BMJ Supportive & Palliative Care最新文献_第9页

Home palliative medicine: an audit of weekend and public holiday telephones on-call. 家庭姑息医学：对周末和公共假日电话的审计。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2024-12-19 DOI: 10.1136/spcare-2023-004578

Sebastiano Mercadante, Giuseppe Bellavia, Giuseppe Intravaia

引用次数: 0

Advance care planning in multiple system atrophy. 多系统萎缩的预先护理规划。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2024-12-19 DOI: 10.1136/spcare-2024-004881

Katie Flanagan, Anette Schrag, Céline El Baou, Joshua Stott

引用次数: 0

Video training of nursing home healthcare workers in palliative care. 对疗养院医护人员进行姑息关怀视频培训。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2024-12-19 DOI: 10.1136/spcare-2023-004684

Yujun Lim, Ezekiel Toh, Laurence Tan, Perry Lee, James Alvin Yiew Hock Low

{"title":"Video training of nursing home healthcare workers in palliative care.","authors":"Yujun Lim, Ezekiel Toh, Laurence Tan, Perry Lee, James Alvin Yiew Hock Low","doi":"10.1136/spcare-2023-004684","DOIUrl":"10.1136/spcare-2023-004684","url":null,"abstract":"Objectives: The provision of palliative care in nursing homes (NHs) is of paramount importance, a realism underscored by the frailty and medical complexity of the residents. However, palliative care (PC) education tends to be resource-intensive both for educators and healthcare workers (HCWs). The aim of this study was to investigate how PowerFacts, a video animation series that taught basic PC to NH HCWs in Singapore impacted their knowledge, attitudes and confidence.Methods: A cohort study design was adopted for the study. A total of 264 NH HCWs across 12 NHs in Singapore participated in the study from January 2021 to October 2022. Participants were assessed using a 20-summative multiple-choice question assessment, a 30-item Frommelt Attitude Toward Care of the Dying Scale (FATCOD) and four questions on their confidence level before and after the PowerFacts course.Results: Paired t-test was performed. Significant changes were noted in the knowledge and confidence score post-intervention. The knowledge score improved significantly from preintervention (12.2±3.5) to post-intervention (15.8±3.4; p<0.01). The confidence score increased significantly from 14.7±2.7 to 16.7±2.2 (p<0.01). However, the FATCOD score did not reveal any significant changes between preintervention and post-intervention results (p>0.05).Conclusions: PowerFacts has demonstrated its potential as a valuable addition to the array of teaching methods available to NH HCWs. Future studies are required to evaluate the impact of animation on patient care and clinical practice.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":"e2864-e2871"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140058596","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 care needs in medical intensive care: improved identification-retrospective cohort study. 内科重症监护中的姑息关怀需求：改进识别--回顾性队列研究。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2024-12-19 DOI: 10.1136/spcare-2022-004128

Olivia Rossnan, Abby Hanson, Aaron Spaulding, Parthkumar Satashia, Shivang Bhakta, Maisha Robinson, Scott A Helgeson, Pablo Moreno-Franco, Devang Sanghavi

引用次数: 0

Burn trauma management: palliative care integration. 烧伤创伤管理：姑息治疗的整合。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2024-12-19 DOI: 10.1136/spcare-2024-005109

Ram Singh, Rupavath Ramkumar, Brajesh Kumar Ratre

引用次数: 0

Perineal care incontinence training for caregivers: randomised controlled trial. 护理人员的会阴失禁护理培训：随机对照试验。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2024-12-19 DOI: 10.1136/spcare-2023-004633

Lütfiye Nur Uzun, Hümeyra Hançer Tok

{"title":"Perineal care incontinence training for caregivers: randomised controlled trial.","authors":"Lütfiye Nur Uzun, Hümeyra Hançer Tok","doi":"10.1136/spcare-2023-004633","DOIUrl":"10.1136/spcare-2023-004633","url":null,"abstract":"Objectives: The aim of this study was to implement training to increase the perineal care knowledge of relatives caring for incontinent palliative care patients and to examine the effectiveness of this training.Methods: This study was designed as a pretest-post-test randomised controlled trial. The study included 84 relatives of patients with incontinence (experimental group, n=42; control group, n=42). The experimental group was given one-on-one face-to-face training on perineal care for patients with incontinence, while the control group was given training through a brochure. Data were collected using a personal information form and the Perineal Care Knowledge Test. The Wilcoxon signed-rank and Mann-Whitney U tests were used for statistical analysis.Results: The difference between the pretest and post-test scores of the experimental group was found to be statistically significant (p<0.05), while the difference between the pretest and post-test scores of the control group was not significant (p>0.05). The post-test scores of the experimental group were higher than those of the control group (p<0.05).Conclusions: It was found that one-on-one face-to-face perineal care training was a more effective method for increasing the perineal care knowledge of patients' relatives than brochures.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":"e2770-e2777"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71420560","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

