Hospice Care's Influence on Pain, Sleep, Anxiety, and Depression: A Focus on Elderly Survivors of Cancer Chemotherapy.
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| Title: | Hospice Care's Influence on Pain, Sleep, Anxiety, and Depression: A Focus on Elderly Survivors of Cancer Chemotherapy. |
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| Authors: | Cao, Wenjing1, Wang, Hongxia2 wanghongxiago@163.com |
| Source: | Actas Espanolas de Psiquiatria. 2026, Vol. 54 Issue 1, p53-65. 13p. |
| Subjects: | HOSPICE care, CANCER survivors, ANXIETY, MENTAL depression, SLEEP disorders, PAIN management, QUALITY of life, CHEMOTHERAPY complications |
| Abstract: | Background: With population ageing, the number of elderly cancer chemotherapy survivors has been increasing. In addition, the elderly often face problems, such as pain, sleep disorders, anxiety and depression, which seriously affect their quality of life. We explored the effects of hospice care on pain, sleep quality, anxiety, depression, quality of life, chemotherapy-related adverse reactions and readmission rate in elderly cancer survivors after chemotherapy to supply evidence for the clinical promotion of this nursing model. Methods: A total of 240 elderly cancer survivors who completed at least 4 cycles of chemotherapy (January 2022--June 2024) and had a 3-month follow-up were retrospectively enrolled. They were divided into the observation (hospice care + routine nursing, n = 124) and control (routine nursing, n = 116) groups. After 1:1 propensity score matching, 98 cases per group were analysed. Core (Visual Analogue Scale (VAS), Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Short Form-36 Health Survey (SF-36)) and extended indicators (chemotherapyrelated adverse reactions, 3-month readmission rate and nursing satisfaction) were compared pre- and postintervention. Results: Pre-intervention, no significant differences were found between groups (p > 0.05). Post-intervention, the observation group had significantly lower VAS (2.08 ± 0.85), PSQI (5.25 ± 1.32), SAS (38.15 ± 4.15) and SDS (38.86 ± 4.40) scores than the control group (4.68 ± 1.33, 8.92 ± 1.65, 49.32 ± 5.40 and 50.65 ± 5.80, respectively ; all p < 0.05). The observation group showed significant improvements in all eight dimensions of SF-36 (p < 0.05), with a larger improvement range than the control group. In addition, the observation group had lower incidence of chemotherapy-related adverse reactions (nausea and vomiting: 8.16%, fatigue: 16.33%), lower readmission rate (7.14%) and higher nursing satisfaction (95.92%) than the control group (24.49%, 31.63%, 19.39% and 82.65%, respectively; all p < 0.05). Conclusions: Hospice care can effectively alleviate pain, sleep disorders, anxiety and depression in elderly cancer chemotherapy survivors, improve their quality of life, reduce adverse reactions and readmission rate and enhance nursing satisfaction and is thus worthy of clinical promotion. [ABSTRACT FROM AUTHOR] |
| Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 192138256 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Hospice Care's Influence on Pain, Sleep, Anxiety, and Depression: A Focus on Elderly Survivors of Cancer Chemotherapy. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Cao%2C+Wenjing%22">Cao, Wenjing</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Wang%2C+Hongxia%22">Wang, Hongxia</searchLink><relatesTo>2</relatesTo><i> wanghongxiago@163.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Actas+Espanolas+de+Psiquiatria%22">Actas Espanolas de Psiquiatria</searchLink>. 2026, Vol. 54 Issue 1, p53-65. 13p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22HOSPICE+care%22">HOSPICE care</searchLink><br /><searchLink fieldCode="DE" term="%22CANCER+survivors%22">CANCER survivors</searchLink><br /><searchLink fieldCode="DE" term="%22ANXIETY%22">ANXIETY</searchLink><br /><searchLink fieldCode="DE" term="%22MENTAL+depression%22">MENTAL depression</searchLink><br /><searchLink fieldCode="DE" term="%22SLEEP+disorders%22">SLEEP disorders</searchLink><br /><searchLink fieldCode="DE" term="%22PAIN+management%22">PAIN management</searchLink><br /><searchLink fieldCode="DE" term="%22QUALITY+of+life%22">QUALITY of life</searchLink><br /><searchLink fieldCode="DE" term="%22CHEMOTHERAPY+complications%22">CHEMOTHERAPY complications</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: With population ageing, the number of elderly cancer chemotherapy survivors has been increasing. In addition, the elderly often face problems, such as pain, sleep disorders, anxiety and depression, which seriously affect their quality of life. We explored the effects of hospice care on pain, sleep quality, anxiety, depression, quality of life, chemotherapy-related adverse reactions and readmission rate in elderly cancer survivors after chemotherapy to supply evidence for the clinical promotion of this nursing model. Methods: A total of 240 elderly cancer survivors who completed at least 4 cycles of chemotherapy (January 2022--June 2024) and had a 3-month follow-up were retrospectively enrolled. They were divided into the observation (hospice care + routine nursing, n = 124) and control (routine nursing, n = 116) groups. After 1:1 propensity score matching, 98 cases per group were analysed. Core (Visual Analogue Scale (VAS), Pittsburgh Sleep Quality Index (PSQI), Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Short Form-36 Health Survey (SF-36)) and extended indicators (chemotherapyrelated adverse reactions, 3-month readmission rate and nursing satisfaction) were compared pre- and postintervention. Results: Pre-intervention, no significant differences were found between groups (p > 0.05). Post-intervention, the observation group had significantly lower VAS (2.08 ± 0.85), PSQI (5.25 ± 1.32), SAS (38.15 ± 4.15) and SDS (38.86 ± 4.40) scores than the control group (4.68 ± 1.33, 8.92 ± 1.65, 49.32 ± 5.40 and 50.65 ± 5.80, respectively ; all p < 0.05). The observation group showed significant improvements in all eight dimensions of SF-36 (p < 0.05), with a larger improvement range than the control group. In addition, the observation group had lower incidence of chemotherapy-related adverse reactions (nausea and vomiting: 8.16%, fatigue: 16.33%), lower readmission rate (7.14%) and higher nursing satisfaction (95.92%) than the control group (24.49%, 31.63%, 19.39% and 82.65%, respectively; all p < 0.05). Conclusions: Hospice care can effectively alleviate pain, sleep disorders, anxiety and depression in elderly cancer chemotherapy survivors, improve their quality of life, reduce adverse reactions and readmission rate and enhance nursing satisfaction and is thus worthy of clinical promotion. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.62641/aep.v54i1.2082 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 53 Subjects: – SubjectFull: HOSPICE care Type: general – SubjectFull: CANCER survivors Type: general – SubjectFull: ANXIETY Type: general – SubjectFull: MENTAL depression Type: general – SubjectFull: SLEEP disorders Type: general – SubjectFull: PAIN management Type: general – SubjectFull: QUALITY of life Type: general – SubjectFull: CHEMOTHERAPY complications Type: general Titles: – TitleFull: Hospice Care's Influence on Pain, Sleep, Anxiety, and Depression: A Focus on Elderly Survivors of Cancer Chemotherapy. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Cao, Wenjing – PersonEntity: Name: NameFull: Wang, Hongxia IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: 2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 11399287 Numbering: – Type: volume Value: 54 – Type: issue Value: 1 Titles: – TitleFull: Actas Espanolas de Psiquiatria Type: main |
| ResultId | 1 |