Perner A, Götze H, Stuhr C, Brähler E
Selbständige Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig, Medizinische Fakultät, Philipp-Rosenthal-Str. 55, 04103, Leipzig.
Schmerz. 2010 Feb;24(1):38-45. doi: 10.1007/s00482-009-0863-9.
In many model regions of Germany, palliative home care can be improved for cancer patients over longer periods so that most of these patients could die at home. However, there is a shortage of ambulatory care for dying patients in regions without special agreements for this type of care.
The aim of the study was to identify beneficial as well as impedimentary factors of outpatient palliative care. Therefore we interviewed 91 tumour patients and collected medical, psychosocial and sociodemographic data with standardized questionnaires.
Nearly half of the patients (43%) had moderate to strong pain during domestic care and felt depressed (44%) and anxious (26%). Home hospice services, social workers, and psychologists were rarely involved in home care. Ambulatory home care was often interrupted because of hospital stays.
Palliative symptom control in outpatients should be performed by qualified and interdisciplinary palliative-care teams, so that patients can receive more psychosocial support and hospital stays can be prevented.
在德国的许多典型地区，癌症患者的长期姑息性居家护理可以得到改善，从而使大多数此类患者能够在家中离世。然而，在没有针对此类护理的特别协议的地区，临终患者的门诊护理存在短缺。
本研究的目的是确定门诊姑息治疗的有利因素和阻碍因素。因此，我们采访了91名肿瘤患者，并通过标准化问卷收集了医疗、心理社会和社会人口学数据。
近一半的患者（43%）在居家护理期间有中度至重度疼痛，感到抑郁（44%）和焦虑（26%）。家庭临终关怀服务、社会工作者和心理学家很少参与居家护理。门诊居家护理经常因住院而中断。
门诊姑息症状控制应由合格的跨学科姑息治疗团队进行，以便患者能够获得更多的心理社会支持，并防止住院。
