Frohmüller S, Schlag P, Leucht R, Ophof J, Ruoff G
Sektion Chirurgische Onkologie, Chirurgischen Universitätsklinik Heidelberg.
Dtsch Med Wochenschr. 1989 Jul 7;114(27):1055-8. doi: 10.1055/s-2008-1066715.
In the course of a trial investigation, 162 patients with malignant tumour were treated in their home between November 1986 and August 1988. A team - consisting of doctor, nurse and psychologist - was the link between patient, family practitioner, tumour centre and social services in an integrated treatment regimen. Chemotherapy was performed at home in 64 patients, artificial parenteral or enteral nutrition in 22. Home treatment was undertaken in 23 patients in the endstage of their illness and in 49 patients after mutilating cancer operations. The complication rate of home treatment was only 0.5%. Rehospitalization became necessary in some, especially because of complications of the underlying disease, which required extension of the treatment. With this regimen patients were able to remain at home for 84% of required treatment time (7921 patient days).
在一项试验性调查过程中,1986年11月至1988年8月期间,162名恶性肿瘤患者在家中接受治疗。一个由医生、护士和心理学家组成的团队是综合治疗方案中患者、家庭医生、肿瘤中心和社会服务之间的纽带。64名患者在家中接受化疗,22名患者接受人工胃肠外或胃肠内营养治疗。23名处于疾病终末期的患者以及49名接受了致残性癌症手术的患者在家中接受治疗。家庭治疗的并发症发生率仅为0.5%。一些患者有必要再次住院,尤其是因为基础疾病的并发症,这需要延长治疗时间。通过这种治疗方案,患者能够在家中度过所需治疗时间的84%(7921个患者日)。