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。
