American Journal of Hospice & Palliative Medicine最新文献

Differences in Timely Goals of Care Discussions in Nursing Homes Among Black Residents 养老院中黑人住院者及时讨论护理目标的差异

IF 1.9 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2024-09-17 DOI: 10.1177/10499091241284073

Jung A. Kang, Andrew W. Dick, Laurent G. Glance, Lara Dhingra, Patricia W. Stone

{"title":"Differences in Timely Goals of Care Discussions in Nursing Homes Among Black Residents","authors":"Jung A. Kang, Andrew W. Dick, Laurent G. Glance, Lara Dhingra, Patricia W. Stone","doi":"10.1177/10499091241284073","DOIUrl":"https://doi.org/10.1177/10499091241284073","url":null,"abstract":"BackgroundIn the United States, disparities persist in end-of-life care outcomes between Black and White nursing home (NH) residents, particularly concerning infection-related management. Timely goals of care (TGOC) discussions are crucial for improving end-of-life outcomes but exhibit racial variations within NHs that are not well understood.ObjectivesExamine the association between the proportion of Black residents within NHs and TGOC discussion related to infection management.DesignA national analysis of palliative care survey data from NHs with the Minimum Dataset 3.0 and administrative data.Setting/Subjects892 NHs representing a weighted sample of 14,981 facilities.MeasurmentsTGOC discussions related to infection management were quantified using an index score from the palliative care survey (range: 0-18). Multivariable analyses assessed the association between the proportion of Black residents (≤2%, 2.1%–15%, >15%) and TGOC index scores.ResultsThe majority of NHs were for-profit, chain-affiliated, urban facilities with fewer than 100 beds, serving both Medicare and Medicaid beneficiaries. In stratified analyses, NHs with 2.1%–15% (−0.97 score; 95%CI -1.86, −0.07; P < .05) and 15% or more Black residents (−3.86 score; 95%CI -6.62, −1.10; P < .01) showed lower TGOC index scores compared to NHs with 2% or fewer Black residents in the West. NHs with 2.1%–15% Black residents had 1.29 lower TGOC index scores compared to NHs with 2% or fewer Black residents (95%CI -2.51, −0.07; P < .05) in the Northeast.ConclusionsTGOC discussions in US NHs are influenced by the proportion of Black residents, highlighting the need for targeted interventions to address regional disparities and improve end-of-life care equity.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":"38 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142256073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Perceptions of Families and Nurses After Signing a Do-Not-Resuscitate Order for Patients in Respiratory Care Wards 探究呼吸护理病房病人签署 "不急救 "令后家属和护士的看法

IF 1.9 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2024-09-17 DOI: 10.1177/10499091241285010

Chin-Yun Tsai, Fu-Chih Lai

{"title":"Exploring the Perceptions of Families and Nurses After Signing a Do-Not-Resuscitate Order for Patients in Respiratory Care Wards","authors":"Chin-Yun Tsai, Fu-Chih Lai","doi":"10.1177/10499091241285010","DOIUrl":"https://doi.org/10.1177/10499091241285010","url":null,"abstract":"Introduction: This study aimed to explore the perceptions and experiences of family caregivers and nurses after the signing of a do-not-resuscitate (DNR) order for patients in respiratory care wards (RCWs). The goal was to facilitate nurses’ preparedness for responding to family reactions and feelings in future DNR situations. Methods: The study employed semi-structured interviews with ventilator-dependent patients’ families and nurses recruited from RCWs in regional and district hospitals in New Taipei City. It explored the feelings, motivations, and decision-making processes concerning DNR orders. Thematic analysis identified key themes and patterns. Results: Twenty-two family members and 12 nurses, caring for 22 patients, participated in the interviews, resulting in 44 interview transcripts. The majority of family members were male (54.5%), whereas all nurses were female. Family caregivers and nurses had nuanced perceptions and showed emotional responses after the signing of DNR orders. Family caregivers grappled with feelings of guilt, uncertainty, and the weight of decision-making, while nurses navigated ethical dilemmas and sought to support families through the process. Common themes included the desire to minimize the patient’s suffering, concerns about quality of life, and the need for clear communication and support. Conclusion: The understanding of family caregivers’ and nurses’ perceptions of DNR orders for patients in RCWs illuminates complex end-of-life care challenges. A key gap in the study was its limited generalizability due to focusing on specific RCWs. Nonetheless, the insights gained may enable health care providers to tailor support, facilitate informed decision-making, and promote compassionate care for ventilator-dependent patients and their families.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":"73 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142256028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of a Hospice Perceptions Instrument for Diverse Patients and Families: Establishing Content and Face Validity 为不同患者和家属开发安宁疗护感知工具：建立内容和表面有效性

