. Chowdhry, H. Rahman, P. Mishra, S. Sharma, S. Reddy, S. Dhaliwal, J. Dhaliwal","doi":"10.5603/PMPI.2021.0007","DOIUrl":"https://doi.org/10.5603/PMPI.2021.0007","url":null,"abstract":"Introduction. To assess knowledge, experiences, perceptions and barriers of healthcare professionals regarding oral palliative care. Material and methods. The study involved 150 participants working at, a tertiary healthcare institute in India. Data collection tool was pretested and self-administered with sections on demographics, knowledge, attitude and practices, patient referral, perspectives, and barriers to oral palliative care. Results. Majority of participants 142 (94.6%) believed that palliative care patients need oral care, 85 (68.6%) participants had treated palliative care patients with dental problems. However, 60 (40%) had not received formal training for assessment and referral of patients with oral problems; 95 (63.4%) had never used tools to assess oral conditions of palliative care patients. According to 69 (46%), the best method to maintain oral hygiene is rinsing with saline and 81 (54%) expected physicians to be responsible for oral care of palliative care patients. Main challenges in providing oral care were lack of proper guidelines listed by 117 (78%) and lack of formal training indicated by 60 (40%) respondents. Conclusions. This study highlighted the need of effective assessment of the mouth, and appropriate oral care. Training of healthcare professionals, educating families and patients with oral palliative care are necessary to effectively manage oral symptoms. An appropriate patient follow-up and care delivery system should be structured at comprehensive cancer centres, which can improve quality of life and compliance of patients. There is a need for development of assessment tools and referral practices for providing relief, comfort and consolation to patients and families.","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49102470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Knowledge of morphine use in the management of pain in cancer patients among physicians in a resource-constraint setting 在资源有限的环境中医生对癌症患者疼痛管理中吗啡使用的知识

Palliative Medicine in Practice Pub Date : 2021-02-19 DOI: 10.5603/PMPI.2021.0006

A. Ayodapo, A. Amoko, Adebayo Fashola, O. Deji-Dada, Esther Opeyemi Ayodapo, A. Omoyajowo, K. Monsudi, T. O. Dele, H. Abitare

{"title":"Knowledge of morphine use in the management of pain in cancer patients among physicians in a resource-constraint setting","authors":"A. Ayodapo, A. Amoko, Adebayo Fashola, O. Deji-Dada, Esther Opeyemi Ayodapo, A. Omoyajowo, K. Monsudi, T. O. Dele, H. Abitare","doi":"10.5603/PMPI.2021.0006","DOIUrl":"https://doi.org/10.5603/PMPI.2021.0006","url":null,"abstract":"Introduction: The use of morphine is viewed as an integral part of pain management in cancer patients. The responsibility for pain treatment lies with physicians. Therefore, this study assessed the knowledge of clinical use of morphine in the management of pain in cancer patients among physicians working in Kebbi State, Nigeria. Material and method: A self-administered questionnaire was distributed to all the 110 participants in attendance at the Continuing Medical Education meeting organized by the Nigerian Medical Association, Kebbi State Branch. Data were analyzed using SPSS version 20. Result: A total of 95 physicians participated, including 12 consultants (12.6%), 38 registrars (40.0%), 35 medical officers (36.8%), and 7 house officers (7.4%). Only 30 respondents (31.6%) had ever received professional training on pain management or analgesic use. Overall, only 10 (10.5%) respondents had good knowledge of pain management in cancer patients and morphine use. Conclusion: Physicians knowledge of pain management in cancer patients and clinical use of morphine is poor. There is a need to improve active professional analgesic education programs.","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45238227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2