Effectiveness of Palliative Care Services in Symptom Control of Patients with Advanced Terminal Cancer A Spanish, Multicenter, Prospective, Quasi-Experimental, Pre-Post Study
Effectiveness of Palliative Care Services in Symptom Control of Patients with Advanced Terminal Cancer A Spanish, Multicenter, Prospective, Quasi-Experimental, Pre-Post Study
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DOI：
10.1016/j.jpainsymman.2010.02.026
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发表时间：
2010-11-01
影响因子：
4.7
通讯作者：
Rodriguez, Jose
中科院分区：
文献类型：
--
作者：
Gomez-Batiste, Xavier;Porta-Sales, Josep;Rodriguez, Jose
背景在西班牙实施姑息治疗国家战略的过程中，需要对服务进行评估，特别是评估其有效性、效率以及患者和家庭的满意度。目的评估姑息治疗服务（PCS）在改善西班牙症状控制方面的有效性。厌食、恶心/呕吐、便秘、失眠、休息时和运动时的呼吸困难、焦虑和抑郁，在转诊至PCS后第0、7和14天使用患者报告的数字评定量表。结果在2004年国家目录中包括的318个PCS中，西班牙17个自治区的105个服务部门能够报告265名合格人员（未接受过治疗的）患者一些中心不参与研究是因为工作量过大或患者未接受治疗-初治患者的中位生存期为42天疼痛程度和突发性疼痛的危象数量显著改善，患者满意度的其他指标也是如此。症状改善与服务类型无关。（在急症病床医院、中期住院设施、医院支援队、家庭护理支援队，及门诊诊所）结论我们的国家计划似乎是成功的，在减少症状，无论类型的组织提供的PCS一个领域的改进可能是减少工作量的个人团队J疼痛症状管理2010，40 652-660（C）2010美国癌症疼痛缓解委员会出版爱思唯尔公司版权所有
Context In implementing the National Strategy of Palliative Care in Spain, there needs to be an evaluation of services, especially of their effectiveness, efficiency, and satisfaction of patients and familiesObjectives To assess the effectiveness of palliative care services (PCS) in improving symptom control in SpainMethods This multicenter, prospective, quasi-experimental, pre-post intervention study evaluated symptoms, such as pain, breakthrough pain, anorexia, nausea/vomiting, constipation, insomnia, dyspnea at rest and with movement, anxiety, and depression, using patient-reported numeric rating scales on Days 0, 7, and 14 after referral to a PCSResults Of the 318 PCSs included in the National Directory for 2004, 105 services in the 17 autonomous regions of Spain were able to report 265 eligible (treatment-naive) patients Nonparticipation by some centers was because of excessive workload or because their patients were not treatment-naive Median survival was 42 days Pain seventy and number of crises of breakthrough pain significantly improved, as did other indicators of patient satisfaction Symptom improvement was independent of type of service (in acute bed hospitals, medium-term stay facilities, hospital support teams, home care support teams, and outpatient clinics)Conclusion Our national plan appears to be successful in reducing symptoms irrespective of the type of organization providing the PCS An area for improvement could be to lessen the workload of individual teams J Pain Symptom Manage 2010,40 652-660 (C) 2010 US Cancer Pain Relief Committee Published by Elsevier Inc All rights reserved