BMJ Supportive & Palliative Care最新文献

Social support and subjective care burden among the family caregivers of terminally ill cancer patients. 晚期癌症患者家庭照顾者的社会支持与主观照顾负担

IF 1.8 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-09-10 DOI: 10.1136/spcare-2025-005830

Gyu Lee Kim, In Cheol Hwang, Hong Yup Ahn, Seunghun Lee

{"title":"Social support and subjective care burden among the family caregivers of terminally ill cancer patients.","authors":"Gyu Lee Kim, In Cheol Hwang, Hong Yup Ahn, Seunghun Lee","doi":"10.1136/spcare-2025-005830","DOIUrl":"https://doi.org/10.1136/spcare-2025-005830","url":null,"abstract":"Objective: Family caregivers (FCs) play a critical role in supporting terminal cancer patients; however, they often experience significant emotional, physical and financial burdens. While social support may help reduce this burden, research specifically examining its impact during end-of-life care remains limited. This study aimed to investigate the association between social support and subjective care burden among FCs of terminal cancer patients.Methods: A cross-sectional study was conducted between June 2021 and May 2023 at nine hospice care units in South Korea. Data from 169 FCs were analysed. Multivariate regression analysis was used to examine associations between subscales of social support and care burden.Results: An analysis of associations between subscales of subjective care burden and social support showed: (1) lack of family support was negatively associated with all subscales of social support; (2) self-esteem was positively associated with emotional/informational support, tangible support and positive social interaction; (3) financial problems were negatively associated with emotional/informational and tangible support and (4) health problems were negatively associated with positive social interaction.Conclusions: Properly addressing the multiple dimensions of social support alleviates the subjective care burden of the FCs of terminal cancer patients.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032730","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

Palliative peritoneal dialysis programmes: narrative review-from theory to practice. 姑息性腹膜透析方案：从理论到实践的叙述性回顾。

IF 1.8 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-09-08 DOI: 10.1136/spcare-2025-005608

Atthaphong Phongphithakchai, Phongsak Dandecha, Sukit Raksasuk, Moragot Chatatikun, Thatsaphan Srithongkul

{"title":"Palliative peritoneal dialysis programmes: narrative review-from theory to practice.","authors":"Atthaphong Phongphithakchai, Phongsak Dandecha, Sukit Raksasuk, Moragot Chatatikun, Thatsaphan Srithongkul","doi":"10.1136/spcare-2025-005608","DOIUrl":"https://doi.org/10.1136/spcare-2025-005608","url":null,"abstract":"Background: End-stage kidney disease (ESKD) significantly impacts global public health, driven by an ageing population and increased chronic diseases. Over half of patients with ESKD are now over 65 years old, often with multiple comorbidities, complicating management and prognosis. The socioeconomic impact is considerable, and patients with ESKD face higher cancer risks. The interplay of kidney failure, cancer risk and comorbidities underscores the need for integrated care, including palliative care. Palliative peritoneal dialysis (PD) focuses on patient comfort, quality of life and autonomy, integrating palliative principles into dialysis.Objective: This review aim to help construct palliative PD programmes for patients with ESKD in th end stage of life.Design: A comprehensive review of existing literature on palliative care integretion in dialysis with emphasis on PD.Methods and data sources: This review synthesized evidence from 37 reference encompassing the rationale,infrastructure, clinical protocols and reported outcome of palliative PD the implementation, challenges and benefits of palliative PD.Findings: Palliative PD supports patient-centred care with flexible treatment schedules and reduces the physical burdens of in-centre dialysis. Key components include shre decision-making, symptom control and patient autonomy. Effective implementation requires training healthcare providers and fostering multidixciplinary collaboration.Conclusion: Palliative PD represents a shift in treating advanced kidney disease, highlighting the importance of symptom relief, psychological support and patient empowerment.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022854","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

Cancer caregiver information needs: communication experiences with health providers - a qualitative study. 癌症护理者信息需求：与健康提供者的沟通经验-一项定性研究。

IF 1.8 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-08-31 DOI: 10.1136/spcare-2025-005553

Eva Yuen, Elaine Wittenberg, Carlene Wilson, Joanne Adams, Alison Hutchinson

{"title":"Cancer caregiver information needs: communication experiences with health providers - a qualitative study.","authors":"Eva Yuen, Elaine Wittenberg, Carlene Wilson, Joanne Adams, Alison Hutchinson","doi":"10.1136/spcare-2025-005553","DOIUrl":"https://doi.org/10.1136/spcare-2025-005553","url":null,"abstract":"Purpose: We sought to explore the lived experience of caregivers when communicating with doctors and nurses about their cancer-related information needs.Methods: Semistructured interviews (n=20) were conducted with cancer caregivers. Data were collected as part of a broader study on caregiver health literacy needs. Interviews were analysed thematically.Results: Seven themes emerged from the analysis. These themes were: (a) the importance of using everyday language and a variety of information delivery formats, (b) the need for sufficient time to discuss information, (c) the importance of creating a safe space for caregivers to participate during consultations, (d) health providers having a proactive approach to communication and being accessible, (e) access to health providers who recognised and included the caregiver during consultations, (f) health providers developing relationships with the caregiver and person with cancer and (g) caregiver recommendations for service improvement.Conclusions: This study highlights how the quality of providers' communication with caregivers impacts their information needs. Caregivers perceive their information needs are met when providers engage in person-centred strategies. Difficulty acquiring and understanding cancer-related information occurs when providers block caregiver questioning about cancer. Caregiver understanding of cancer information is critical to support the caregiver's role in cancer care.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144942770","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

