Comparison Between the Assessment of Anxious and Depressive Symptomology by the Patient and the Evaluation of the Patient's Symptoms by Caregivers: a Pilot Study Carried Out in a French Palliative Care Unit.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Comparison of the anxious and depressive symptomatology of hospitalized patients in palliative care unit (USP) evaluated on the one hand by the patient himself and on the other hand, in hetero evaluation, by caregivers.
研究概览
简要总结
In palliative care, anxiety and depression in advanced cancer are under evaluated, under diagnosed and therefore under treated. 5 to 30% of patients present anxious and depressive disorders.
Physical symptoms are easy to assess. But in palliative care it is important to take care of moral suffering.
However, evaluation and management of patient's anxiety and depressive symptoms are difficult for physicians and caregivers.
The investigators would like to specifically compare the patient's evaluation of anxious and depressive symptomatology in palliative care with the evaluation by the physician, the nurse and the caregiver.
Then the investigators will try to collect the caregivers's difficulties in the management of anxious and depressive symptoms.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adult patients (18 years and over)
- •Advanced cancer stage
- •Patients hospitalized less than 72 hours in Lyon Sud palliative care unit
- •Sufficient general conditions to complete survey
- •Absence of cognitive disorders
- •Agreement to participate at the study
- •Medical Staff:
- •Working full time or part time in the USP or the PMSC of CHLS
排除标准
- •Minor patients
- •Patients hospitalized more than 72 hours in Lyon Sud palliative care unit
- •Presence of cognitive disorders
- •Alteration of general conditions
- •Refusal to participate at the study
结局指标
主要结局
Comparison of the anxious and depressive symptomatology of hospitalized patients in palliative care unit (USP) evaluated on the one hand by the patient himself and on the other hand, in hetero evaluation, by caregivers.
时间窗: 72 hours
The Edmonton Symptom Assessment Scale (ESAS) will be used for assess anxiety and depression intensity. The ESAS is a self-reported outcome tool assessing the intensity of nine symptoms (pain, tiredness, nausea, depressive mood, anxiety, drowsiness, lack of appetite, wellbeing, and breathlessness). Intensity is rated using 10-point Likert-scales from "no-symptom" (scored 0) to "worst possible symptom" (scored 10) The difference of evaluation for anxiety and depressive symptoms is considere significant when there are two points and more between ESAS patient's and ESAS caregivers'.
次要结局
未报告次要终点