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日本姑息治疗病房患者出院回家的决定因素。

The determinants of patients in a palliative care unit being discharged home in Japan.

作者信息

Amano Koji, Nishiuchi Yasuno, Baba Mika, Kawasaki Muneyoshi, Nakajima Shinichiro, Wakayama Hiroshi, Watakabe Akiko, Kunimoto Hiromi, Morita Tatsuya

机构信息

1Department of Palliative Care, Palliative Care Team, Saito-Yukoukai Hospital, Osaka, Japan.

出版信息

Am J Hosp Palliat Care. 2014 May;31(3):244-6. doi: 10.1177/1049909113484384. Epub 2013 Apr 2.

Abstract

In Japan, regarding the place of end-of-life care, many people preferred the home. However, there is a discrepancy between patients' wishes and the actual circumstances. The primary aim of this study was to explore the factors that determine discharge home of patients in a palliative care unit. A total of 31 patients met the criteria. The patients who could be discharged home (group 1; n = 23) were compared with the others (group 2; n = 8). Palliative prognostic index was significantly lower in group 1 than in group 2 (P = .032). Regarding routes of feeding, oral intake was significantly higher in group 1 than in group 2 (P = .043). That is to say, factors determining discharge home of patients may be influenced by the patient's prognosis and the necessity of a feeding device.

摘要

在日本,关于临终关怀的地点,许多人更喜欢在家中。然而,患者的意愿与实际情况之间存在差异。本研究的主要目的是探讨决定姑息治疗病房患者出院回家的因素。共有31名患者符合标准。将可以出院回家的患者(第1组;n = 23)与其他患者(第2组;n = 8)进行比较。第1组的姑息预后指数显著低于第2组(P = .032)。关于喂养途径,第1组的经口摄入量显著高于第2组(P = .043)。也就是说,决定患者出院回家的因素可能受患者预后和喂养设备需求的影响。

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