Association between person-centred care quality and advance care planning participation in haemodialysis. 血液透析中以人为中心的护理质量与预先护理计划参与之间的关系。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2024-12-19 DOI: 10.1136/spcare-2024-004831

Yusuke Kanakubo, Noriaki Kurita, Mamiko Ukai, Tetsuro Aita, Ryohei Inanaga, Atsuro Kawaji, Takumi Toishi, Masatoshi Matsunami, Yu Munakata, Tomo Suzuki, Tadao Okada

{"title":"Association between person-centred care quality and advance care planning participation in haemodialysis.","authors":"Yusuke Kanakubo, Noriaki Kurita, Mamiko Ukai, Tetsuro Aita, Ryohei Inanaga, Atsuro Kawaji, Takumi Toishi, Masatoshi Matsunami, Yu Munakata, Tomo Suzuki, Tadao Okada","doi":"10.1136/spcare-2024-004831","DOIUrl":"10.1136/spcare-2024-004831","url":null,"abstract":"Objective: Person-centred care (PCC), which incorporates patients' preferences and values for medical care and their life, has been proposed in decision-making for promoting advance care planning (ACP) among patients with kidney failure. Therefore, we aimed to examine variations in PCC across facilities and the association between PCC and ACP participation.Methods: This multicentre cross-sectional study included Japanese adults undergoing outpatient haemodialysis at six dialysis centres. The main exposure was PCC, measured using the 13-item Japanese version of the Primary Care Assessment Tool-short form. The main outcome was ACP participation as defined by discussion with the attending physician or written documentation or notes regarding treatment preferences. A general linear model was used to examine the covariates of the quality of PCC. Modified Poisson regression models were used to examine the associations of ACP participation.Results: A total of 453 individuals were analysed; 26.3% of them participated in ACP. Higher PCC was associated with greater ACP participation in a dose-response manner (adjusted prevalence ratios for the first to fourth quartiles: 1.36, 2.31, 2.64 and 3.10, respectively) in respondents with usual source of care (USC) than in those without USC. Among the PCC subdomains, first contact, longitudinality, comprehensiveness (services provided) and community orientation were particularly associated with ACP participation. A maximum of 12.0 points of facility variation was noted in the quality of PCC.Conclusions: High quality of PCC was associated with ACP participation. The substantial disparity in PCC between facilities provides an opportunity to revisit the quality improvement in PCC.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":"e2872-e2879"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140012122","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

Health-related quality of life and frailty in liver cirrhosis. 肝硬化患者的健康相关生活质量和虚弱。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2024-12-19 DOI: 10.1136/spcare-2024-004839

Yangyang Hui, Han Wang, Gaoyue Guo, Wanting Yang, Xiaoyu Wang, Binxin Cui, Xiaofei Fan, Chao Sun

{"title":"Health-related quality of life and frailty in liver cirrhosis.","authors":"Yangyang Hui, Han Wang, Gaoyue Guo, Wanting Yang, Xiaoyu Wang, Binxin Cui, Xiaofei Fan, Chao Sun","doi":"10.1136/spcare-2024-004839","DOIUrl":"10.1136/spcare-2024-004839","url":null,"abstract":"Background and objectives: There is limited evidence concerning the predictive value of health-related quality of life (HRQoL) on the presence of frailty in the context of cirrhosis. We aimed to elucidate the relationship between HRQoL and multidimensional frailty and to determine which HRQoL dimension independently impacted frail phenotype in our established cohort.Methods: This was a prospective observational study by consecutively enrolling 355 patients with cirrhotic with decompensated signs in China. The HRQoL and frail phenotype were evaluated by the EuroQol-5D (EQ-5D) Questionnaire and Frailty Index, respectively. The relationship between EQ-5D utility index, as well as respective EQ-5D dimension, and Frailty Index was analysed according to the multiple linear regression analyses.Results: More than half of the patients (56.3%) reported problems in any dimension of the EQ-5D, suggestive of impaired HRQoL. Moreover, the proportion of patients experiencing some/extreme problems significantly increased across all five dimensions (all p<0.001) in correspondence to transition from the robust to frail phenotype. Multiple linear regression analyses demonstrated that age, ascites and hepatic encephalopathy were positively associated with Frailty Index, while EQ-5D utility index (standardised β coefficient= -0.442, p<0.001) negatively associated with Frailty Index. Notably, usual activities, self-care and mobility were the most influencing predictors associated with frailty.Conclusions: Our results support a rapid HRQoL assessment via EQ-5D may assist in predicting multidimensional frailty, and usual activities, self-care and mobility tend to be remediable targets while taking their effect on frail phenotype into consideration among patients with cirrhosis.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":"e2880-e2887"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109196","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

