Application Of InterRAI Palliative Care Evaluation System In Evaluating The Caring Needs Of Elderly Patients With Advanced Cancer

Objective:This study aims to use the interRAIPC assessment system to assess the potential and existing care needs of elderly patients with advanced cancer,analyze the existing care problems and influencing factors of elderly patients with advanced cancer,and compare the clinical nursing measures with the nursing measures given by the assessment system.consistency between.To analyze the applicability of this tool in assessing the care needs of elderly patients with advanced cancer in my country,and provide a reference for the future application of this tool to measure the needs of elderly patients with advanced cancer.Methods:In this study,a convenience sampling method was used to select 165 elderly patients with advanced cancer who were hospitalized in two tertiary first-class hospitals in Shenyang between October 2021 and October 2022.The interRAIPC evaluation system was used to collect relevant data of the patients and entered into the matching The system generates corresponding CAPs,and then analyzes the influencing factors that trigger CAPs and the number of CAPs,and compares the consistency between CAPs nursing measure recommendations and clinical nursing measures.The collected data were analyzed by SPSS26.0 software,and (?)±S,median and interquartile range,frequency and percentage were used to statistically describe the general demographic data;nonparametric tests were used to conduct univariate analysis to explore The related factors of the number of triggering questions in cancer patients(P<0.05);variables with statistical significance in univariate analysis were included as independent variables in multiple linear regression for further analysis(P<0.05);binary Logistic regression analysis was used to explore specific Influencing factors related to the triggering problem(P<0.05).Results:1.The most triggered CAPs in elderly patients with advanced cancer were:fatigue(97.6%),depression and anxiety(80.6%),sleep disorders(68.5%),and malnutrition(21.8%).The number of CAPs triggered in elderly patients with advanced cancer ranged from 1 to 7,and the median number of triggered CAPs(P25,P75)was 3(3,4).2.Results of univariate analysis: age,survival,type of medication,and nutritional status were influential factors in the number of clinical care problems in elderly patients with advanced cancer(P < 0.05).The results of multiple linear regression analysis showed that older age,higher number of diseases,shorter survival period,and poorer nutritional status triggered more problems with CAPs(P < 0.05).3.The results of binary logistic regression analysis: the number of diseases suffered by patients was a risk factor for "fatigue CAPs"(OR>1);the age of patients was a risk factor for "malnutrition CAPs"(OR>1);the total number of medications taken was a risk factor for "sleep disorder CAPs"(OR>1);men were a protective factor for "sleep disorder CAPs"(OR<1);women were a risk factor for "depression and anxiety CAPs"(OR<1).Total number of medications taken was a risk factor for "sleep disorders CAPs"(OR>1),while men were a protective factor for "sleep disorders CAPs"(OR<1);women were a risk factor for "depression and anxiety CAPs"(OR>1)."(OR>1).4.A comparison of the recommendations for care measures given by the interRAIPC assessment system with the actual clinical implementation of care measures showed higher agreement on the issue of care for stress injuries and lower agreement on the issues of fatigue,depression and anxiety,and sleep disturbances.Conclusion:The interRAIPC assessment system identifies the existing and potential multidimensional care needs of our elderly patients with advanced cancer and can provide targeted recommendations for care measures corresponding to care needs.The feasibility of developing and adjusting care plans based on care measure recommendations to improve clinical care and patient quality of life can be verified in the future.The number of triggered problems in elderly patients with advanced cancer is related to age and nutritional status,and the influencing factors of triggered fatigue,sleep disorders,depression and anxiety,and nutrition can also be further studied and validated in the future,while more attention should be paid to the dynamic monitoring capability of interRAIPC assessment system in the future and its application to the daily needs assessment of palliative care patients.