The Results of Palliative Care for Patients with End-Stage Cancer in the Chemotherapy Unit

Abstract

Objective : To assess quality of life and compare palliative care outcomes. In patients with end-stage cancer, according to the old guidelines before receiving care and after receiving care according to the new guidelines. Palliative Chemotherapy in combination with Palliative care

Materials and Methods of Study:  Health intervention study  Prospective before and after design study at the Chemotherapy Unit Nakhonpham Hospital between December 2023 and March 2024  in 11 patients with terminal cancer before receiving intervention as care according to the old guidelines and after receiving intervention as care according to the new guidelines.

Results : 5 people with colon cancer  45.4 percent, 6  breast cancers  . 54.6 percent  The effect of the change in the score of the results of palliative care before and after was no different. However, the increase in the daily quality of life score level On day 1, day 7, and day 30 after the intervention (0.14; 95%CI 0.10, 0.17),  the self-assessment score for quality of life and overall health was different from  before the intervention (-0.05; 95%CI -0.09, -0.01) at a significant level of p < 0.001. The increase in scores before (-0.02; 95%CI -0.16, 0.11) and after (0.07; -0.06, 0.20) was not different, p = 0.179.

Conclusion: Outcomes of care for patients with end-stage cancer According to the old guidelines before receiving care and after taking care according to the new guidelines. There was no difference, but the increase in the level of quality of life score after the use of Palliative Chemotherapy increased. As for the self-assessment score, the quality of life and overall health. There is no difference.