3D printing in palliative medicine: systematic review. 姑息医学中的3D打印：系统综述

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2024-12-19 DOI: 10.1136/bmjspcare-2021-003196

Tjaša Kermavnar, Callum Guttridge, Niall J Mulcahy, Ed Duffy, Feargal Twomey, Leonard O'Sullivan

{"title":"3D printing in palliative medicine: systematic review.","authors":"Tjaša Kermavnar, Callum Guttridge, Niall J Mulcahy, Ed Duffy, Feargal Twomey, Leonard O'Sullivan","doi":"10.1136/bmjspcare-2021-003196","DOIUrl":"10.1136/bmjspcare-2021-003196","url":null,"abstract":"Background: Three-dimensional printing (3DP) enables the production of highly customised, cost-efficient devices in a relatively short time, which can be particularly valuable to clinicians treating patients with palliative care intent who are in need of timely and effective solutions in the management of their patients' specific needs, including the relief of distressing symptoms.Method: Four online databases were searched for articles published by December 2020 that described studies using 3DP in palliative care. The fields of application, and the relevant clinical and technological data were extracted and analysed.Results: Thirty studies were reviewed, describing 36 medical devices, including anatomical models, endoluminal stents, navigation guides, obturators, epitheses, endoprostheses and others. Two-thirds of the studies were published after the year 2017. The main reason for using 3DP was the difficulty of producing customised devices with traditional methods. Eleven papers described proof-of-concept studies that did not involve human testing. For those devices that were tested on patients, favourable clinical outcomes were reported in general, and treatment with the use of 3DP was deemed superior to conventional clinical approaches. The most commonly employed 3DP technologies were fused filament fabrication with acrylonitrile butadiene styrene and stereolithography or material jetting with various types of photopolymer resin.Conclusion: Recently, there has been a considerable increase in the application of 3DP to produce medical devices and bespoke solutions in the delivery of treatments with palliative care intent. 3DP was found successful in overcoming difficulties with conventional approaches and in treating medical conditions requiring highly customised solutions.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":"e2244-e2253"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49380017","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 care healthcare professionals' perspective on the Assisted Decision-Making (Capacity) Act 2015 in Ireland. 姑息关怀医护专业人员对爱尔兰 2015 年《辅助决策（能力）法》的看法。

IF 2 4区医学

BMJ Supportive & Palliative Care Pub Date : 2024-12-19 DOI: 10.1136/spcare-2024-005065

Hannah Joan Featherstone, Regina McQuilllan, John Lombard, Geraldine Foley

{"title":"Palliative care healthcare professionals' perspective on the Assisted Decision-Making (Capacity) Act 2015 in Ireland.","authors":"Hannah Joan Featherstone, Regina McQuilllan, John Lombard, Geraldine Foley","doi":"10.1136/spcare-2024-005065","DOIUrl":"10.1136/spcare-2024-005065","url":null,"abstract":"Objectives: People receiving end-of-life care often require assistance with decision-making. We aimed to ascertain from the perspective of palliative care healthcare professionals in Ireland, the impact of the Assisted Decision-Making (Capacity) Act 2015 (as amended) in Ireland on their practice for end-of-life care decision-making with patients and family caregivers.Methods: A qualitative study comprising focus groups was conducted with 22 healthcare professionals from different healthcare professions. Participants were recruited from a large regional specialist palliative care service in Ireland comprising two hospice sites. Data were analysed using thematic analysis.Results: Participants reported uncertainty about the Assisted Decision-Making (Capacity) Act 2015 (as amended) and emphasised a need for more public education to avoid misinterpretation of the Act. Participants felt that patients who need assistance with decision-making should be autonomous in decision-making but expressed concerns when patients made decisions about care that participants considered unwise. Participants considered that the Act would be beneficial in situations to support early communication between patients and their family caregivers about patient preferences for care.Conclusions: Larger scale multicentre examination of the Assisted Decision-Making (Capacity) Act among specialist palliative care providers in Ireland is needed to better understand its utility for practice.","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":"e2527-e2531"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141888444","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