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The Role of Self-Expandable Metallic Stents in the Treatment of Malignant Strictures in all Segments of the Gastrointestinal Tract. 自膨胀金属支架在治疗胃肠道各节段恶性狭窄中的作用。
IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-01 Epub Date: 2023-01-11 DOI: 10.25259/IJPC_106_2021
A K Çağatay, Süleyman Sayar, Ebru Tarıkçı Kılıç, Resul Kahraman, Oğuzhan Öztürk, Kamil Özdil

Objectives: Management of malignant gastrointestinal (GI) obstruction presents a significant challenge. Most patients are in a profoundly decompensated state due to underlying malignancy and are not ideal candidates for invasive surgical procedures. Self-expandable metallic stents (SEMSs) are used to provide permanent or temporary patency in all endoscopically accessible stenosis of the GI tract. In this study, it is aimed to analyse the characteristics and the efficacy of patients with malignant stenosis treated with SEMS, in all segments of the GI tract.

Material and methods: The sample consisted of 60 patients who underwent SEMS replacement, between 10 March 2014 and 16 December 2020, to treat malignant-related strictures in the GI tract at the Gastroenterology Department of the Health Sciences University Umraniye Training and Research Hospital. The data of the patients, hospital data processing database and electronic endoscopic database records were retrospectively scanned and recorded. The general characteristics of the patients and the treatment-related features were analysed.

Results: The mean age of patients who were placed SEMS was 69.7 ± 13.7 years. Uncovered (15%, n: 9), fully covered (13.3%, n: 8), or partially covered (71.6%, n: 43) SEMS were successfully placed in all patients. Clinical success in patients with SEMS was 85.7% in the esophagus, 100% in the small intestine and 90.9% in the stomach and colon. About 11.4% migration, 14.2% pain, 11.4% overgrowth and 5.7% ingrowth were detected in patients who had SEMS placed in the oesophagus. Pain was detected in 9.1% and ingrowth in 18.2% of patients who had SEMS placed in the stomach. Pain was detected in 18.2% of the patients who had SEMS placed in the colon and migration was found in 9.1%.

Conclusion: SEMS implant is a minimally invasive effective method in the palliative treatment of malignant strictures of the GI tract.

目的:恶性胃肠道梗阻的治疗是一项重大挑战。由于潜在的恶性肿瘤,大多数患者处于严重的失代偿状态,不是侵入性手术的理想候选者。自膨胀金属支架(SEMSs)用于在所有内镜下可到达的胃肠道狭窄中提供永久或临时的通畅性。在这项研究中,旨在分析SEMS治疗胃肠道各节段恶性狭窄患者的特点和疗效。材料和方法:样本包括60名患者,他们在2014年3月10日至2020年12月16日期间在乌姆兰尼耶卫生科学大学培训研究医院胃肠科接受了SEMS置换术,以治疗胃肠道恶性相关狭窄。对患者的数据、医院数据处理数据库和电子内窥镜数据库记录进行回顾性扫描和记录。分析了患者的一般特征和治疗相关特征。结果:放置SEMS的患者平均年龄为69.7±13.7岁。所有患者均成功放置了未覆盖(15%,n:9)、完全覆盖(13.3%,n:8)或部分覆盖(71.6%,n:43)的SEMS。SEMS患者的临床成功率在食道为85.7%,在小肠为100%,在胃和结肠为90.9%。在食道放置SEMS的患者中,检测到约11.4%的迁移、14.2%的疼痛、11.4%的过度生长和5.7%的向内生长。在胃中放置SEMS的患者中,9.1%的患者发现疼痛,18.2%的患者出现向内生长。在结肠放置SEMS的患者中,18.2%的患者发现疼痛,9.1%的患者出现迁移。结论:SEMS植入物是姑息治疗胃肠道恶性狭窄的一种微创有效方法。
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引用次数: 1
Development of Mobile Application-Based System for Improving Medication Adherence Among Cancer Patients Receiving Palliative Therapy. 基于移动应用程序的系统开发,用于改善接受姑息治疗的癌症患者的药物依从性。
IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-01 Epub Date: 2023-01-20 DOI: 10.25259/IJPC_12_2021
L Gopichandran, Rakesh Garg, Manjeet Singh Chalga, Poonam Joshi, Manju Dhandapani, Sushma Bhatnagar

Objectives: Cancer patients seeking palliative care faces distressing symptoms which affect their quality of life adversely. Patients' lack of adherence to analgesics is one of the major factors contributing to the undertreatment of cancer pain. The objective of this paper is to outline the development of a mobile application-based system to develop a physician-patient relationship and to improve adherence to medications prescribed for cancer pain management.

