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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients | Anyone who is hospitalized in the palliative care service of the Lyon Sud Hospital Center. |
| |
| Doctors | Doctors taking care of patients in the study will be solicited by the research nurse or a study investigator. |
| |
| Nurses | Nurses taking care of patients in the study will be solicited by the research nurse or a study investigator. |
| |
| Caregivers | Caregivers taking care of patients in the study will be solicited by the research nurse or a study investigator. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Questionnaire | Other | Patients complete a questionnaire for assess their symptoms like anxiety and depression. These questionnaires contains:
The evaluation will be realized in the first days of hospitalization (72 hours). |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | 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'. | 72 hours |
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Inclusion Criteria:
Patients :
Medical Staff:
- Working full time or part time in the USP or the PMSC of CHLS
Exclusion Criteria:
Patients :
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All patients hospitalized in our palliative care unit
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| Name | Affiliation | Role |
|---|---|---|
| Audrey FAWOUBO, MD | Hospices Civils de Lyon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Lyon Sud | Pierre-Bénite | France |
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| ID | Term |
|---|---|
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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| Medical staff questionnaire | Other | Questionnaire is different from caregivers. The evaluation will be realized in the first days of hospitalization (72 hours). Physicians, nurses and caregivers complete another questionnaire. The physician questioned will be the doctor of unit having received the patient, or the doctor of the mobile team of palliative care having admitted the patient in the unit. These questionnaires contains:
|
|
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |