Journal of Palliative Care最新文献_第9页

Mindfulness-Based Interventions for End-of-Life Professionals. 临终专业人士的正念干预。

IF 1.7 4区医学

Journal of Palliative Care Pub Date : 2023-11-13 DOI: 10.1177/08258597231214684

Jeff Clyde G Corpuz

引用次数: 0

The Physical and Psychosocial Outcomes of a Psychosocial Home-Based end-of-Life Care Intervention in Hong Kong. 香港家庭临终关怀干预的生理和心理社会结果。

IF 1.7 4区医学

Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2023-02-15 DOI: 10.1177/08258597231157346

Amy Y M Chow, Genevieve A Fordjour, Juliana N M Lui, Iris K N Chan, Anna Y Zhang, Cecilia L W Chan

{"title":"The Physical and Psychosocial Outcomes of a Psychosocial Home-Based end-of-Life Care Intervention in Hong Kong.","authors":"Amy Y M Chow, Genevieve A Fordjour, Juliana N M Lui, Iris K N Chan, Anna Y Zhang, Cecilia L W Chan","doi":"10.1177/08258597231157346","DOIUrl":"10.1177/08258597231157346","url":null,"abstract":"Objective: Living the final days of life being cared for at home is a preference expressed by many. The data on the effectiveness of home-based end-of-life care (EoLC) intervention to improve the holistic conditions of terminally ill patients are scanty. This study sought to evaluate a psychosocial home-based EoLC intervention for terminally ill patients in Hong Kong.Methods: A prospective cohort study was conducted, applying the Integrated Palliative Care Outcome Scale (IPOS) at 3 timepoints (service intake, 1-month, and 3-months after enrollment). A total of 485 eligible, consenting terminally ill people (mean age = 75.48, SD = 11.39) were enrolled, with 40.21% (n = 195) providing data at all 3 timepoints for this study.Results: Decreasing symptom severity scores were observed for all IPOS psychosocial symptoms, and most physical symptoms, over the 3 timepoints. Improvements in depression and practical concerns had the highest omnibus time effects (F > 31.92, P < .01) and T0 to T2 paired comparison effects (Cohen's d > 0.54, P < .01). Physical symptoms of weakness/lack of energy, poor mobility, and poor appetite also showed significant improvements at T1 and T2 (Cohen's d: 0.22-0.46, P < .05). Bivariate regression analyses showed that improvements in anxiety, depression, and family anxiety were associated with improvements in physical symptoms of pain, shortness of breath, weakness/lack of energy, nausea, poor appetite, and poor mobility. Patients' demographic and clinical characteristics were not associated with changes in symptoms.Conclusions: The psychosocial home-based EoLC intervention effectively improved the psychosocial and physical status of terminally ill patients, irrespective of their clinical characteristics or demographics.","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 4","pages":"481-489"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10732752","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: 1

The Final Frontier: Palliative Care in Space is an Inevitability. 最后的边疆：太空中的姑息治疗是不可避免的。

IF 1.7 4区医学

Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2023-02-27 DOI: 10.1177/08258597231159839

Sheryn Tan, Vienna Tran, Brandon Stretton, Aashray Gupta, Joshua Kovoor, Stephen Bacchi

引用次数: 0

The Effect of Bright White Light on Fatigue Levels in Patients with Gynecological Cancer: A Randomized Control Trial. 明亮白光对妇科癌症患者疲劳水平的影响：一项随机对照试验。

IF 1.7 4区医学

Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2022-09-25 DOI: 10.1177/08258597221127795

Nebahat Özerdoğan, Ayşe Özkaraman, Burcu Tuncer Yılmaz, Tufan Öge, Ömer Tarık Yalçın

