BMJ Supportive & Palliative Care最新文献_第6页

Home healthcare trends before, during and after COVID-19: 10-year data analysis. 2019冠状病毒病之前、期间和之后的家庭医疗趋势：10年数据分析

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-06-01 DOI: 10.1136/spcare-2025-005576

Yuki Egashira, Ryo Watanabe

{"title":"Home healthcare trends before, during and after COVID-19: 10-year data analysis.","authors":"Yuki Egashira, Ryo Watanabe","doi":"10.1136/spcare-2025-005576","DOIUrl":"https://doi.org/10.1136/spcare-2025-005576","url":null,"abstract":"Objectives: To examine changes in home healthcare service patterns in Japan during and after the COVID-19 pandemic and to assess the impact of the reclassification of COVID-19 as a category 5 infectious disease.Methods: This retrospective study analysed claims data from Japan's National Health Insurance database for home healthcare services in Kanagawa Prefecture between April 2014 and March 2024. We applied seasonal autoregressive integrated moving average models to calculate observed-to-expected (OE) ratios of service utilisation and used interrupted time series analysis to assess changes following the category 5 reclassification in May 2023.Results: Home healthcare service utilisation consistently exceeded prepandemic projections during and after the pandemic, house call fees markedly increased during infection peaks (OE ratios up to +32%). In contrast, discharge coordination and long-term care support coordination instruction fees remained below projected levels, declining further during infection surges. Following the category 5 reclassification, several services exhibited significant positive level changes, whereas others showed negative trend shifts, indicating a potential stabilisation in growth rates.Conclusions: COVID-19 accelerated the expansion of home healthcare services in Japan while reducing critical hospital-to-home transition services-effects that continued beyond the pandemic's official conclusion. This pattern of quantitative expansion alongside qualitative gaps in care coordination underscores the need to build resilient home healthcare systems that preserve both service volume and care quality during future health emergencies.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198230","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

Caring for a Patient with Inoperable Hip Fracture. 不能手术的髋部骨折患者的护理。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-06-01 DOI: 10.1136/spcare-2025-005440

Arouba Imtiaz, Amelia Collins, Fiona Rawlinson, Antony Johansen

引用次数: 0

Paediatric palliative care prescribing: midazolam multicentre pilot study. 儿科姑息治疗处方：咪达唑仑多中心试点研究。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-05-25 DOI: 10.1136/spcare-2024-005343

Lorna Fraser, Anna-Karenia Anderson, Ian Chi Kei Wong, George Peat, Emily Harrop

引用次数: 0

Physical activity, fatigue, kinesiophobia and quality of life in prostate cancer. 前列腺癌患者的体力活动、疲劳、运动恐惧症和生活质量。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-05-25 DOI: 10.1136/spcare-2025-005604

Yunus Çolakoğlu

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 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-05-16 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":"https://doi.org/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":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-16","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

Equitable care for patients with cancer experiencing homelessness. 为无家可归的癌症患者提供公平的护理。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-05-16 DOI: 10.1136/spcare-2025-005580

Donna Wakefield, Chantelle Forster, Julie Christie

引用次数: 0

Psychosocial interventions and health-related quality of life in adults with incurable cancer: systematic review. 患有无法治愈的癌症的成人的心理社会干预和健康相关的生活质量：系统评价。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-05-16 DOI: 10.1136/spcare-2024-005043

Heli Mikkonen, Minna Hökkä, Tiina Saarto, Jan-Henry Stenberg, Kristiina Junttila

{"title":"Psychosocial interventions and health-related quality of life in adults with incurable cancer: systematic review.","authors":"Heli Mikkonen, Minna Hökkä, Tiina Saarto, Jan-Henry Stenberg, Kristiina Junttila","doi":"10.1136/spcare-2024-005043","DOIUrl":"https://doi.org/10.1136/spcare-2024-005043","url":null,"abstract":"Objectives: This study aimed to assess the effects of psychosocial interventions in improving health-related quality of life (HRQoL) in adult patients with incurable cancer.Methods: A systematic search was performed in the MEDLINE, PsycINFO, CINAHL, Scopus and Medic databases to identify randomised controlled trials, quasi-experimental studies and cohort studies from 2004 to March 2024 aiming to influence HRQoL or psychosocial well-being.Results: The systematic search yielded 635 articles. After the removal of duplicates, screening of titles and abstracts, assessment of eligibility and screening of the reference list of included studies, 17 studies were included in the review, and a narrative synthesis was conducted. The delivery of psychosocial interventions varied considerably. They were most often structured, individual, performed in person or remotely, and applied multiple combined methods. Professionals delivering the intervention most often had a background in psychology, nursing or social work. The most frequent outcomes were quality of life, depression and anxiety, measured using multiple different tools. Of the studies, 35% reported significant sustainable improvements. The results favoured individual intervention and the multiple-method approach.Conclusions: The interventions presented as psychosocial interventions have their own characteristics and nature, but evidence of their efficacy is limited. There is an apparent need for research and discussion regarding the definitions, differences and relationships between psychosocial, psychological, social and spiritual interventions in cancer care.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085917","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

Ending nuclear weapons, before they end us. 在核武器终结我们之前终结它们。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-05-15 DOI: 10.1136/spcare-2025-005605

Chris Zielinski

引用次数: 0

Duloxetine-induced myoclonus and sedation. 度洛西汀诱导的肌阵挛和镇静。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-05-14 DOI: 10.1136/spcare-2025-005535

Helen Crispin

引用次数: 0

Blood transfusions in palliative medicine and symptom control in solid tumours. “缓和医学中的输血与实体瘤症状控制”。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2025-05-14 DOI: 10.1136/spcare-2025-005406

Geena Kelly, Claire Kruger, Ita Harnett, Camilla Murtagh

{"title":"Blood transfusions in palliative medicine and symptom control in solid tumours.","authors":"Geena Kelly, Claire Kruger, Ita Harnett, Camilla Murtagh","doi":"10.1136/spcare-2025-005406","DOIUrl":"10.1136/spcare-2025-005406","url":null,"abstract":"Introduction: Fatigue and breathlessness are among the most distressing symptoms for palliative care patients and may be related to underlying anaemia. Red cell concentrate (RCC) transfusion is a common intervention, yet its efficacy in improving these symptoms in palliative populations remains unclear.Methods: This retrospective chart review examined the impact of RCC transfusion on fatigue, breathlessness and functional status in 33 patients admitted to a hospice inpatient unit over 30 months. Symptom and functional scores were assessed pre-transfusion, and at 14 and 30 days post-transfusion, using the Palliative Care Outcomes Collaboration Symptom Assessment Scale, Australian Karnofsky Performance Status (AKPS) and Resource Utilisation Groups-Activities of Daily Living (RUG-ADL) tools.Results: Results showed that fatigue scores improved in 58% of patients, with sustained improvement at 30 days in 36%. A statistically significant reduction in fatigue was observed at 14 days post-transfusion (p=0.02). However, the impact on breathlessness was limited, with only 18% of patients reporting improvement, and no significant changes in mean breathlessness scores over time. Functional status, measured by AKPS and RUG-ADL, declined in 36% and 27% of patients, respectively, likely reflecting the progressive nature of terminal illness.Conclusions: While RCC transfusion demonstrated potential for alleviating fatigue, particularly in the short term, its effects on breathlessness and functional status were limited. The high mortality rate (30% at 30 days) and small sample size highlight the challenges of research in this population. These findings support the role of RCC transfusion in managing fatigue in palliative care, though further prospective studies are warranted.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668632","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