Paludetti P, De Chirico C, Durante M, Cinquetti S
Direzione del Distretto Socio Sanitario SUD ULSS n. 7 Pieve di Soligo.
Ann Ig. 2012 Jan-Feb;24(1 Suppl 1):45-51.
Only 20% of terminally ill people with cancer in Italy are assisted by a network of palliative care, whereas the majority of them die in the hospital, against their will, and with very low doses of opioids. A palliative care service, is offered by the Nucleus of Palliative care within the Operative Unit of District Primary Care in the local health agency n. 7 of Pieve di Soligo. This service takes charge of the patient from hospital discharge until his/her death, working in concert with the inpatieint hospitals and other territorial health care structures. In this way, the patient and his/her family are followed by a team of professionals working together in coordination and collaboration. In 2010 the percentage of terminally ill persons enrolled in the program was 52%, much greater than the standard of 45% required by ministerial law (DM no 43 del 2007) for the local health agencies without a hospice. The duration of time spent at home during the last phases of the illness was over 90% of time in care, with an in-home mortality of 63%. The consumption of major opioids was amongst the highest in Italy. Thanks to the opening of a hospice, already planned, we will be able to take charge within the network of palliative care thos sick people who cannot remain in the home and extend the service to ill persons without cancer in conditions of advanced incurable disease and end of life.
在意大利，只有20%的晚期癌症患者得到姑息治疗网络的帮助，而他们中的大多数人违背自己的意愿，在医院里以非常低剂量的阿片类药物离世。位于皮耶韦-迪索利戈第7地方卫生机构地区初级保健手术单元内的姑息治疗核心部门提供姑息治疗服务。该服务负责患者从出院到去世期间的照护，与住院医院和其他地区医疗保健机构协同工作。通过这种方式，患者及其家人会得到一组专业人员的跟踪照护，这些人员协同合作。2010年，参与该项目的晚期患者比例为52%，远高于部长法令（2007年第43号部长令）对没有临终关怀机构的地方卫生机构所要求的45%的标准。在疾病的最后阶段，患者在家中度过的时间超过了总照护时间的90%，在家中去世的比例为63%。主要阿片类药物的消耗量在意大利名列前茅。由于已经计划开设一家临终关怀机构，我们将能够在姑息治疗网络中接纳那些无法居家的患者，并将服务扩展到患有晚期不治之症和处于生命末期的非癌症患者。
