Abom B M, Obling N J, Rasmussen H, Kragstrup J
Syddansk Universitet, Odense.
Ugeskr Laeger. 2000 Oct 23;162(43):5768-71.
Research indicates that the major part of terminally ill and dying patients wish to die at home, but in 1993 actually only 24% of Danish cancer patients died at home. The aim of this study was to analyse some barriers the general practitioners meet in the care for dying patients. The focus was unplanned hospitalisation in the final days of the patient's life contrary to home death as planned. The informal carer's lack of resources and insufficient control of symptoms were found to be the immediate reasons for acute hospitalisation. In addition, if the general practitioner did not have a central position in home care, we found a greater risk of unplanned hospitalisation. The conditions for improving home care for the dying are better support for the informal carer, ongoing access to experts in palliation and improved communication overall in the health service.
研究表明，绝大多数绝症患者和临终患者希望在家中离世，但在1993年，丹麦仅有24%的癌症患者在家中死亡。本研究的目的是分析全科医生在照顾临终患者时遇到的一些障碍。重点是患者生命最后几天意外住院，而非按计划在家中离世。研究发现，非正式护理人员资源不足以及症状控制不力是急性住院的直接原因。此外，如果全科医生在家庭护理中没有核心地位，我们发现意外住院的风险会更高。改善临终患者家庭护理的条件包括更好地支持非正式护理人员、持续获得姑息治疗专家的帮助以及改善医疗服务中的整体沟通。
