Amano Koji, Nishiuchi Yasuno, Baba Mika, Kawasaki Muneyoshi, Nakajima Shinichiro, Wakayama Hiroshi, Watakabe Akiko, Kunimoto Hiromi, Morita Tatsuya
1Department of Palliative Care, Palliative Care Team, Saito-Yukoukai Hospital, Osaka, Japan.
Am J Hosp Palliat Care. 2014 May;31(3):244-6. doi: 10.1177/1049909113484384. Epub 2013 Apr 2.
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.
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。