Association Between Aggressive Care and Bereaved Families' Evaluation of End-Of-Life Care for Veterans With Non-Small Cell Lung Cancer Who Died in Veterans Affairs Facilities
Association Between Aggressive Care and Bereaved Families' Evaluation of End-Of-Life Care for Veterans With Non-Small Cell Lung Cancer Who Died in Veterans Affairs Facilities
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DOI：
10.1002/cncr.30700
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发表时间：
2017-08-15
期刊：
影响因子：
6.2
通讯作者：
Mor, Vincent
中科院分区：
文献类型：
--
作者：
Ersek, Mary;Miller, Susan C.;Mor, Vincent
背景技术背景：据作者所知，关于病人和家属对积极的临终关怀的满意度之间的关系，我们知之甚少。在此，作者研究了非小细胞肺癌（NSCLC）患者生命最后30天内积极护理（即化疗、机械通气、急性住院和重症监护病房入院）与家属对临终护理的评价之间的关系。方法：共847例NSCLC患者（其中34%年龄≥ 2岁住院或任何积极护理事件）无统计学显著性。积极护理的发生率与年龄无关，年轻患者和老年患者的家庭护理评分相似。结论：生命最后一个月内的积极护理在NSCLC患者中很常见，并且与家庭对临终护理的评价较低相关。在HPC单元内提供的专业护理可以减轻积极护理对这些结果的负面影响。(C)2017美国癌症协会
BACKGROUND: To the authors' knowledge, little is known regarding the relationship between patients' and families' satisfaction with aggressive end-of-life care. Herein, the authors examined the associations between episodes of aggressive care (ie, chemotherapy, mechanical ventilation, acute hospitalizations, and intensive care unit admissions) within the last 30 days of life and families' evaluations of end-of-life care among patients with non-small cell lung cancer (NSCLC). METHODS: A total of 847 patients with NSCLC (34% of whom were aged = 2 inpatient admissions or any episode of aggressive care were not found to be statistically significant. Rates of aggressive care were not associated with age, and family ratings of care were similar for younger and older patients. CONCLUSIONS: Aggressive care within the last month of life is common among patients with NSCLC and is associated with lower family evaluations of end-of-life care. Specialized care provided within an HPC unit may mitigate the negative effects of aggressive care on these outcomes. (C) 2017 American Cancer Society.