International curriculum and core components of kidney supportive care: a guide for clinicians in palliative care. 国际课程和核心组成部分的肾脏支持护理：指导临床医生在姑息治疗。

IF 1.8 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-08-27 DOI: 10.1136/spcare-2025-005714

Aoife C Lowney, Sara N Davison, Claire Douglas, Frank Brennan

引用次数: 0

Quality of skeletal muscles during allogeneic stem-cell transplantation: a pilot study. 同种异体干细胞移植期间骨骼肌的质量：一项试点研究。

IF 1.8 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-08-26 DOI: 10.1136/spcare-2024-005070

Yusaku Maeda, Shoichiro Takao, Shiori Morita, Shin Kondo, Michiko Yamashita, Ryohei Sumitani, Masahiro Oura, Kimiko Sogabe, Mamiko Takahashi, Shiro Fujii, Takeshi Harada, Hirokazu Miki, Masahiro Abe, Shingen Nakamura

{"title":"Quality of skeletal muscles during allogeneic stem-cell transplantation: a pilot study.","authors":"Yusaku Maeda, Shoichiro Takao, Shiori Morita, Shin Kondo, Michiko Yamashita, Ryohei Sumitani, Masahiro Oura, Kimiko Sogabe, Mamiko Takahashi, Shiro Fujii, Takeshi Harada, Hirokazu Miki, Masahiro Abe, Shingen Nakamura","doi":"10.1136/spcare-2024-005070","DOIUrl":"10.1136/spcare-2024-005070","url":null,"abstract":"Objectives: This study investigated the muscle fat fraction (FF) and muscle-related parameters before and after allogeneic hematopoietic stem cell transplantation (HSCT).Methods: Fat and water signals were derived from the in-phase and out-of-phase MR signal intensities of the pelvis and thigh using the two-point Dixon technique. They were analysed using Synapse Vincent, and muscle quality was evaluated using the FF. The muscle mass was assessed by measuring the thigh and gluteal muscle areas using a manual trace on the MR image. The association between the muscle FF and clinical data was retrospectively determined.Results: This study included 11 patients (6 males). Their mean age was 42.7 years, and eight had leukaemia. Eight were assessed at a mean of 65.4 days post-HSCT. The hip and thigh skeletal muscle FFs were not significantly different during HSCT. The grip and lower limb muscle strengths decreased significantly after HSCT. Patients with low FFs before transplantation tended to lose muscle strength, and the increase in FF and decrease of muscle strength were correlated.Conclusions: Muscle strength and quantity decrease during the early phase after HSCT, especially in patients with low FF muscles. Therefore, interventions based on muscle quality and quantity are essential.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":"672-676"},"PeriodicalIF":1.8,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364369","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

Bioethics and hospital palliative care: a systematic review. 生物伦理学与医院姑息治疗：系统综述。

IF 1.8 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-08-26 DOI: 10.1136/spcare-2024-005021

Klinger Ricardo Dantas Pinto, Laila Zelkcovicz Ertler, Francisca Rego, Rui Nunes

{"title":"Bioethics and hospital palliative care: a systematic review.","authors":"Klinger Ricardo Dantas Pinto, Laila Zelkcovicz Ertler, Francisca Rego, Rui Nunes","doi":"10.1136/spcare-2024-005021","DOIUrl":"10.1136/spcare-2024-005021","url":null,"abstract":"Background: The finitude of life presents various bioethical challenges, especially when palliative care is the therapeutic option. The hospital environment for palliative care has ethical peculiarities that need to be better understood, since the literature presents research that is commonly carried out at home.Objectives: This study aims to investigate the fundamental bioethical perspectives for hospital palliative care and to compare these perspectives with those existing in home care.Methods: A systematic review of the literature was conducted between March and April 2024. This included observational studies that addressed bioethical perspectives in hospital palliative care. No restrictions were placed on the date of publication or language of the article. This review excluded editorials, intervention studies and articles developed in a home environment.Results: Seven databases and other sources were searched, and 3976 articles were found. Eight studies were selected for qualitative synthesis. A paired review was conducted at all stages. The results indicated that respect for cultural beliefs and values, effective communication and empathy were the most significant bioethical perspectives for hospital palliative care, among the nine other ethical aspects present in the studies. The comparison with bioethical perspectives in the home environment highlighted differences such as privacy and autonomy in the patient's home.Conclusions: The conclusion allows us to understand that aspects of caring for the person and understanding the illness should be the focus of bioethics in hospital palliative care.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":"564-571"},"PeriodicalIF":1.8,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979096","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