IF 1.9 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2024-09-10 DOI: 10.1177/10499091241284262

Cara L. Wallace, Divya S. Subramaniam, Ricardo Wray, Karen Bullock, Dani Dant, Kathryn Coccia, Antonia V. Bennett, Patrick White, Verna L. Hendricks-Ferguson

{"title":"Development of a Hospice Perceptions Instrument for Diverse Patients and Families: Establishing Content and Face Validity","authors":"Cara L. Wallace, Divya S. Subramaniam, Ricardo Wray, Karen Bullock, Dani Dant, Kathryn Coccia, Antonia V. Bennett, Patrick White, Verna L. Hendricks-Ferguson","doi":"10.1177/10499091241284262","DOIUrl":"https://doi.org/10.1177/10499091241284262","url":null,"abstract":"ContextFor many, the perception of “hospice” is synonymous with “death.” Even clinicians struggle to have conversations that distinguish between hospice and palliative care for fear that discussing hospice may diminish hope. To date, there are no existing measurement tools to evaluate patient and family perceptions of hospice care.ObjectiveThis research aimed to develop a Hospice Perceptions Instrument (HPI) to capture these perceptions among diverse patients and families.MethodsBuilding on previous studies and literature, 79 potential items were drafted for the instrument. Our interprofessional team independently and collectively evaluated these, resulting in 36 items rated on a 5-point Likert scale. Overarching domains include (1) hospice philosophy and definitions; (2) hospice services; (3) values; and (4) counter-perceptions. Sixteen national subject matter experts from various professions and roles were invited to participate in the content-validity index and five hospice caregivers were invited to participate in face validity.ResultsFourteen experts responded, with ten meeting inclusion criteria: one physician, four nurses, three social workers, and two chaplains. Six of the ten identified as Black. Three items were removed (I-CVI ranged from 0.5-06), and nine items were revised (I-CVI ranged from 0.6-07). The overall Content Validity Index (CVI) was 0.83, indicating excellent content validity. After revisions, five hospice caregivers assessed face validity and no changes were made based on feedback.ConclusionResults reveal a disconnect between professional expertise and patient/family voices related to hospice perceptions. Development of this instrument invites a better understanding of perceptions leading to new opportunities for patient/family engagement.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":"11 1","pages":"10499091241284262"},"PeriodicalIF":1.9,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142210954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antibiotics at End of Life: Where Are We Now and Where Are We Going? A Narrative Review 生命末期的抗生素：我们现在在哪里？叙事回顾

IF 1.9 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2024-09-10 DOI: 10.1177/10499091241282627

