Kondo Masatoshi, Sato Kyoko, Ando Takashi, Ishiguro Hiroshi, Yoshikawa Sachiko, Tsutazawa Tomomi, Nito Noriko, Oi Fumiko, Miyamori Tadashi
Kawasaki Total Care Center, Municipal Ida Hospital, City of Kawasaki Center for Chronic Disease.
Gan To Kagaku Ryoho. 2009 Dec;36 Suppl 1:26-7.
Many people hope to receive an end-of-life care at home. Due to the trend toward the nuclear family and aging society, most people, however, would end up in medical institutions. The low ADLs of patients, in addition to medical treatment such as home oxygen therapy and intravenous injection, make it difficult to spend an end-of-life care at home alone. We have experienced and reported here three cases of live-alone patients who could remain at home owing to the evaluation of domestic care ability by a Home Care Score and the appropriate introduction of social health care services.
许多人希望在家中接受临终关怀。然而，由于核心家庭的趋势和社会老龄化，大多数人最终会在医疗机构度过临终时光。患者日常生活活动能力较低，再加上家庭氧疗和静脉注射等医疗护理，使得独自在家接受临终关怀变得困难。我们在此经历并报告了三例独居患者的情况，这些患者由于通过家庭护理评分对家庭护理能力进行评估并适当引入社会医疗服务，得以留在家中。