Material and methods: The mobile application-based system is developed using alarm and cloud based data sysncronisation for improving medication adherence and self-recording symptoms among cancer patients receiving palliative therapy at a palliative care clinic.

Results: Ten palliative medicine physicians tested the project website and the mobile application thoroughly instead of patients. The physician recoded the prescription and other details on the project website. The data transferred from website to mobile application. The mobile application reminded scheduled medication by alarm, collected medical adherence details, daily symptom observation, and their severity and SOS medication details. The data from the mobile application was transferred back to project website successfully.

Conclusion: The developed system can directly improve the physician-patient relationship, and improve better communication and sharing of information between physician and patient. This will impact the quality of life of the patient, improve the awareness of the patient about the disease, and may reduce rate of hospitalisation. This will also help physicians to treat patients efficiently. The developed system is being tested under a randomised control trial study. The findings of the study can be generalised to all patients suffering from chronic illnesses and on long-term medications.

目的:寻求姑息治疗的癌症患者面临痛苦的症状,这对他们的生活质量产生了不利影响。患者对镇痛药的缺乏是导致癌症疼痛治疗不足的主要因素之一。本文的目的是概述基于移动应用程序的系统的开发,以发展医患关系,并提高对癌症疼痛管理处方药物的依从性。材料和方法:使用警报和基于云的数据系统创建基于移动应用程序的系统,以改善在姑息治疗诊所接受姑息治疗的癌症患者的药物依从性和自我记录症状。结果:10名姑息医学医生代替患者彻底测试了项目网站和移动应用程序。医生在项目网站上记录了处方和其他详细信息。从网站传输到移动应用程序的数据。该移动应用程序通过警报提醒计划用药、收集医疗依从性详细信息、每日症状观察、严重程度和SOS用药详细信息。移动应用程序中的数据已成功传输回项目网站。结论:该系统可以直接改善医患关系,促进医患之间更好的沟通和信息共享。这将影响患者的生活质量,提高患者对疾病的认识,并可能降低住院率。这也将有助于医生有效治疗患者。开发的系统正在一项随机对照试验研究中进行测试。这项研究的结果可以推广到所有患有慢性病和长期服用药物的患者。
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引用次数: 0
Scrotal Centesis: Due to Anasarca in an End-stage Pancreatic Cancer Patient. Scrotal Centesis:一例癌症晚期胰腺癌患者由于Anasarca。
IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-01 Epub Date: 2022-09-21 DOI: 10.25259/IJPC_119_2022
Rakesh L John
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引用次数: 0
Physicians' Knowledge, Attitude and Practice toward Ethical and Medical Issues of Palliative Care in Suez Canal University Hospital. 苏伊士运河大学医院医师对姑息治疗伦理与医学问题的认识、态度与实践
IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-01 Epub Date: 2022-09-21 DOI: 10.25259/IJPC_65_2021
Mona M Awny, Shimaa A Al-Touny, Samar E M Gaafar

Objectives: Palliative care (PC) includes a varied range of medical and ethical aspects that should be considered. The role of physicians in PC is crucial so this work explores physicians' knowledge, attitude and practice toward PC in Suez Canal University hospital in Egypt.

Material and methods: A questionnaire survey investigating physician's knowledge, attitude and practice in PC in 30 questions besides their personal and professional data.

Results: Nearly 31% of participants received education in PC. Only 5.5% realised that PC should be introduced to patients at all health-care levels. Most participants (70.9%) were not aware about the WHO three-step analgesic ladder. About 57.7% and 43.6% of participants preferred informing terminal patients about their diagnosis and prognosis, respectively. More than half of participants (58.6%) agreed that the medical intervention decision is the patient's right and 63.2% agreed that do not resuscitate choice is the patient or his family right if he is incompetent. Participants who do not have advance care plans discussions with their terminal patients represented 53.6%.

