Niscola Pasquale, de Fabritiis Paolo, Cartoni Claudio, Romani Claudio, Sorrentino Francesco, Dentamaro Teresa, Piccioni Daniela, Scaramucci Laura, Giovannini Marco, Amadori Sergio, Mandelli Franco
Haematology Division, Tor Vergata University, Sant'Eugenio Hospital, Via dell'Umanesimo 10, 00144 Rome, Italy.
Haematologica. 2006 Nov;91(11):1523-9.
Home care (HC) has an increasingly expanding role in the global management of patients affected by hematologic malignancies. Integrated strategies, including causal-targeted and supportive treatments according to hematologic expertise and a holistic approach inspired by the philosophy and practice of palliative medicine, may allow suitable management and the possibility for most patients to stay at home. Physical, social and psychological needs of patients are likely to vary according to the course of their disease and the treatments they are receiving. Therefore, consideration should be given to different models of care and how to tackle patients' diverse needs, as outlined by reported experiences which claimed that HC can provide appropriate solutions not only for terminally and chronically ill patients but also for those in other phases of disease. According to these studies and to our own experience, when appropriate measures and structured operating models are adopted, HC results in a safe, effective and economically realistic alternative to traditional in-hospital treatment. Therefore, all efforts should be made to overcome budget and administrative barriers and to ensure a more widespread use of this model of care.
居家护理（HC）在血液系统恶性肿瘤患者的全球管理中发挥着越来越重要的作用。综合策略，包括根据血液学专业知识进行因果针对性治疗和支持性治疗，以及受姑息医学理念和实践启发的整体方法，可能使大多数患者得到妥善管理并有可能居家。患者的身体、社会和心理需求可能会根据其疾病进程和所接受的治疗而有所不同。因此，应考虑不同的护理模式以及如何满足患者的多样化需求，正如报告的经验所概述的那样，这些经验表明居家护理不仅可以为晚期和慢性病患者，也可以为处于疾病其他阶段的患者提供合适的解决方案。根据这些研究以及我们自己的经验，当采取适当措施和结构化运营模式时，居家护理是传统住院治疗的一种安全、有效且经济可行的替代方案。因此，应尽一切努力克服预算和行政障碍，确保更广泛地使用这种护理模式。
