香港家庭临终关怀干预的生理和心理社会结果。

IF 1.3 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
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
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引用次数: 1

摘要

目标:在家照顾生命的最后几天是许多人表达的偏好。关于家庭临终关怀(EoLC)干预改善绝症患者整体状况的有效性的数据很少。本研究旨在评估香港临终病人基于心理社会的家庭EoLC干预。方法:在3个时间点(接受服务、入组后1个月和3个月)应用综合姑息治疗结果量表(IPOS)进行前瞻性队列研究。共有485名符合条件、同意的绝症患者(平均年龄 = 75.48,标准差 = 11.39),其中40.21%(n = 195),为本研究提供了所有3个时间点的数据。结果:在3个时间点内,观察到所有IPOS心理社会症状和大多数身体症状的症状严重程度评分都在下降。抑郁症和实际问题的改善具有最高的综合时间效应(F > 31.92,P<0.01)和T0至T2配对比较效应(Cohen’s d > 0.54,P 1和T2(Cohen’s d:0.22-0.46,P 结论:基于心理社会的家庭EoLC干预有效地改善了绝症患者的心理社会和身体状况,无论他们的临床特征或人口统计学如何。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Physical and Psychosocial Outcomes of a Psychosocial Home-Based end-of-Life Care Intervention in Hong Kong.

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.

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来源期刊
Journal of Palliative Care
Journal of Palliative Care 医学-卫生保健
CiteScore
3.20
自引率
5.90%
发文量
63
审稿时长
>12 weeks
期刊介绍: The Journal of Palliative Care is a quarterly, peer-reviewed, international and interdisciplinary forum for practical, critical thought on palliative care and palliative medicine. JPC publishes high-quality original research, opinion papers/commentaries, narrative and humanities works, case reports/case series, and reports on international activities and comparative palliative care.
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