Conclusion: This study indicated lack of knowledge and insufficient professionalism during management of terminal patients regarding some medical and ethical issues of PC. Formal education and training are urgently needed to improve the holistic vision and practice of PC in Egypt.

目的:姑息治疗(PC)包括应考虑的各种医学和伦理方面。医生在PC中的作用是至关重要的,因此本研究探讨了埃及苏伊士运河大学医院医生对PC的知识、态度和实践。材料与方法:采用问卷调查法,除个人资料和专业资料外,对医师在PC方面的知识、态度和行为进行30个问题的调查。结果:近31%的参与者接受过PC教育。只有5.5%的人意识到应该在各级卫生保健机构向患者介绍个人电脑。大多数参与者(70.9%)不知道WHO的三步镇痛阶梯。分别有57.7%和43.6%的参与者倾向于告知晚期患者他们的诊断和预后。超过一半(58.6%)的参与者同意医疗干预决定是患者的权利,63.2%的参与者同意如果患者没有能力,不进行复苏选择是患者或其家属的权利。没有与临终病人讨论预先护理计划的参与者占53.6%。结论:本研究反映了临终病人管理中对临终病人的一些医学和伦理问题缺乏知识和专业精神。埃及迫切需要正规的教育和培训,以提高个人电脑的整体视野和实践。
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引用次数: 0
Bibliometric Analysis of Indian Journal of Palliative Care from 1995 to 2022 using the VOSviewer and Bibliometrix Software. 使用VOSviewer和Bibliometrix软件对1995 - 2022年《印度姑息治疗杂志》进行文献计量学分析。
IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-01 Epub Date: 2022-08-24 DOI: 10.25259/IJPC_30_2022
Rajashree Srivastava, Shikha Srivastava

Introduction: The Indian Journal of Palliative Care (IJPC) is an open-source, interdisciplinary and peer-reviewed journal started in 1994 that publishes high-quality articles in the field of palliative care in India. The purpose of this study is to analyse the bibliometric data of its publications using bibliometric analysis to understand the key bibliometric factors affecting the journal and its contribution to the field of palliative care research.

Material and methods: A software-assisted bibliometric analysis of the IJPC was conducted. The dimensions database was used to mine the bibliometric data of the journal from 1995 to 2022. A total of 1046 records were analysed using the VOSviewer and Biblioshiny by Bibliometrix software.

Results: The analysis represented a vivid and graphically elaborate picture of the journal. It gives insight into the most productive and influential authors, countries, affiliations, sources and documents along with a picture of the network among them.

Conclusion: This study highlights a gradual upward trend in the annual production of the journal. A strong connection of the IJPC could be seen with leading journals publishing in the field of palliative care globally.

简介:《印度姑息治疗杂志》(Indian Journal of Palliative Care, IJPC)是一份开源、跨学科和同行评议的期刊,创办于1994年,在印度姑息治疗领域发表高质量的文章。本研究的目的是利用文献计量学分析方法分析其出版物的文献计量学数据,以了解影响该期刊的关键文献计量学因素及其对姑息治疗研究领域的贡献。材料和方法:对IJPC进行了软件辅助文献计量学分析。利用维数数据库对该期刊1995 - 2022年的文献计量数据进行挖掘。利用VOSviewer和Biblioshiny软件对1046条记录进行分析。结果:分析呈现了一幅生动的、图形化的、详细的期刊图片。它提供了对最具生产力和影响力的作者、国家、隶属关系、来源和文件的深入了解,以及其中网络的图片。结论:本研究表明,该期刊的年产量呈逐渐上升的趋势。IJPC与全球姑息治疗领域的领先期刊出版有着密切的联系。
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引用次数: 2
Improving Access and Health Outcomes in Palliative Care through Cultural Competence: An exploration of opportunities and challenges in India. 通过文化能力改善姑息治疗的可及性和健康结果:探索印度的机遇和挑战。
IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-01 Epub Date: 2022-08-25 DOI: 10.25259/IJPC_21_21
Komal Kashyap, Joris Gielen

