Hung Yu-Shin, Chang Hung, Wu Wei-Shan, Chen Jen-Shi, Chou Wen-Chi
Division of Hematology-Oncology, Chang Gung Memorial Hospital, and School of Medicine, Chang Gung University, Taoyuan, Taiwan.
Am J Hosp Palliat Care. 2013 Sep;30(6):558-65. doi: 10.1177/1049909112461842. Epub 2012 Oct 3.
This study aimed to compare multiaspect characteristics in cancer and noncancer patients who received palliative care. Totally, 226 patients with cancer and 115 noncancer patients received palliative care consultation service in Taiwan from September 2007 through December 2009 were retrospectively analyzed. Noncancer patients were older (81 vs 67 years, P < .001), more likely to be enrolled from an intensive care unit (51% vs 5%, P < .001), and waited longer to be referred for admission to a palliative care (8 vs 3 days, P < .001) than patients with cancer. Cancer and noncancer patients presented as polysymptomatics in both physical and psychosocial symptoms at the end of life. Such physical and psychosocial characteristics should be taken into account in providing appropriate end-of-life care in the same way as it is for the patients with cancer.
本研究旨在比较接受姑息治疗的癌症患者和非癌症患者的多方面特征。对2007年9月至2009年12月期间在台湾接受姑息治疗咨询服务的226例癌症患者和115例非癌症患者进行了回顾性分析。非癌症患者年龄更大(81岁对67岁,P <.001),更有可能从重症监护病房纳入(51%对5%,P <.001),并且比癌症患者等待更长时间才被转诊至姑息治疗病房(8天对3天,P <.001)。癌症患者和非癌症患者在生命末期均表现为身体和心理社会症状的多症状状态。在为患者提供适当的临终关怀时,应像对待癌症患者一样考虑这些身体和心理社会特征。