. Introduction. Palliative care improves the quality of life of people in an advanced and progressive phase of the disease, who therefore present a wide number of physical and psychosocial conditions, the management of which is sometimes very complicated. One of the problems presented by people with advanced neoplasia, is constipation, a cause of morbidity and suffering. Opioid-induced constipation is caused or exacerbated by opioid analgesics. The Constipation Assessment Scale (CAS) was developed to assess the risk of constipation, cross-culturally validated in Italian in the home palliative care setting. Materials and methods: Multicenter observational study in Hospices and Palliative Home Care Units on the territory of Lombardy Region, with non-probabilistic convenience sampling and administration of the CAS. Results. Ninety-eight advanced oncology patients participated in the study with a mean age of 75 years [Standard Deviation (SD):11; Range 45-90 years] and female most represented 53% (52). Pulmonary neoplasm was most prevalent 33% (32), followed by breast neoplasm 25% (25). The entire sample was receiving opioid analgesics and 96% (97) were receiving laxatives. The mean score of the (CAS) was 4.7 (SD:1.9; Range Score 2-10). The administration time of the scale was 192 (SD:48) seconds. Conclusions. Constipation is a major cause of distress in people with cancer. This study supports CAS as a useful tool for assessment and monitoring of constipation in palliative care settings.

Constipation Assessment Scale: studio osservazionale nei setting di cure palliative / S. Tinti, G. Scatola, A. Alberti, G. Falcone, I. Ramponi, A. Alberti, A. Destrebecq. - In: LA RIVISTA ITALIANA DI CURE PALLIATIVE. - ISSN 2532-9790. - 23:(2021), pp. 223-228.

Constipation Assessment Scale: studio osservazionale nei setting di cure palliative

A. Alberti;A. Destrebecq
Ultimo
Conceptualization
2021

Abstract

. Introduction. Palliative care improves the quality of life of people in an advanced and progressive phase of the disease, who therefore present a wide number of physical and psychosocial conditions, the management of which is sometimes very complicated. One of the problems presented by people with advanced neoplasia, is constipation, a cause of morbidity and suffering. Opioid-induced constipation is caused or exacerbated by opioid analgesics. The Constipation Assessment Scale (CAS) was developed to assess the risk of constipation, cross-culturally validated in Italian in the home palliative care setting. Materials and methods: Multicenter observational study in Hospices and Palliative Home Care Units on the territory of Lombardy Region, with non-probabilistic convenience sampling and administration of the CAS. Results. Ninety-eight advanced oncology patients participated in the study with a mean age of 75 years [Standard Deviation (SD):11; Range 45-90 years] and female most represented 53% (52). Pulmonary neoplasm was most prevalent 33% (32), followed by breast neoplasm 25% (25). The entire sample was receiving opioid analgesics and 96% (97) were receiving laxatives. The mean score of the (CAS) was 4.7 (SD:1.9; Range Score 2-10). The administration time of the scale was 192 (SD:48) seconds. Conclusions. Constipation is a major cause of distress in people with cancer. This study supports CAS as a useful tool for assessment and monitoring of constipation in palliative care settings.
Cancer, Constipation Assessment Scale, constipation, opioid-induced constipation, palliative care;
Settore MED/45 - Scienze Infermieristiche Generali, Cliniche e Pediatriche
2021
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/920149
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