People who belong to ethnic, racial and cultural minorities often have less access to healthcare and have poorer health outcomes when compared to the majority population. In the COVID pandemic, too, health disparities have been observed. Similar disparities have been noted in patients with advanced disease and suffering from pain, with minority patients having less access to or making less use of palliative care. In the US, a range of solutions has been proposed to address the issue of inequality in access to healthcare, with cultural competence figuring prominently among them. This study explores whether and how cultural competence may be applied to palliative care in India to improve access and health outcomes. In the literature, it is argued that, in diverse societies, cultural competence is an essential part of the solution towards equitable healthcare systems. Solutions to problems of healthcare disparities must go beyond an increase in financial resources as more financial resources will not necessarily make the healthcare system more equitable. A culturally competent system recognises and integrates at all levels the culture as a significant component of care, which is particularly relevant at the end of life. If efficiently implemented, cultural competence will lead to higher patient satisfaction, better follow-up and patient compliance and an improved reputation of palliative care among minorities. This may help to reduce inequalities in access and health outcomes in palliative care.

与多数人口相比,在族裔、种族和文化上属于少数群体的人获得医疗保健的机会往往较少,健康结果也较差。在COVID大流行中,也观察到健康差异。在患有晚期疾病和疼痛的患者中也注意到类似的差异,少数民族患者获得或使用姑息治疗的机会较少。在美国,已经提出了一系列解决方案来解决获得医疗保健的不平等问题,文化能力是其中的重要组成部分。本研究探讨了文化能力是否以及如何应用于印度的姑息治疗,以改善可及性和健康结果。在文献中,有人认为,在不同的社会中,文化能力是解决公平医疗保健系统的重要组成部分。解决医疗保健不平等问题必须超越财政资源的增加,因为更多的财政资源并不一定会使医疗保健系统更加公平。一个具有文化能力的系统承认并在各个层面整合文化,将其作为护理的重要组成部分,这在生命结束时尤为重要。如果有效地实施,文化能力将导致更高的患者满意度,更好的随访和患者依从性,并改善少数民族的姑息治疗声誉。这可能有助于减少姑息治疗的可及性和健康结果方面的不平等。
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引用次数: 0
Perceptions of Healthcare Workers Regarding Palliative Care Services in a Tertiary Care Teaching Hospital in North India - A Mixed Methods Observational Study. 在北印度三级护理教学医院医护人员对姑息治疗服务的看法-一项混合方法观察研究。
IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-01 Epub Date: 2022-08-10 DOI: 10.25259/IJPC_21_2021
Ermeen K Wani, Dinesh Kumar, Bhavna Sahni, Shalli Bavoria, Kiran Bala

Objectives: Cancers and various terminal illnesses need integrated palliative care with curative management, but, unfortunately, our health care system mainly focuses on the treatment of disease. Lack of awareness, difficulty in pain management and untrained staff are some of the challenges in palliative care services.The study was done to explore the perception of healthcare workers regarding availability, utilisation and challenges in the delivery of palliative care services.

Material and methods: A mixed method study was conducted at tertiary care teaching hospital in North India. Qualitative approach using interviews and focus group discussions (FGDs) among healthcare workers was done to understand their knowledge, perception, barriers and challenges in implementing palliative care services. One hundred and thirteen healthcare workers were interviewed using a semi-structured questionnaire and FGD was conducted to gain more insight into the issues of palliative care. The data obtained was analysed with the help of computer software Microsoft Excel and SPSS version 23 for windows. The data was presented as proportion and mean (S.D.) as deemed appropriate for qualitative and quantitative variables respectively. Thematic analysis was done with the data of FGD.

Results: The knowledge, attitude and practices regarding palliative care were poor across the HCW. During FGD with faculty and residents, the participants showed great concern about the absence of palliative care across many specialties while expressing an acute need for the establishment of a separate interdisciplinary unit on palliative care to improve the quality of life in patients.

Conclusion: The study shows that there are gaps that need to be addressed to make palliative services available in our hospital.

