癌症和冠状病毒病-19死亡患者的症状管理和支持——基于注册的研究。

IF 1.3 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Journal of Palliative Care Pub Date : 2023-07-01 Epub Date: 2023-02-15 DOI:10.1177/08258597231157622
Christel Hedman, Peter Strang, Staffan Lundström, Lisa Martinsson
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引用次数: 0

摘要

目的:与医院死亡相比,尚不清楚癌症冠状病毒病2019(新冠肺炎)患者获得专科姑息治疗(SPC)在多大程度上影响突破性症状的发生、症状缓解和整体护理。我们的目标是将新冠肺炎和癌症患者包括在内,并根据临终关怀的质量将在医院死亡的患者与在SPC死亡的患者进行比较。方法:癌症和新冠肺炎患者在医院死亡(n = 430)和SPC(n = 384)从瑞典姑息治疗注册处鉴定。比较了医院组和SPC组的临终关怀质量,包括生命最后一周出现的6种突破性症状、症状缓解、临终关怀决策、信息、支持和死亡时的人类存在。结果:与SPC患者相比,医院患者呼吸困难的突破更常见(分别为61%和39%;p p p = .014至p p p 结论:更系统的姑息治疗程序可能是更好地控制症状和提高医院临终关怀质量的重要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Symptom Management and Support in Dying Patients with Cancer and Coronavirus Disease-19-A Register-Based Study.

Symptom Management and Support in Dying Patients with Cancer and Coronavirus Disease-19-A Register-Based Study.

Symptom Management and Support in Dying Patients with Cancer and Coronavirus Disease-19-A Register-Based Study.

Symptom Management and Support in Dying Patients with Cancer and Coronavirus Disease-19-A Register-Based Study.

Objective: Little is known to what extent access to specialist palliative care (SPC) for cancer patients dying with coronavirus disease-2019 (COVID-19) affects the occurrence of breakthrough symptoms, symptom relief, and overall care, compared to hospital deaths. Our aim was to include patients with both COVID-19 and cancer and compare those dying in hospitals with those dying in SPC with reference to the quality of end-of-life care.

Methods: Patients with both cancer and COVID-19 who died in hospitals (n = 430) and within SPC (n = 384) were identified from the Swedish Register of Palliative Care. The hospital and SPC groups were compared regarding the quality of end-of-life care, including the occurrence of 6 breakthrough symptoms during the last week in life, symptom relief, end-of-life care decisions, information, support, and human presence at death.

Results: Breakthrough of breathlessness was more common in the hospital patients compared to the SPC patients (61% and 39%, respectively; p < .001), while pain was less common (65% and 78%, respectively; p < .001). Breakthrough of nausea, anxiety, respiratory secretions, or confusion did not differ. All 6 symptoms, except for confusion, were more often completely relieved in SPC (p = .014 to p < .001 in different comparisons). In SPC, a documented decision about the goal being end-of-life care and information about this were more common than in hospitals (p < .001). Also, to have family members present at the time of death and for family members to be offered a follow-up talk afterward was more common in SPC (p < .001).

Conclusion: More systematic palliative care routines may be an important factor for better symptom control and higher quality of end-of-life care in hospitals.

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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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