Patrick D. Crowley, Francis X. Whalen, Leslie R. Siegel, Douglas W. Challener

{"title":"Antibiotics at End of Life: Where Are We Now and Where Are We Going? A Narrative Review","authors":"Patrick D. Crowley, Francis X. Whalen, Leslie R. Siegel, Douglas W. Challener","doi":"10.1177/10499091241282627","DOIUrl":"https://doi.org/10.1177/10499091241282627","url":null,"abstract":"BackgroundAntibiotics are frequently prescribed at the end of life, though the benefits and harms are not well understood.MethodsWe abstracted relevant findings from articles published in English in the past 25 years to answer questions generated by discussion among the authors and with stakeholders in Palliative Care and Infectious Diseases.FindingsPrescribing practices vary based on individual situation and geographic location. Patients with cancer and those hospitalized receive more antibiotics than those enrolled in outpatient hospice. Urinary tract infections and pulmonary infections are the most common conditions treated with antibiotics at the end of life -most often with penicillin derivatives and vancomycin in the hospital, fluoroquinolones in outpatient, and cephalosporins in both settings. When asked, patients most often prefer limiting antibiotics to symptom management at the end of life. Physicians’ over-estimation of patient preference for antibiotics and the increased probability of misdiagnosis increases antibiotic prescription rates. Antibiotics can improve symptoms when used for specific diseases at the cost of drug reactions, resistant organisms, and delayed discharge. Antibiotic use has variable results on survival duration. Antimicrobial stewardship exists in hospital and long-term care facilities, but not outpatient hospice groups. Stewardship interventions could increase proper use of antibiotics, but more information is needed to apply these interventions to hospice groups.ConclusionsAntibiotics at the end of life are impactful and efforts to educate patients and providers will be invaluable in optimizing care.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":"30 1","pages":"10499091241282627"},"PeriodicalIF":1.9,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142227879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Way Forward for Comprehensive Cancer Caregiver Support 全面支持癌症护理者的前进之路

IF 1.9 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2024-09-10 DOI: 10.1177/10499091241283405

Kelly R Tan, Anny THR Fenton, Charles Kamen

引用次数: 0

The Efficacy of Hospice-In-Place Care Versus Traditional Inpatient Care. 就地临终关怀与传统住院治疗的疗效对比。

IF 1.9 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2024-08-01 Epub Date: 2023-08-31 DOI: 10.1177/10499091231199722

Emily Butler, Claire Hanson, Taaseen Khan, Tuzo Mwarumba, Derek Daniels, Maxim Turchan, Kemberlee Bonnet, David Schlundt, Kelly Harper, Marc Bennett, David Charles

{"title":"The Efficacy of Hospice-In-Place Care Versus Traditional Inpatient Care.","authors":"Emily Butler, Claire Hanson, Taaseen Khan, Tuzo Mwarumba, Derek Daniels, Maxim Turchan, Kemberlee Bonnet, David Schlundt, Kelly Harper, Marc Bennett, David Charles","doi":"10.1177/10499091231199722","DOIUrl":"10.1177/10499091231199722","url":null,"abstract":"Introduction: The hospice-in-place program at Vanderbilt University Medical Center (VUMC) is available to patients and families who elect for hospice benefits and are too unstable to be transported for hospice care. The goal of this study was to assess the satisfaction of family members of patients who died while hospitalized at VUMC and received hospice-in-place compared to the families of patients who did not receive hospice care. Methods: Next-of-kin satisfaction was measured through the administration of qualitative interviews and quantitative questionnaires. Semi-structured interviews were audio-recorded, and transcripts were analyzed using an iterative inductive-deductive approach to develop a conceptual framework. Participants were also asked to respond to a 10-question satisfaction questionnaire. Results: Forty participants were enrolled: 20 next-of-kin of patients who received hospice-in-place and 20 next-of-kin of patients who passed without hospice. Factors influencing satisfaction were organized into a conceptual framework with three categories: individual-level factors, systems-level factors, and modifying factors. For the questionnaires, the hospice-in-place group had a mean satisfaction score of 4.54 (0.76) out of five, while the non-hospice group had a mean score of 4.14 (1.00). A comparison of the two groups' responses did not show a statistically significant difference (P = 0.06). Discussion: Quantitative findings of this study showed improved satisfaction but were unable to show a significant difference in satisfaction with hospice-in-place compared to traditional care. Questionnaire results suggest that both types of care yield high satisfaction scores and are successfully supporting patients and families. The conceptual framework also adds to the understanding of end-of-life experiences at VUMC.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":" ","pages":"863-872"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11151705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10131484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dermatological Issues Among Individuals Receiving Palliative Care - A Review. 接受姑息关怀者的皮肤病问题--综述。

IF 1.9 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2024-08-01 Epub Date: 2023-08-25 DOI: 10.1177/10499091231198752

