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dc.contributor.authorThronæs, Morten
dc.contributor.authorLøhre, Erik T
dc.contributor.authorKvikstad, Anne
dc.contributor.authorBrenne, Elisabeth
dc.contributor.authorNorvaag, Robin
dc.contributor.authorAalberg, Kathrine Otelie
dc.contributor.authorMoen, Martine Kjølberg
dc.contributor.authorJakobsen, Gunnhild
dc.contributor.authorKlepstad, Pål
dc.contributor.authorSolberg, Arne
dc.contributor.authorSolheim, Tora S
dc.date.accessioned2021-09-16T06:25:31Z
dc.date.available2021-09-16T06:25:31Z
dc.date.created2021-05-15T14:11:45Z
dc.date.issued2021
dc.identifier.issn0941-4355
dc.identifier.urihttps://hdl.handle.net/11250/2778431
dc.description.abstractPurpose To study the use of interventions and symptom relief for adult patients with incurable cancer admitted to an acute palliative care unit providing integrated oncology and palliative care services. Methods All admissions during 1 year were assessed. The use of interventions was evaluated for all hospitalizations. Patients with assessments for worst and average pain intensity, tiredness, drowsiness, nausea, appetite, dyspnea, depression, anxiety, well-being, constipation, and sleep were evaluated for symptom development during hospitalization. Descriptive statistics was applied for the use of interventions and the paired sample t-test to compare symptom intensities (SIs). Results For 451 admissions, mean hospital length of stay was 7.0 days and mean patient age 69 years. More than one-third received systemic cancer therapy. Diagnostic imaging was performed in 66% of the hospitalizations, intravenous rehydration in 45%, 37% received antibiotics, and 39% were attended by the multidisciplinary team. At admission and at discharge, respectively, 55% and 44% received oral opioids and 27% and 45% subcutaneous opioids. For the majority, opioid dose was adjusted during hospitalization. Symptom registrations were available for 180 patients. Tiredness yielded the highest mean SI score (5.6, NRS 0–10) at admission and nausea the lowest (2.2). Signifcant reductions during hospitalization were reported for all assessed SIs (p≤0.01). Patients receiving systemic cancer therapy reported symptom relief similar to those not on systemic cancer therapy. Conclusion Clinical practice and symptom relief during hospitalization were described. Symptom improvements were similar for oncological and palliative care patients.en_US
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleInterventions and symptom relief in hospital palliative cancer care: results from a prospective longitudinal studyen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.source.journalSupportive Care in Canceren_US
dc.identifier.doihttps://doi.org/10.1007/s00520-021-06248-z
dc.identifier.cristin1910165
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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