Gradalski Tomasz, Fiałkowski Marek T, Rachtan Jadwiga
Hospicjum św Lazarza w Krakowie.
Przegl Lek. 2005;62(7):671-5.
Between 1994-1997 the Pain and Palliative Care Out-Patient Clinic founded by the Society of Friends of the Sick Hospicium in Kraków undertook hospice home care of 870 cancer patients. Retrospective evaluation of their files revealed that 48.2% of patients on admission were aware of their diagnosis and 61.2% of families did not discuss it with patients. During that time, 735 home care patients died and 83.5% of them died in their homes. During the same time, among the cancer patients not admitted to hospice home care in the city of Kraków, only 23.7% died at home and the rest in institutions. In spite of demonstrated adequate home care, 16.5% of home care patients were admitted to the local hospital, which suggests the need for stationary hospice or palliative care ward cooperation.
1994年至1997年间,由克拉科夫病患者之友协会设立的疼痛与姑息治疗门诊为870名癌症患者提供了临终关怀居家护理服务。对他们病历的回顾性评估显示,48.2%的患者在入院时知晓自己的诊断,61.2%的家属未与患者讨论过病情。在此期间,735名接受居家护理的患者去世,其中83.5%在家中离世。同一时期,在克拉科夫市未接受临终关怀居家护理的癌症患者中,只有23.7%在家中去世,其余的在医疗机构去世。尽管已证明提供了充分的居家护理,但仍有16.5%的居家护理患者被送往当地医院,这表明需要与住院临终关怀或姑息治疗病房合作。