Why physician-assisted suicide has no place in the NHS. 为什么医生协助自杀在NHS中没有一席之地。

IF 1.8 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-08-26 DOI: 10.1136/spcare-2025-005670

Sheila Hollins, Ilora Finlay, Ruslan Zinchenko

引用次数: 0

Postoperative pain following intraoperative acupuncture: a randomized‑controlled study. 术中针灸术后疼痛：一项随机对照研究。

IF 1.8 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-08-26 DOI: 10.1136/spcare-2025-005485

Yakir Segev, Sereen Abofol, Noah Samuels, Meirav Schmidt, Wisam Assaf, Eran Ben-Arye

{"title":"Postoperative pain following intraoperative acupuncture: a randomized‑controlled study.","authors":"Yakir Segev, Sereen Abofol, Noah Samuels, Meirav Schmidt, Wisam Assaf, Eran Ben-Arye","doi":"10.1136/spcare-2025-005485","DOIUrl":"10.1136/spcare-2025-005485","url":null,"abstract":"Context and objectives: This study examined the impact of an integrative oncology intervention on postoperative care, primarily postoperative pain, in patients undergoing gynaecological oncology surgery.Methods: Participants were randomised to three groups: group A, preoperative touch/relaxation modalities, followed by intraoperative acupuncture; group B, preoperative touch/relaxation only and group C, standard conventional care alone. Using an enhanced recovery after surgery (ERAS) protocol, medical personnel retrospectively assessed pain on each postoperative day (POD), using a Visual Analogue Scale (VAS; 0, no pain; 10, most severe pain). Use of analgesics, bowel movements, urination and number of days until discharge were also assessed.Results: A total of 102 patients participated, with similar baseline demographic and surgery-related characteristics among the three groups (group A, 45; group B, 25 and group C, 32). Group A patients undergoing laparoscopic surgery reported significantly lower pain scores on POD1 than group C (p=0.018). Group B patients undergoing open laparotomy were discharged earlier than group C (p=0.031). No significant between-group differences were found for VAS pain scales, use of analgesics or report of first postoperative bowel movement or urination.Conclusions: This prospective, controlled and pragmatic ERAS-based study suggests that intraoperative acupuncture may reduce postoperative pain on POD1, in patients undergoing laparoscopic gynaecological oncology surgery. The findings differ from a previous study which found no effect of acupuncture on pain-related haemodynamic parameters during laparoscopy. Further research using objective nociception parameters is needed to explore the effect of intraoperative acupuncture on postoperative pain.Trial registration number: ClinicalTrials.gov (NCT03560388).","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":"642-647"},"PeriodicalIF":1.8,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332389","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

Virtual reality interventions for mental health and well-being in palliative care: systematic review and narrative synthesis - outcomes, techniques, processes and mechanisms. 姑息治疗中心理健康和福祉的虚拟现实干预措施：系统综述和叙事综合-结果、技术、过程和机制。

IF 1.8 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-08-26 DOI: 10.1136/spcare-2024-005342

Alice Marie Gains, Nima Moghaddam, Michael Baliousis, Sanchia Biswas

{"title":"Virtual reality interventions for mental health and well-being in palliative care: systematic review and narrative synthesis - outcomes, techniques, processes and mechanisms.","authors":"Alice Marie Gains, Nima Moghaddam, Michael Baliousis, Sanchia Biswas","doi":"10.1136/spcare-2024-005342","DOIUrl":"10.1136/spcare-2024-005342","url":null,"abstract":"Purpose: This review systematically synthesises the evidence on changes in mental health and wellbeing observed in palliative care patients following virtual reality (VR) interventions.Methods: In July 2024, systematic searches were conducted across five databases (Embase, PsycINFO, Medline, CINAHL Complete and Academic Search Complete), supplemented by hand searches and citation chaining. Search concepts included \"virtual reality\" and \"palliative care\". Inclusion criteria were established for adults receiving VR interventions in palliative care settings, limited to English language articles published in peer-reviewed journals. Study designs, sample characteristics, key findings, participant experiences and author interpretations were extracted.Each study included in the narrative synthesis was quality appraised.Results: Of the 1264 citations identified, 13 studies were deemed eligible for inclusion in this review. A narrative synthesis approach was used. Studies were evaluated of mixed quality. Reported changes include reduced pain, anxiety and depression, as well as improvements in mood and quality of life. While few changes reached statistical significance, qualitative reports corroborated the presence of meaningful change. Few participants reported adverse effects. Authors most frequently attributed the observed changes to distraction, with additional mechanisms proposed including cognitive processing, choice and immersion.Conclusions: While distraction is often assumed to be the primary mechanism of action for VR interventions in palliative care, this claim lacks robust empirical evidence as few studies directly assess distraction or degree of immersion. Future research should investigate the efficacy of VR interventions and elucidate the underlying mechanisms of change in mental health and well-being in this population.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":"550-563"},"PeriodicalIF":1.8,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085919","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

Integrative medicine in modern supportive care. 现代支持性护理中的中西医结合。

IF 1.8 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-08-26 DOI: 10.1136/spcare-2025-005545

Eran Ben-Arye, Noah Samuels

引用次数: 0