{"title":"The Effect of Bright White Light on Fatigue Levels in Patients with Gynecological Cancer: A Randomized Control Trial.","authors":"Nebahat Özerdoğan, Ayşe Özkaraman, Burcu Tuncer Yılmaz, Tufan Öge, Ömer Tarık Yalçın","doi":"10.1177/08258597221127795","DOIUrl":"10.1177/08258597221127795","url":null,"abstract":"Objectives: Bright white light (BWL) therapy is one of the non-pharmacological methods in the management of fatigue. The aim of the study was to evaluate the effect of BWL on fatigue levels in patients with gynecological cancer who were receiving chemotherapy. Methods: This randomized controlled study were made with 72 women (intervention (n:36) and control (n:36) groups) at gynecologic oncology clinic. Standard BWL at the intensity of 10,000lux was applied to the patients in the intervention group at the same time every day between the second and the eighth days of the chemotherapy cycle. Fatigue levels of all patients (n: 72) were evaluated on the first,ninth and 21st days. Results: The first, ninth, and 21st days general fatigue scores of intervention and control groups was 4.876 ± 0.000;4.384 ± 0.270;4.387 ± 0.258 and 4.876 ± 0.000;5.033 ± 0.270;4.984 ± 0.258, respectively (p = 0.100). Interference of fatigue with daily life scores was found statistically different between the intervention and control groups in the first, ninth, and 21st day, respectively 4.55 ± 0.26; 3.53 ± 0.23; 3.57 ± 0.22 and 4.95 ± 0.26;4.79 ± 0.23;4.82 ± 0.22 (p = 0.029). Conclusions: BWL therapy was effective in reducing interference of fatigue with daily life in patients receiving chemotherapy, but did not affect the general fatigue level of the patients. Based on the available data, it is possible that the application of BWL may have a positive effect on general fatigue when the number of samples and the application time are increased. Trial Registration: ClinicalTrials.gov Identifier: NCT05009693.","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 4","pages":"416-423"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33480593","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

Fatigue Prevalence Among Palliative Care Cancer Patients in Comprehensive Cancer Center, King Fahad Medical City, Riyadh, Saudi Arabia: A Cross-Sectional Study. 沙特阿拉伯利雅得法哈德国王医疗城癌症综合中心姑息治疗癌症患者的疲劳患病率：一项跨部门研究。

IF 1.7 4区医学

Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2023-07-27 DOI: 10.1177/08258597231191615

Abdulaziz A Alzhrani, Abdullah I Alsuhail, Ahmad A Rababah

{"title":"Fatigue Prevalence Among Palliative Care Cancer Patients in Comprehensive Cancer Center, King Fahad Medical City, Riyadh, Saudi Arabia: A Cross-Sectional Study.","authors":"Abdulaziz A Alzhrani, Abdullah I Alsuhail, Ahmad A Rababah","doi":"10.1177/08258597231191615","DOIUrl":"10.1177/08258597231191615","url":null,"abstract":"Objective: The aims of the current study are to assess the prevalence of cancer-related fatigue, to examine the difference in cancer-related fatigue severity in relation to patients' characteristics (age, gender, type of cancer, and palliative performance status), and to explore the correlation between cancer-related fatigue and pain, dyspnea, insomnia, and depression among palliative care patients. Methods: A cross-sectional descriptive observational study conducted at Comprehensive Cancer Center, King Fahad Medical City, Riyadh, Saudi Arabia. The study included cancer patients who received palliative care services from January 2016 to December 2021. Clinical data of study participants were retrospectively collected from Palliative Care department patient registry. Symptoms were assessed and scored using Edmonton Symptom Assessment Scale. Data analysis was performed using SPSS statistical software. Results: A total of 2616 patients were included in the study, 52.3% were females and 47.7% were males. The median age of study participants was 56 years (range: 2-101 years). Among all study population, the highest reported cancer type was gastrointestinal malignancy (33.5%), while the least was unknown primary malignancy (1.4%). With regards to Edmonton Symptom Assessment Scale, pain (86.4%) and fatigue (83%) were the highest reported symptom in comparison to constipation (17.3%) and insomnia (7.1%). Conclusion: Cancer-related fatigue is a prevalent and concerning issue among palliative care patients. It is essential that healthcare providers recognize the prevalence of fatigue among patients with life-limiting illnesses, assess patients for fatigue routinely, incorporate strategies for managing fatigue, work closely with affected individuals and their families in order to guide the establishment of a personalized care plan that addresses the patient's unique needs and preferences.","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 4","pages":"424-431"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10242018","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

