Dessloch A, Maiworm M, Florin I, Schulze C
Fachbereich Psychologie, Philipps-Universität Marburg.
Psychother Psychosom Med Psychol. 1992 Dec;42(12):424-9.
The present study investigated quality of life in 41 terminally ill cancer patients. Twenty-one of them received hospital care, 20 home-bound hospice care. These groups were comparable with respect to the patients' physical condition. The following variables were chosen as indicators of quality of life: perceived social support and social distress, coping with illness, perceived positive environmental factors, perceived control over daily activities and caring routines, contentedness with medical care and nursing, physical well-being. Assessment was made by means of a semi-structured interview. The data indicate that the home-bound care was superior with respect to the following variables: perceived positive environmental factors, perceived control over daily activities and caring routines, and contentedness with nursing. No differences between groups were found for any of the other variables.
本研究调查了41名晚期癌症患者的生活质量。其中21人接受医院护理，20人接受居家临终关怀护理。这些组在患者身体状况方面具有可比性。选择以下变量作为生活质量指标：感知到的社会支持和社会困扰、应对疾病、感知到的积极环境因素、对日常活动和护理常规的感知控制、对医疗护理的满意度、身体幸福感。通过半结构化访谈进行评估。数据表明，居家护理在以下变量方面更具优势：感知到的积极环境因素、对日常活动和护理常规的感知控制以及对护理的满意度。在其他任何变量上，两组之间均未发现差异。
