姑息治疗对肿瘤患者生活质量的意义

Alexander Nikolov, L. Georgieva
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引用次数: 1

摘要

研究背景与目的:肿瘤疾病是对人类健康造成不可弥补危害的最大问题之一。各种类型的医疗护理对恶性疾病患者生活质量的影响是一个亟待研究的问题。本研究目的:为姑息治疗对胃癌患者生活质量的支持意义提供实证数据。材料和方法:本研究在德国海德堡大学医院进行。研究对象的代表性样本包括378名被诊断为胃癌的患者。比较分析德国、保加利亚、日本和新加坡胃癌患者的预防方法和5年生存率。结果:来自德国的研究样本中,大多数患者在家中或临终关怀中死亡(91.2%),只有一小部分患者在医院死亡(8.7%)。根据国际比较,我们得出结论,在保加利亚,晚期患者的持续治疗和护理在其范围,发展水平和对患者的影响方面存在显着差异。保加利亚胃癌的5年生存率为3%,远低于亚洲国家,而亚洲国家胃癌的生存率明显较高:新加坡为10-30%,日本为12-35%。结论:姑息治疗对支持肿瘤患者生活质量的重要性近年来不断提高。系统和长期姑息治疗为生活质量提供必要的支持,并可影响肿瘤患者的5年生存率。我们在德国的研究证实了这一点,那里的比率为28-30%。作者建议根据需要提供专业、高质量的姑息治疗,以确保恶性疾病患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Significance of palliative care for the quality of life for oncology patients
Background and Aim of Study: Oncological diseases are one of the biggest problems that can cause irreparable harm to human health. The significance of various types’ medical care on the quality of life for patients with malignant diseases remains an urgent research problem. The aim of the study: to provide empirical data for the significance of palliative care in supporting the quality of life for patients with gastric cancer. Material and Methods: The study was conducted at the University Hospital of Heidelberg, Germany. A representative sample of the study subjects consisted of 378 patients diagnosed with gastric cancer. Comparative analyzes to approaches in cancer prevention, as well as 5-year survival among patients with gastric cancer in Germany, Bulgaria, Japan, and Singapore were used. Results: The majority of the patients in the study sample from Germany died in their homes or in hospices (91.2%), while only a small proportion died in the hospital (8.7%). Based on the international comparison, we concluded that in Bulgaria, the ongoing treatment and care of terminally ill patients differ significantly in terms of their scope, development level and impact on the patients. The 5-year survival rate for stomach cancer in Bulgaria is 3%, which is much lower than in Asian countries, where there is a significantly higher survival rate for this disease: Singapore 10-30%, Japan 12-35%. Conclusions: The significance of the palliative care to support the quality of life for oncological patients has been constantly increasing in recent years. Systemic and long-term palliative care provides the necessary support for quality of life and can affect the 5-year survival of oncological patients. This is confirmed by our study in Germany, where rates are 28-30%. The authors recommend providing professional, high-quality palliative care as needed to ensure quality of life for patients with malignant diseases.
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