Zhenli Kwan, Winn Hui Han, Shin Shen Yong, Nik Aimee Azizah Faheem, Rebecca Kai Jan Choong, Sheriza Izwa Zainuddin, Chee Loong Lam, Maw Pin Tan, David Paul Capelle

{"title":"Dermatological Issues Among Individuals Receiving Palliative Care - A Review.","authors":"Zhenli Kwan, Winn Hui Han, Shin Shen Yong, Nik Aimee Azizah Faheem, Rebecca Kai Jan Choong, Sheriza Izwa Zainuddin, Chee Loong Lam, Maw Pin Tan, David Paul Capelle","doi":"10.1177/10499091231198752","DOIUrl":"10.1177/10499091231198752","url":null,"abstract":"Skin disorders among individuals receiving palliative care may be associated with the primary condition or underlying comorbidities and patients may experience pruritus, discomfort or pain. Common conditions include xerosis, pressure ulcers, intertrigo, superficial fungal infections, telogen effluvium, pruritus, herpes zoster, eczematous disorders and edema. During end-of-life care, there is reduced skin perfusion and metabolism hence leading to susceptibility to infection, pressure and injury. Other factors affecting the skin include limited mobility, nutritional deficits and immunosuppression. Although treatment strategies for each skin condition are usually aligned with standard protocols, considerations among these patients include limited life-expectancies, potential treatment burden, drug-drug interactions as well as comfort-directed rather than cure-directed therapy. For patients with xerosis cutis, the regular use of moisturisers is recommended. The management and prevention of pressure ulcers include the strategies of skin assessment and care, pressure redistribution, nutrition and hydration and ulcer care. Superficial fungal infections require treatment with appropriate topical and/or systemic antifungals while antivirals and adjunctive treatment can be prescribed for herpes zoster. Treatment and symptom control of skin disorders in this population can improve quality of life and patients' comfort level.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":" ","pages":"952-964"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10448740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Stresses of Surrogate Decision-Making: Contributing Factors and Clinicians' Role in Mitigation. 代理决策的压力：促成因素和临床医生在缓解压力中的作用。

IF 1.9 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2024-08-01 Epub Date: 2023-09-13 DOI: 10.1177/10499091231198750

Adrienne D Mishkin, Nicole C Allen, Stephanie G Cheung, Maria Carla Faccini, Lauren S Flicker, Daniel Shalev

{"title":"The Stresses of Surrogate Decision-Making: Contributing Factors and Clinicians' Role in Mitigation.","authors":"Adrienne D Mishkin, Nicole C Allen, Stephanie G Cheung, Maria Carla Faccini, Lauren S Flicker, Daniel Shalev","doi":"10.1177/10499091231198750","DOIUrl":"10.1177/10499091231198750","url":null,"abstract":"Background: Surrogate Decision-Makers (surrogates) are frequently employed in decision-making for critically ill adults. There are insufficient data considering the surrogate experience, stress, and potential for mitigation.Methods: An anonymous online survey queried (1) medical situation (2) total stress (3) demographics (4) potential factors, including sources of information about patient wishes, external sources of support or competing stressors, and their interactions with the medical team through the experience.Results: 108 respondents were included; 91 completed all items. Most respondents ranked their experience as a surrogate as one of the most stressful experiences of their lives; this was associated with whether it was an end-of-life decision (P = .003), Respondent Religion (P = .015), or religious or spiritual beliefs (P = .024), and having their own health problems (P = .008). On individual Likert responses, surrogates reported significant stress mitigation when they felt they had been helpful (P < .001), knew the patient's wishes (P = .0011), specifically discussed patient wishes (P < .001), or patient's wishes were documented (P < .001). Items about surrogate-team interaction also met significance, including the physician being communicative and available (P < .001), respectful (P = .007), honest (P < .001), and validating (P = .001).Conclusions: Surrogate stress is an evolving area for research. Significant factors included relationship with the medical team, making this an important area for HPM to play a key role in mitigating surrogate stress.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":" ","pages":"895-905"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10932874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10229433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Palliative Care against Medically Assisted Death? Misunderstanding and Instrumental Objections. 姑息治疗反对医疗协助死亡？误解和工具性反对。