目的:癌症和各种晚期疾病需要综合姑息治疗与治疗管理,但不幸的是,我们的卫生保健系统主要侧重于疾病的治疗。缺乏认识,疼痛管理困难和未经培训的工作人员是姑息治疗服务中的一些挑战。该研究的目的是探讨卫生保健工作者对提供姑息治疗服务的可得性、利用率和挑战的看法。材料和方法:在印度北部三级保健教学医院进行了一项混合方法研究。通过访谈和焦点小组讨论(fgd)对卫生保健工作者进行定性分析,了解他们在实施姑息治疗服务方面的知识、观念、障碍和挑战。使用半结构化问卷对113名医护人员进行了访谈,并进行了FGD,以更深入地了解姑息治疗的问题。利用Microsoft Excel和SPSS version 23 for windows软件对所得数据进行分析。数据分别以适当的比例和平均值(sd)表示,用于定性和定量变量。对FGD数据进行了专题分析。结果:我院患者对姑息治疗的知识、态度和行为较差。在与教师和住院医生的FGD中,参与者对许多专业缺乏姑息治疗表示了极大的关注,同时表示迫切需要建立一个单独的跨学科姑息治疗单位,以改善患者的生活质量。结论:本研究表明,在我们医院提供姑息治疗服务还存在一些空白需要解决。
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引用次数: 0
Experiences of Adolescents with Cancer Attending a Tertiary Care Cancer Centre: A Thematic Analysis. 青少年癌症患者在三级癌症护理中心的经历:专题分析。
IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-01 Epub Date: 2022-08-10 DOI: 10.25259/IJPC_24_2022
Naveen Salins, Mary Ann Muckaden, Arunangshu Ghoshal, Sunita Jadhav

Objectives: Adolescents with cancer experience several psychosocial concerns. Cancer among adolescents contributes to one-fifth of cancers in India. Most of the published empirical literature on adolescents' views about their cancer experience is from high-income countries.The objectives of the study were to explore the experiences of adolescents with cancer in India.

Materials and methods: Twenty-eight adolescents were purposively recruited and participated in prospectively conducted qualitative interviews conducted at the Tata Memorial Hospital, Mumbai, between 2013 and 2015. Interview data were transcribed and analysed using Braun and Clarke's reflexive thematic analysis.

Results: Two themes and several subthemes were generated during the analysis. The transition to the new reality of illness was traumatic. It embodied fear about the unknown, disease and symptoms. The experience was isolating and disfigurement further led to peer separation. Inadequate information made the adolescents anxious and worried, and children and parents experienced moments of severe distress. The love and support received from parents, siblings and extended family facilitated positive coping. Peer support was reassuring and enabled them to have a normalising experience. Discovering their inner strength, acceptance of the situation and faith in God made them resilient and hopeful.

Conclusion: Adolescents with cancer experience significant emotional concerns, which are often unexplored and unaddressed. An adolescent-specific communication framework and psychosocial programme contextual to the Indian setting may be developed based on the study findings.

目的:患有癌症的青少年会经历一些社会心理问题。印度五分之一的癌症是由青少年患的。大多数已发表的关于青少年对其癌症经历看法的实证文献来自高收入国家。这项研究的目的是探讨印度青少年患癌症的经历。材料和方法:2013年至2015年期间,在孟买塔塔纪念医院有意招募28名青少年并参与前瞻性定性访谈。使用Braun和Clarke的反身性主题分析对访谈数据进行转录和分析。结果:在分析过程中产生了两个主题和几个子主题。向疾病的新现实的转变是痛苦的。它体现了对未知、疾病和症状的恐惧。这种经历是孤立的,毁容进一步导致同伴分离。信息不足使青少年感到焦虑和担心,孩子和父母经历了严重的痛苦。从父母、兄弟姐妹和大家庭得到的爱和支持促进了积极的应对。同伴的支持让他们安心,让他们有了正常的经历。发现他们内心的力量,接受现状和对上帝的信仰使他们充满活力和希望。结论:患有癌症的青少年经历了重大的情感问题,这些问题往往未被探索和解决。可以根据研究结果制定适合印度环境的青少年特定沟通框架和社会心理方案。
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引用次数: 0
Development of a model of Home-based Cancer Palliative Care Services in Mumbai - Analysis of Real-world Research Data over 5 Years. 孟买以家庭为基础的癌症姑息治疗服务模式的发展——对过去5年真实世界研究数据的分析。
IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-01 Epub Date: 2021-10-28 DOI: 10.25259/IJPC_28_2021
Sunil Rameshchandra Dhiliwal, Arunangshu Ghoshal, Manjiri Pushpak Dighe, Anuja Damani, Jayita Deodhar, Shalaka Chandorkar, Mary Ann Muckaden

