Abstract
Purpose: To characterizetheeffectofpalliativecareprovidedconcurrentlywithusualurologiccareforpatientswithbladdercancer
undergoing cystectomy.
Materials andmethods: Prospective, 6-month,serialcohortstudycomparing33participantsreceivingusualcarewithcystectomyfor
muscle-invasive bladdercancer,with30participantsalsoreceivingconcurrentpalliativecare.Patientsandfamilycaregiverscompleted
validated symptomassessmentandsatisfactionsurveyspreoperativelyandat2,4,and6monthspostoperatively.
Results: Theinterventiongroupsawimprovementsinmostsymptommeasures overthe6monthsfollowingcystectomycomparedwiththe
controlgroup.Depressionandanxietydecreasedoverthe6-monthperiodfortheinterventiongrouppatientsbutincreasedoverthistimeamong
thecontrols(P ¼ 0.01).Fatiguedecreasedtoaminimumfortheinterventiongroupparticipantsat4months,whereasitpeakedatthistimefor
controlparticipants(0.002).Quality-of-lifeandposttraumaticgrowthscores followedasimilarpattern,withscorespeakingat4monthsforthe
interventiongroupwhereascontrolsreportedtheirlowestscoresatthistime(P ¼ 0.01 and P ¼ 0.03, respectively).Changesinpainscoresdid
not reachstatisticalsignificance. Neitherfamilycaregiverburdennorpatientsatisfactionshowedstatisticallysignificant changesovertime.
Conclusions: Patients whoreceivedconcurrentpalliativecareinadditiontousualurologiccarefollowingradicalcystectomyformuscle-
invasive bladdercancerhadbetteroutcomes,includingimprovedfatigue,depression,qualityoflife,andposttraumaticgrowth.Although
further researchonthistopicisneeded,ourresultssuggestthatprovidingpalliativecareservicesinadditiontousualurologiccarefor
patients withbladdercancermaysignificantly reducepostoperativesymptoms. r 2015 ElsevierInc.Allrightsreserved
บทคัดย่อวัตถุประสงค์: เพื่อ characterizetheeffectofpalliativecareprovidedconcurrentlywithusualurologiccareforpatientswithbladdercancerระหว่าง cystectomyAndmethods วัสดุ: อนาคต 6 เดือน serialcohortstudycomparing33participantsreceivingusualcarewithcystectomyforรุกรานของกล้ามเนื้อ bladdercancer, with30participantsalsoreceivingconcurrentpalliativecare Patientsandfamilycaregiverscompletedตรวจสอบ 4, and6monthspostoperatively, symptomassessmentandsatisfactionsurveyspreoperativelyandat2ผลลัพธ์: Theinterventiongroupsawimprovementsinmostsymptommeasures overthe6monthsfollowingcystectomycomparedwiththecontrolgroup Depressionandanxietydecreasedoverthe6-monthperiodfortheinterventiongrouppatientsbutincreasedoverthistimeamongthecontrols(P ¼ 0.01) Fatiguedecreasedtoaminimumfortheinterventiongroupparticipantsat4months, whereasitpeakedatthistimeforcontrolparticipants(0.002) คุณภาพของ lifeandposttraumaticgrowthscores followedasimilarpattern, withscorespeakingat4monthsfortheinterventiongroupwhereascontrolsreportedtheirlowestscoresatthistime (P ¼ 0.01 และ P ¼ 0.03 ตามลำดับ) Changesinpainscoresdidไม่ reachstatisticalsignificance Neitherfamilycaregiverburdennorpatientsatisfactionshowedstatisticallysignificant changesovertimeสรุป: ผู้ป่วย whoreceivedconcurrentpalliativecareinadditiontousualurologiccarefollowingradicalcystectomyformuscle-รุกราน bladdercancerhadbetteroutcomes, includingimprovedfatigue ซึมเศร้า qualityoflife, andposttraumaticgrowth ถึงแม้ว่าเพิ่มเติม researchonthistopicisneeded, ourresultssuggestthatprovidingpalliativecareservicesinadditiontousualurologiccareforผู้ป่วย withbladdercancermaysignificantly reducepostoperativesymptoms r 2015 ElsevierInc.Allrightsreserved
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บทคัดย่อ
วัตถุประสงค์: เพื่อ characterizetheeffectofpalliativecareprovidedconcurrentlywithusualurologiccareforpatientswithbladdercancer
ระหว่าง cystectomy.
