Tay M H, Koo W H, Huang D T
Department of Medical Oncology, National Cancer Centre, Dover Park Hospice, 10 Jalan Tan Tock Seng, Singapore 308436.
Med J Malaysia. 2002 Mar;57(1):51-5.
A home care Hospice programme was set up to provide care to the patients with advanced diseases and their families in Singapore. After office-hour, the service is managed by a doctor on weekdays, with the assistance of a nurse during daytime on Saturdays, Sundays and public holidays. The doctor on-call made an average of 3.1 phone calls and 1.3 visits each weekday evening. Over the weekends and public holidays, there were a mean of 16.7 phone calls and 6 visits each day. More than half of the visits (50.3%) were made for certification of death. The commonest symptoms that prompted visits were dyspnoea (20%) and pain (12.2%). The busiest period during weekdays was between 6.00 pm and 11.00 pm, when our doctors did most of their visits. The workload of the hospice home care service is likely to increase and resources such as family health physicians can be explored to help to meet this increasing demand. This can be achieved through the provision of comprehensive training and easy accessibility to medical records which are kept with patients.
新加坡设立了一个居家护理临终关怀项目，为晚期疾病患者及其家属提供护理。下班后，工作日的服务由一名医生管理，周六、周日和公共假日白天有一名护士协助。值班医生每个工作日晚上平均打3.1个电话，进行1.3次家访。在周末和公共假日，每天平均有16.7个电话和6次家访。超过一半的家访（50.3%）是为了开具死亡证明。促使家访的最常见症状是呼吸困难（20%）和疼痛（12.2%）。工作日最繁忙的时段是下午6点到晚上11点，我们的医生在这个时段进行了大部分家访。临终关怀居家护理服务的工作量可能会增加，可以探索利用家庭健康医生等资源来满足这一日益增长的需求。这可以通过提供全面培训以及方便获取患者保存的病历记录来实现。
