Application effect of four-in-one palliative care in elderly patients with advanced cancer
Objective To explore the application effect of four-in-one palliative care(physician-nurse-family-volunteer)in eld-erly patients with advanced cancer,with the aim of providing a reference for relevant clinical fields.Methods Taking the implementation time of four-in-one palliative care in the Department of Geriatrics of our hospital(September 2022)as the di-viding line,47 elderly patients with advanced cancer before the implementation(January-August 2022)were included as the control group and received routine nursing;51 elderly patients with advanced cancer after the implementation(September 2022-July 2023)were included as the observation group and received the four-in-one(physician-nurse-family-volunteer)pal-liative care intervention.The needs of the two groups of patients before the intervention and one month after the intervention were compared using the Needs Evaluation Questionnaire(NEQ)in Advanced Cancer,coping methods(Short Coping Style Questionnaire,SCSQ),psychological status(Self-Perceived Burden Scale,SPBS;Distress Management Screening Measure,DMSM;Patient Dignity Inventory,PDI),cancer pain level(Visual Analogue Scale,VAS),and quality of life(European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative Care;EORTC QLQ-C15-PAL),EORTC QLQ-C15-PAL).Results Before intervention,no statistically significant difference was noted in the NEQ scores of information needs,nursing needs,family needs,psychological support,and material needs between the two groups(P>0.05).One month after the intervention,the NEQ scores of information needs,nursing needs,family needs,psychological support,and material needs in both groups were higher than before the intervention,and the observation group was higher than the control group,with statistical significance(P<0.05).Before intervention,there was no statisti-cally significant difference in the SCSQ scores of positive coping and negative coping between the two groups(P>0.05).The SCSQ scores of positive coping in both groups were increased one month after the intervention,and the observation group was higher than the control group,with statistical significance(P<0.05);the SCSQ scores of negative coping in both groups were significantly lower than before the intervention,and the observation group was significantly lower than the control group(P<0.05).Before the intervention,no statistically significant difference was observed in the SPBS,DMSM,and PDI scores between the two groups(P>0.05).One month after the intervention,the SPBS,DMSM,and PDI scores in both groups were significantly lower than before the intervention,and the observation group was significantly lower than the control group(P<0.05).Before the intervention,no statistically significant difference was found in the VAS and EORTC QLQ-C15-PAL scores between the two groups(P>0.05).One month after the intervention,the VAS scores in both groups were significantly lower than before the intervention,and the observation group was significantly lower than the control group(P<0.05);the EORTC QLQ-C15-PAL scores in both groups were significantly higher than before the inter-vention,and the observation group was significantly higher than the control group(P<0.05).Conclusion The four-in-one palliative care involving physician,nurse,family,and volunteer has a good intervention effect in elderly patients with ad-vanced cancer,can better meet the needs of patients,and raise the quality of life of patients,holding promise for a wider clinical application.