Implementing Dignity Therapy Service into an Acute Cancer Care Setting - A Feasibility Study. 在急性癌症护理环境中实施尊严治疗服务的可行性研究。

IF 1.7 4区医学

Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2023-02-05 DOI: 10.1177/08258597231154221

Claire Kelly, Kathryn Kynoch, Mary-Anne Ramis

{"title":"Implementing Dignity Therapy Service into an Acute Cancer Care Setting - A Feasibility Study.","authors":"Claire Kelly, Kathryn Kynoch, Mary-Anne Ramis","doi":"10.1177/08258597231154221","DOIUrl":"10.1177/08258597231154221","url":null,"abstract":"Objective: Dignity therapy is a short-term psychotherapy used to help patients at end of life through addressing distress and enhancing dignity. The objective of this study was to assess the effectiveness and feasibility of introducing dignity therapy into a hospital-based cancer care service. Methods: A feasibility study was undertaken using a randomised controlled trial design. Participants were adult patients receiving systemic treatment for cancer or haematological malignancy with palliative intent, within an Australian ambulatory cancer treatment centre. Outcomes of interest were patient distress levels and feasibility of intervention delivery. Participants completed two self-reported distress scales at recruitment and four weeks following (control group) or one month after intervention delivery (intervention group). Patients receiving the intervention also completed the dignity therapy patient feedback questionnaire. Feasibility was measured by collecting data on time required to implement the intervention with subsequent crude cost estimates calculated. Study procedures are reported according to CONSORT guidance. Results: Fifteen patients were recruited for the study. Participants in the intervention group reported small but significantly different lower distress scores than those in the control group at 4 weeks. The time taken to deliver the intervention ranged from 5.5 to 11 h with subsequent cost dependent on the remuneration of the dignity therapy therapist. Conclusions: Findings support other studies on the benefit to patients from delivering a dignity therapy intervention at end of life. Feasibility is influenced by multidisciplinary team support, resource availability and the designated therapist delivering the intervention. Larger sample sizes are needed to ascertain effect.","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 4","pages":"456-464"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10658192","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: 1

Successful use of Rectal Pregabalin for the Treatment of Chemotherapy-Induced Neuropathic Pain-a Case Report. 直肠普瑞巴林治疗化疗引起的神经性疼痛的成功应用——一例报告。

IF 1.7 4区医学

Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2023-07-16 DOI: 10.1177/08258597231189151

Carmen Roch, Servet Para, Christine Brandhofer, Anna K Seitz, Constanze Rémi, Jennifer Berner, Birgitt van Oorschot

引用次数: 0

The experiences and needs of nurses providing home-based palliative care: A qualitative meta-synthesis. 护士提供家庭姑息治疗的经验和需求：定性荟萃综合。

IF 1.3 4区医学

Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2022-05-31 DOI: 10.1177/08258597221105167