วัสดุ andmethods: อนาคต, 6 เดือน serialcohortstudycomparing33participantsreceivingusualcarewithcystectomyfor
มะเร็งกระเพาะปัสสาวะกล้ามเนื้อรุกราน with30participantsalsoreceivingconcurrentpalliativecare.Patientsandfamilycaregiverscompleted
ตรวจสอบ symptomassessmentandsatisfactionsurveyspreoperativelyandat2,4, and6monthspostoperatively.
ผล: Theinterventiongroupsawimprovementsinmostsymptommeasures overthe6monthsfollowingcystectomycomparedwiththe
controlgroup.Depressionandanxietydecreasedoverthe6-monthperiodfortheinterventiongrouppatientsbutincreasedoverthistimeamong
thecontrols (P ¼ 0.01) .Fatiguedecreasedtoaminimumfortheinterventiongroupparticipantsat4months , whereasitpeakedatthistimefor
controlparticipants (0.002) .Quality ของ lifeandposttraumaticgrowthscores followedasimilarpattern, withscorespeakingat4monthsforthe
interventiongroupwhereascontrolsreportedtheirlowestscoresatthistime (P ¼ 0.01 และ P ¼ 0.03 ตามลำดับ) .Changesinpainscoresdid
ไม่ reachstatisticalsignificance changesovertime Neitherfamilycaregiverburdennorpatientsatisfactionshowedstatisticallysignificant.
สรุปผู้ป่วย whoreceivedconcurrentpalliativecareinadditiontousualurologiccarefollowingradicalcystectomyformuscle-
bladdercancerhadbetteroutcomes รุกราน includingimprovedfatigue, ซึมเศร้า, qualityoflife, andposttraumaticgrowth.Although
researchonthistopicisneeded เพิ่มเติม ourresultssuggestthatprovidingpalliativecareservicesinadditiontousualurologiccarefor
ผู้ป่วย withbladdercancermaysignificantly reducepostoperativesymptoms R 2015 ElsevierInc.Allrightsreserved
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บทคัดย่อวัตถุประสงค์ : เพื่อ characterizetheeffectofpalliativecareprovidedconcurrentlywithusualurologiccareforpatientswithbladdercancerการทำสิ่งต่างๆ ได้มากขึ้น .วัสดุและวิธีการ : 6 เดือนในอนาคต serialcohortstudycomparing33participantsreceivingusualcarewithcystectomyfor ,กล้ามเนื้อที่ bladdercancer with30participantsalsoreceivingconcurrentpalliativecare.patientsandfamilycaregiverscompleted ,ตรวจสอบ symptomassessmentandsatisfactionsurveyspreoperativelyandat2,4 and6monthspostoperatively , .ผลลัพธ์ : theinterventiongroupsawimprovementsinmostsymptommeasures overthe6monthsfollowingcystectomycomparedwiththecontrolgroup.depressionandanxietydecreasedoverthe6-monthperiodfortheinterventiongrouppatientsbutincreasedoverthistimeamongthecontrols ( P ¼ 0.01 ) fatiguedecreasedtoaminimumfortheinterventiongroupparticipantsat4months whereasitpeakedatthistimefor ,controlparticipants ( 0.002 ) คุณภาพของ lifeandposttraumaticgrowthscores followedasimilarpattern withscorespeakingat4monthsforthe ,interventiongroupwhereascontrolsreportedtheirlowestscoresatthistime ( P ¼ 0.01 และ p ¼ 0.03 ตามลำดับ ) changesinpainscoresdidไม่ reachstatisticalsignificance . neitherfamilycaregiverburdennorpatientsatisfactionshowedstatisticallysignificant changesovertime .สรุป : ผู้ป่วย whoreceivedconcurrentpalliativecareinadditiontousualurologiccarefollowingradicalcystectomyformuscle -bladdercancerhadbetteroutcomes includingimprovedfatigue รุกราน , depression , คุณภาพข ชีวิต andposttraumaticgrowth.although ,เพิ่มเติม researchonthistopicisneeded ourresultssuggestthatprovidingpalliativecareservicesinadditiontousualurologiccarefor ,ผู้ป่วย withbladdercancermaysignificantly reducepostoperativesymptoms . allrightsreserved r 2015 elsevierinc .
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