Objectives: Patients needing palliative care prefer to be cared for in the comfort of their homes. Although private home health-care services are entering the health-care ecosystem in India, for the majority it is still institution-based. Here, we describe a model of home-based palliative care developed by the Tata Memorial Hospital, a government tertiary care cancer hospital.

Materials and methods: Data on patient demographics, services provided and outcomes were collected prospectively for patients for the year November 2013 - October 2019. In the 1st year, local general physicians were trained in palliative care principles, bereavement services and out of hours telephone support were provided. In the 2nd year, data from 1st year were analysed and discussed among the study investigators to introduce changes. In the 3rd year, the updated patient assessment forms were implemented in practice. In the 4th year, the symptom management protocol was implemented. In the 5th and 6th year, updated process of patient assessment data and symptom management protocol was implemented as a complete model of care.

Results: During the 6 years, 250 patients were recruited, all suffering from advanced cancer. Home care led to good symptom control, improvement of quality of life for patients and increased satisfaction of caregivers during the care process and into bereavement.

Conclusion: A home-based model of care spared patients from unnecessary hospital visits and was successful in providing client centred care. A multidisciplinary team composition allowed for holistic care and can serve as a model for building palliative care capacity in low- and middle-income countries.

目的:需要姑息治疗的患者更愿意在舒适的家中接受治疗。尽管私人家庭保健服务正在进入印度的保健生态系统,但大多数仍然以机构为基础。在这里,我们描述了一个由塔塔纪念医院开发的以家庭为基础的姑息治疗模式,这是一家政府三级护理癌症医院。材料和方法:前瞻性地收集2013年11月至2019年10月患者的人口统计数据、提供的服务和结果。第一年,对当地全科医生进行了姑息治疗原则、丧亲服务和非工作时间电话支持方面的培训。在第二年,研究人员对第一年的数据进行分析和讨论,以引入变化。第三年,更新后的患者评估表格在实践中实施。第4年实施症状管理方案。在第5年和第6年,更新了患者评估数据和症状管理方案,作为一个完整的护理模式。结果:在6年的时间里,招募了250例患者,均为晚期癌症患者。居家照护能很好地控制症状,改善患者的生活品质,并提高照护者在照护过程及丧亲过程中的满意度。结论:以家庭为基础的护理模式使患者免于不必要的医院就诊,并成功地提供了以客户为中心的护理。多学科团队组成可实现全面护理,并可作为中低收入国家建设姑息治疗能力的典范。
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引用次数: 2
Status of Palliative Care Services in Tamil Nadu - A Descriptive Report. 泰米尔纳德邦姑息治疗服务现状-一份描述性报告。
IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2022-10-01 Epub Date: 2022-07-25 DOI: 10.25259/IJPC_130_2021
Sathish Kumar Deenadayalan, Surendran Veeraiah, Vidhubala Elangovan, K Sathyamurthi

Objectives: Advanced cancer patients attending tertiary cancer centres from rural places are referred back to local physicians for symptom management. Due to lack of networking with palliative care centres (PCCs), the referred patients do not receive appropriate palliative care (PC) services. Hence, an attempt was made to map the PCCs in Tamil Nadu to make the referral system efficient.

Material and methods: PCCs in Tamil Nadu were identified from the National Health Mission directory, online sources and from morphine license annexure of drug control department. The details regarding nature of facility, PC model, service type, procedures, cost, morphine availability and type of personnel involved in their PCCs were collected from government and private centres. The data were analysed using descriptive statistics and geomapping of all the centres identified was created.