IF 1.9 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2024-08-01 Epub Date: 2023-08-22 DOI: 10.1177/10499091231196302

Sara Patuzzo, Elisabetta Pulice, Luciano Orsi

{"title":"Palliative Care against Medically Assisted Death? Misunderstanding and Instrumental Objections.","authors":"Sara Patuzzo, Elisabetta Pulice, Luciano Orsi","doi":"10.1177/10499091231196302","DOIUrl":"10.1177/10499091231196302","url":null,"abstract":"Context: Palliative Care (PC) and Medically Assisted Death (MAD), specifically assisted suicide and euthanasia, are distinct practices characterized by differing objectives, methods, implementation and outcomes. Representatives of PC, including scientific societies or physicians, may, in certain cases, adopt a critical stance towards MAD.Objectives: The study aims to explore the underlying reasons for such opposition.Methods: To this end, the philosophical underpinnings and legal conditions of PC and MAD will be analyzed.Results: The ethical and philosophical landscape of PC and MAD leads us to identify, on one hand, the Hippocratic paradigm and, on the other hand, what we call Socratic medicine. From a legal analysis perspective, the presence of intolerable suffering serves as a common ground between the two practices, albeit risking being the subject of misunderstandings and instrumental objections.Conclusion: Preventing an instrumental use of PC in relation to MAD is crucial to enable the respect and the coexistence of the two practices.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":" ","pages":"853-858"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10050855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation Between Cancer Pain and Quality of Life in Patients With Advanced Cancer Admitted to a Palliative Care Unit. 入住姑息治疗病房的晚期癌症患者的癌痛与生活质量之间的相关性。

IF 1.9 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2024-08-01 Epub Date: 2023-08-09 DOI: 10.1177/10499091231195318

Maria Fernanda Fernandes Duarte Costa, Marcela Amitrano Bilobran, Livia Costa de Oliveira, Andrezza Helena Regadas Muniz, Patricia Almeida Chelles, Simone Garruth Dos Santos Machado Sampaio

{"title":"Correlation Between Cancer Pain and Quality of Life in Patients With Advanced Cancer Admitted to a Palliative Care Unit.","authors":"Maria Fernanda Fernandes Duarte Costa, Marcela Amitrano Bilobran, Livia Costa de Oliveira, Andrezza Helena Regadas Muniz, Patricia Almeida Chelles, Simone Garruth Dos Santos Machado Sampaio","doi":"10.1177/10499091231195318","DOIUrl":"10.1177/10499091231195318","url":null,"abstract":"Introduction: Cancer pain is one of the most prevalent manageable symptoms in patients with advanced cancer, and it has a negative impact on quality of life (QoL).Objective: The aim of this study is to examine the correlation between cancer pain and QoL in patients with advanced cancer who are hospitalized in a palliative care unit.Methods: This study is a cross-sectional analysis of patients with advanced cancer who were hospitalized with cancer pain at a specialized palliative care unit between June 2021 and February 2022. Pain intensity and its impact on daily activities were assessed using the Brief Pain Inventory (BPI), while the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 15 PAL (QLQ-C15-PAL) was used to evaluate QoL.Results: A total of 104 patients with cancer pain were included, with a mean age of 53.6 years (±14.1). Most of the patients were female (65.38%), and the most common primary tumor site was in the gastrointestinal tract (22.11%). The most frequently reported site of cancer pain was the abdomen (32.69%). The mean duration of cancer pain was 52.3 days (±6.2). The domains of QoL most strongly correlated with cancer pain were weakness (coefficient = .52, P < .001), nausea (coefficient = .36, P < .001), and the physical domain (coefficient = -.30, P < .001).Conclusion: Cancer pain is strongly correlated with a deterioration in QoL in patients with advanced cancer, and its management should be pursued as a strategy for optimizing QoL.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":" ","pages":"882-888"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10320567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0