Yu-Hsuan Wu, Hui-Ya Hsieh, Yu-Ling Kuo, Chien-Yi Wu

{"title":"The experiences and needs of nurses providing home-based palliative care: A qualitative meta-synthesis.","authors":"Yu-Hsuan Wu, Hui-Ya Hsieh, Yu-Ling Kuo, Chien-Yi Wu","doi":"10.1177/08258597221105167","DOIUrl":"10.1177/08258597221105167","url":null,"abstract":"Objective(s): We conducted a qualitative meta-synthesis of qualitative studies on nurses' experiences when caring for palliative patients to (1) identify the needs of nurses and (2) describe their experiences to provide more in-depth information. Methods: Qualitative articles published in English from 2000 to 2022 were identified from several databases through a searching strategy. Authors screened through the title, abstract, and full text of relevant studies. Articles were read repeatedly and discussed. The thematic analysis methodology was adopted to analyze the data. Results: Of 967 articles, 22 were included in our review. Notions reflecting community nurses providing palliative home care were clustered into four themes: (1) nature of community-based palliative nursing, (2) teamwork, (3) relationship with patient and family, and (4) resources. Findings also suggest establishing a sound support system, strengthening palliative education, and creating more decisive referral criteria and systems. Conclusions: The growing need for palliative home care has become challenging for community health care systems. Our study summarized various aspects of nurses providing home-based palliative care. The findings provide information for health care and education settings to improve home care systems and recruit more staff to meet the needs.","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 4","pages":"490-502"},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41184150","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

Is Low Volume Drainage of Ascites Associated With Improved Survival in Digestive System Cancer Patients With Malignant Ascites?-A Retrospective Cohort Study. 癌症恶性腹水患者低容量腹水引流与提高生存率有关吗-一项回顾性队列研究。

IF 1.7 4区医学

Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2023-04-24 DOI: 10.1177/08258597231170049

Shunya Hoshino, Yusuke Takagi, Takeo Fukagawa, Keiji Sano, Nobuhiko Seki, Yojiro Hashiguchi, Etsuko Aruga

{"title":"Is Low Volume Drainage of Ascites Associated With Improved Survival in Digestive System Cancer Patients With Malignant Ascites?-A Retrospective Cohort Study.","authors":"Shunya Hoshino, Yusuke Takagi, Takeo Fukagawa, Keiji Sano, Nobuhiko Seki, Yojiro Hashiguchi, Etsuko Aruga","doi":"10.1177/08258597231170049","DOIUrl":"10.1177/08258597231170049","url":null,"abstract":"Objectives: To determine whether the volume of paracentesis for malignant ascites in acute care hospital wards is associated with survival and symptom relief. Methods: Patients with malignant ascites caused by digestive system cancer who underwent paracentesis between January 2010 and April 2022 were retrospectively analyzed from medical records. Collected data included the drainage volume per paracentesis procedure, survival time from the first paracentesis procedure, symptoms, and adverse events. According to the volume per paracentesis procedure, we divided the patients into the \"small-drainage\" (≤1500 mL) and \"standard-drainage\" (>1500 mL) groups. Results: The median age of the 144 patients was 69 years, 33% were female, and 64% had gastrointestinal cancer. The median survival from the first paracentesis procedure was 36 days. Eighty-nine (61.8%) and 55 (38.2%) patients were allocated to the small-drainage and standard-drainage groups, respectively. The median number of paracentesis procedures in the small-drainage and standard-drainage groups was 12 and 7, respectively (P=.001). The median survival in the small-drainage and standard-drainage groups was 50 and 44 days, respectively (P=.76). The multivariate analysis showed that the amount of drainage per session was not significantly associated with survival. Symptoms improved similarly in the 2 groups. No serious adverse events were observed. Conclusions: Paracentesis was demonstrated to be effective and safe, irrespective of the amount of fluid drained, for patients with malignant ascites in an acute care hospital. Thus, a strategy of limiting the amount of drainage is not associated with longer survival.","PeriodicalId":51096,"journal":{"name":"Journal of Palliative Care","volume":"38 4","pages":"473-480"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/fb/10.1177_08258597231170049.PMC10566212.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9686453","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

Determinants of Cancer-Related Fatigue among Cancer Patients: A Systematic Review. 癌症患者癌症相关疲劳的决定因素：系统综述。

IF 1.7 4区医学

Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2022-10-17 DOI: 10.1177/08258597221131133

Fatima DSilva, Pritanjali Singh, Athar Javeth

引用次数: 4