malignant tumor
Conditions
Interventions
Experimental group:"Tertiary Hospital - Community - Home" hospice care combined care
Control group:Routine care
Sponsors
Peking University Shougang Hospital
Eligibility
Sex/Gender
All
Age
1 Years to 120 Years
Inclusion criteria
Inclusion criteria: (1) For patients with progressive exacerbation of end-stage cancer, the expected survival time is less than 6 months, even if active treatment is taken for the primary disease, the survival time of patients cannot be prolonged according to the medical technical conditions at the time of patient evaluation. (Note: Estimated survival may be less than 6 months. Disease and organ function evaluation in accordance with end-stage patients (see appendix 1) + card function assessment scale (KPS) score 50 points in the following (see appendix 2) + peace moderate daily physical assessment scale (PPS) score below 50% (see appendix 3) + hospice palliative care prognostic index (PPI) (see appendix 4) + palliative prognostic score (P aP) (see Appendix 5). (2) Patients need to manage symptoms of pain and discomfort; (3) Patients with full capacity for civil conduct agree to receive hospice care services; (4) Voluntarily sign the informed consent.
Exclusion criteria
Exclusion criteria: (1) Patients with stable and subacute diseases facing disability that require long-term care rather than cause death; (2) Patients who do not give up taking active diagnosis and treatment measures for the primary disease, and require cardiopulmonary resuscitation and application of life support system when the disease deteriorates; (3) If the patient does not accept hospice care services or if the patient accepts hospice care services but the legal guardian does not agree and there is a difference of opinion between the first-degree relatives of the patient, the patient is not allowed to enter hospice care services.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of Life at the End of Life ,QUAL-EC; | — |
Secondary
| Measure | Time frame |
|---|---|
| MD Anderson Symptom Inventory;Patient Health Questionaire-9 items,PHQ-9;Scored Patient-generated Subjective Global Assessment,PG-SGA;Self-Rating Anxiety Scale,SAS;Self-Rating Depression Scale,SDS;Relative stress scale,RSS;Generalized Anxiety Disorder,GAD-7; | — |
Countries
China
Contacts
Public ContactXiaodong Wang
Peking University Shougang Hospital
Outcome results
None listed