Results: A total of 371 PCCs were identified, of which 32 were government headquarter hospitals (GHQH), 281 were government community centres and 58 were private. Eighty-three of the 90 centres (including GHQH and private) were active and 60 responded to the survey. More than half of the centres were hospital-based (61.7%) and 28.3% were community-based. The majority of the PCCs had in-patient (75%) and out-patient (63.3%) facilities and 63.3% had regular home visits. Forty-six centres provide PC service free of cost. Nearly 80% provide morphine for pain management, wherein 41 have obtained a license. In total, ten centres had a social worker and four had a psychologist.

Conclusion: The number of PCCs is disproportionate, in which majority of the centres are clustered in urban areas. Integrating PC services into the existing health system is the way forward.

目的:农村三级癌症中心的晚期癌症患者被转回给当地医生进行症状管理。由于缺乏与姑息治疗中心(PCCs)的联系,转诊患者没有得到适当的姑息治疗(PC)服务。因此,试图在泰米尔纳德邦绘制PCCs地图,以使转诊系统高效。材料和方法:从国家卫生使命目录、网上资料和药品管制部门吗啡许可证附件中鉴定泰米尔纳德邦的PCCs。有关设施性质、个人护理模式、服务类型、程序、费用、吗啡供应情况和参与个人护理中心的人员类型的详细资料,均从政府和私营中心收集。使用描述性统计对数据进行了分析,并绘制了所有确定的中心的地图。结果:共鉴定出371家公立医院,其中政府总部医院32家,政府社区中心281家,民营医院58家。90个中心中有83个(包括GHQH和私人中心)是活跃的,60个对调查做出了回应。一半以上的中心以医院为基础(61.7%),28.3%以社区为基础。大多数私家医院有住院(75%)和门诊(63.3%)设施,63.3%有定期家访。46个中心免费提供个人电脑服务。近80%的公司提供吗啡治疗疼痛,其中41家公司获得了执照。总共有10个中心有社会工作者,4个中心有心理学家。结论:PCCs的数量不成比例,其中大多数中心聚集在城市地区。将个人电脑服务整合到现有的卫生系统中是前进的方向。
{"title":"Status of Palliative Care Services in Tamil Nadu - A Descriptive Report.","authors":"Sathish Kumar Deenadayalan,&nbsp;Surendran Veeraiah,&nbsp;Vidhubala Elangovan,&nbsp;K Sathyamurthi","doi":"10.25259/IJPC_130_2021","DOIUrl":"https://doi.org/10.25259/IJPC_130_2021","url":null,"abstract":"<p><strong>Objectives: </strong>Advanced cancer patients attending tertiary cancer centres from rural places are referred back to local physicians for symptom management. Due to lack of networking with palliative care centres (PCCs), the referred patients do not receive appropriate palliative care (PC) services. Hence, an attempt was made to map the PCCs in Tamil Nadu to make the referral system efficient.</p><p><strong>Material and methods: </strong>PCCs in Tamil Nadu were identified from the National Health Mission directory, online sources and from morphine license annexure of drug control department. The details regarding nature of facility, PC model, service type, procedures, cost, morphine availability and type of personnel involved in their PCCs were collected from government and private centres. The data were analysed using descriptive statistics and geomapping of all the centres identified was created.</p><p><strong>Results: </strong>A total of 371 PCCs were identified, of which 32 were government headquarter hospitals (GHQH), 281 were government community centres and 58 were private. Eighty-three of the 90 centres (including GHQH and private) were active and 60 responded to the survey. More than half of the centres were hospital-based (61.7%) and 28.3% were community-based. The majority of the PCCs had in-patient (75%) and out-patient (63.3%) facilities and 63.3% had regular home visits. Forty-six centres provide PC service free of cost. Nearly 80% provide morphine for pain management, wherein 41 have obtained a license. In total, ten centres had a social worker and four had a psychologist.</p><p><strong>Conclusion: </strong>The number of PCCs is disproportionate, in which majority of the centres are clustered in urban areas. Integrating PC services into the existing health system is the way forward.</p>","PeriodicalId":13319,"journal":{"name":"Indian Journal of Palliative Care","volume":"28 4","pages":"413-418"},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/fb/IJPC-28-413.PMC9699911.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40710247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Indian Journal of Palliative Care
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