Blyth A C
Health Centre, St. Andrews.
BMJ. 1990 Apr 14;300(6730):983-6. doi: 10.1136/bmj.300.6730.983.
To determine satisfaction of relatives and general practitioners with care of patients during terminal illness and make recommendations on improving terminal care in general practice.
Interviews with available relatives of patients who had had terminal illnesses and died in 1987, supplemented by questionnaires; questionnaire survey of general practitioners after review of case notes of all their patients who had died of terminal illnesses in 1987.
One urban general practice.
34 Relatives of patients with terminal illnesses who died in 1987; five general practitioners from one practice.
In six cases relatives were dissatisfied, mainly because of lack of communication; in eight cases doctors were dissatisfied because of communication, poor symptom control, and inadequate care.
There is a need for improved communication between relatives and the health professionals involved in terminal care as well as better advice on services and benefits available to both patients and relatives. Bereavement counselling should be better organised.
确定亲属和全科医生对绝症患者临终护理的满意度，并就改善全科医疗中的临终护理提出建议。
对1987年患有绝症并去世患者的在世亲属进行访谈，并辅以问卷调查；在查阅了所有1987年死于绝症患者的病历后，对全科医生进行问卷调查。
一家城市全科诊所。
1987年死于绝症患者的34名亲属；该诊所的五名全科医生。
6例亲属不满意，主要原因是缺乏沟通；8例医生不满意，原因是沟通不畅、症状控制不佳和护理不足。
亲属与参与临终护理的医护人员之间需要改善沟通，同时需要为患者和亲属提供更好的关于可用服务和福利的建议。丧亲辅导应得到更好的组织。
