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接受临终关怀服务患者的特征:美国,1994年

Characteristics of patients receiving hospice care services: United States, 1994.

作者信息

Haupt B J

机构信息

National Center for Health Statistics, U.S. Centers for Disease Control and Prevention, USA.

出版信息

Adv Data. 1997 Mar 6(282):1-14.

Abstract

OBJECTIVE

This report presents data on current hospice care patients. Numbers and percents are shown by selected characteristics of the agencies from which the patients received services, by selected patient characteristics, by services provided, by types of personnel that provided the services, and by diagnoses of these patients.

METHODS

The data used for this report are from the National Center for Health Statistics' 1994 National Home and Hospice Care Survey. This is an annual survey through which data are collected on the use of hospices and home health care agencies in the United States.

RESULTS

An estimated 61,000 patients were receiving hospice care services from 1,300 hospices and home health agencies in 1994. Fifty-five percent were women, 69 percent were 65 years of age and over, 81 percent were white patients, 48 percent were married, and 31 percent were widowed. Eighty-four percent were living in a private or semi-private residence, and 90 percent had a primary caregiver. Sixty percent received help from the agency with at least one activity of daily living (ADL), 46 percent with at least one instrumental activity of daily living (IADL), and 26 percent with walking. At admission, there was an average of 2.2 diagnoses per patient; 57 percent had a primary diagnosis of a malignant neoplasm and 9 percent had a primary diagnosis of heart disease.

摘要

目的

本报告展示了当前临终关怀患者的数据。数据以患者接受服务的机构的特定特征、患者的特定特征、所提供的服务、提供服务的人员类型以及这些患者的诊断为依据,呈现了数量和百分比。

方法

本报告所使用的数据来自美国国家卫生统计中心1994年的全国家庭与临终关怀护理调查。这是一项年度调查,通过该调查收集美国临终关怀机构和家庭保健机构的使用情况数据。

结果

1994年,估计有61,000名患者从1300家临终关怀机构和家庭保健机构接受临终关怀服务。55%为女性,69%年龄在65岁及以上,81%为白人患者,48%已婚,31%丧偶。84%居住在私人或半私人住所,90%有主要照顾者。60%的患者在至少一项日常生活活动(ADL)方面得到机构帮助,46%在至少一项工具性日常生活活动(IADL)方面得到帮助,26%在行走方面得到帮助。入院时,每位患者平均有2.2种诊断;57%的主要诊断为恶性肿瘤,9%的主要诊断为心脏病。

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