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家庭护理团队探访对晚期癌症患者的影响:医疗团队深入患者家中的作用。

The effect of homecare team visits in terminal cancer patients: role of health teams reaching patients homes.

作者信息

Banerjee Pratik

机构信息

Cansupport, Near Kanak Basti, RK Puram, Delhi, India.

出版信息

Indian J Palliat Care. 2009 Jul;15(2):155-8. doi: 10.4103/0973-1075.58463.

DOI:10.4103/0973-1075.58463
PMID:20668596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2902118/
Abstract

AIM

The study has been conducted to see the effectiveness of homecare teams visit in terminal cancer patients (palliative care).

MATERIALS AND METHODS

The study basically utilized the effectiveness of the Cansupport's functioning. Cansupport is unique in its organization and function. It is the first organization in India that started the homecare visits for the terminal cancer patients. It has its headquarter with the administrative staff and a helpline that is officially active for about 8 hours a day for 5 days a week. The organization also has 10 homecare teams who are involved in the home visit. They have recently had an added support of community network officials. Each homecare team has a doctor, a nurse, and a counselor.

RESULT

The total number of patients visited by the homecare teams of Cansupport in the year 2008-2009 was 1025. Total 104 patients were discharged. Out of 798 admissions last year, 384 patients were from IRCH (AIIMS). The helpline had 333 patients and others were just 81. Generally the team had to travel about 50-150 km a day. The number of visits range from four to seven per day. Generally the first visit of the team usually takes 90-120 min as the team takes time to understand the patient. The subsequent visits usually take 30-45 min. Usually, such patients stay with the team for a period of 1-2 months and then expire. Some patients stay with the team for 1-7 days.

CONCLUSION

The eagerness of patients wanting the teams to reach their residence may be judged by the given figures. The total number of patients visited by the homecare teams of Cansupport in the year 2008-2009 was 1025. Out of them, there were about 104 patients who were discharged. The term discharge means that the patients were not interested in our visit or were not available in our subsequent visit. It has to be mentioned here that the service is a definite demand by society provided that the cost may be catered too.

摘要

目的

开展本研究以观察居家护理团队探访晚期癌症患者(姑息治疗)的效果。

材料与方法

本研究主要利用了Cansupport的运作成效。Cansupport在组织和功能方面独具特色。它是印度首个为晚期癌症患者开展居家探访的组织。其总部设有行政人员和一条热线,该热线每周正式运行5天,每天约8小时。该组织还有10个参与家访的居家护理团队。他们最近获得了社区网络官员的额外支持。每个居家护理团队都有一名医生、一名护士和一名顾问。

结果

2008 - 2009年Cansupport的居家护理团队探访的患者总数为1025人。共有104名患者出院。去年798例入院患者中,384例来自IRCH(全印医学科学研究所)。热线接到333例患者咨询,其他仅81例。一般来说,团队每天要奔波约50 - 150公里。每天的探访次数在4至7次之间。通常团队的首次探访通常需要90 - 120分钟,因为团队需要时间了解患者。后续探访通常需要30 - 45分钟。通常,这类患者会在团队照料下1 - 2个月后离世。有些患者在团队照料下仅1 - 7天。

结论

从给出的数据可以判断患者希望团队到其住所探访的急切程度。2008 - 2009年Cansupport的居家护理团队探访的患者总数为1025人。其中,约有104名患者出院。这里所说的“出院”是指患者对我们的探访不感兴趣或在我们后续探访时无法联系到。必须在此提及的是,只要费用问题能够解决,这项服务是社会的明确需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d29/2902118/b49d583046ca/IJPC-15-155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d29/2902118/b49d583046ca/IJPC-15-155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d29/2902118/b49d583046ca/IJPC-15-155-g001.jpg

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本文引用的文献

1
Needs assessment: from theory to practice.需求评估:从理论到实践
BMJ. 1998 May 9;316(7142):1448-52. doi: 10.1136/bmj.316.7142.1448.
专科居家姑息治疗服务在三级肿瘤机构中的影响:一项前瞻性非随机观察性研究。
Indian J Palliat Care. 2015 Jan-Apr;21(1):28-34. doi: 10.4103/0973-1075.150170.