Kristjanson Linda J, Cousins Kerry, White Kate, Andrews Lara, Lewin Gill, Tinnelly Catherine, Asphar Dianne, Greene Ros
School of Nursing and Public Health, Edith Cowan University, Churchlands, WA, Australia 6018.
Int J Palliat Nurs. 2004 Feb;10(2):84-90. doi: 10.12968/ijpn.2004.10.2.12453.
A three-phase project was undertaken to develop and evaluate a community night respite palliative care service for patients and family carers. An assessment tool to identify those most in need of night respite was developed and tested. The tool was reliable and feasible for use in practice. Care aides were trained to provide night respite. Fifty-three patients participated over 11 months. Findings revealed the types of patients and families most in need of night respite, the amount of respite needed, and location of death. There is evidence that patients who would have been transferred to an inpatient setting for end-of-life care were able to die at home with the support of the night respite service. Families were extremely appreciative of the service and a limited cost comparison suggested costs were lower than if patients had been transferred to hospital and/or inpatient hospice care. Recommendations for practice are offered.
开展了一个三阶段项目，旨在为患者及其家庭护理人员开发和评估一项社区夜间临终关怀暂托服务。开发并测试了一种评估工具，以确定那些最需要夜间暂托服务的人。该工具在实践中使用是可靠且可行的。护理助手接受了提供夜间暂托服务的培训。在11个月内，有53名患者参与。研究结果揭示了最需要夜间暂托服务的患者和家庭类型、所需的暂托时长以及死亡地点。有证据表明，那些原本会被转至住院机构接受临终护理的患者，在夜间暂托服务的支持下能够在家中离世。家属对这项服务极为感激，有限的成本比较表明，与患者被转至医院和/或住院临终关怀护理相比，成本更低。文中还给出了实践建议。
