Roza Katherine A, Lee Eric J, Meier Diane E, Goldstein Nathan E
1 Icahn School of Medicine at Mount Sinai , New York.
J Palliat Med. 2015 Apr;18(4):358-65. doi: 10.1089/jpm.2014.0172.
More U.S. hospitals are adopting palliative care programs, prompting inquiry about the relationship of palliative care to patient and family satisfaction. This study compares the impact of palliative care units, palliative care consultation, and usual care on bereaved families' perceptions of care quality.
Using the Bereaved Family Survey we conducted interviews with family members of patients who died at Mount Sinai Medical Center between March 2012 and March 2013.
Of 108 completed surveys, 31 were in the palliative care unit group, 28 in the consultation service group, and 49 in the usual care group. Family members of patients who died on the palliative care unit were more likely to report that their loved one's end-of-life medical care had been "excellent" as compared to family members of patients who received palliative care consultation or usual care (adjusted OR, 2.06; 95% CI, 1.17-3.61). Family members of palliative care unit patients also reported greater satisfaction with emotional support before the patient's death (adjusted OR, 1.71; 95% CI, 1.01-2.90). We found no significant differences between the consultation service and usual care.
Family members of patients who died while receiving care in a dedicated palliative care unit report higher overall satisfaction and emotional support before death as compared to the consultation service or usual care.
越来越多的美国医院采用姑息治疗项目，这引发了人们对姑息治疗与患者及家属满意度之间关系的探究。本研究比较了姑息治疗病房、姑息治疗会诊和常规护理对丧亲家庭护理质量认知的影响。
我们使用丧亲家庭调查问卷，对2012年3月至2013年3月期间在西奈山医疗中心去世患者的家属进行了访谈。
在108份完成的调查问卷中，姑息治疗病房组有31份，会诊服务组有28份，常规护理组有49份。与接受姑息治疗会诊或常规护理的患者家属相比，在姑息治疗病房去世患者的家属更有可能报告其亲人的临终医疗护理“出色”（校正比值比，2.06；95%置信区间，1.17 - 3.61）。姑息治疗病房患者的家属在患者去世前对情感支持的满意度也更高（校正比值比，1.71；95%置信区间，1.01 - 2.90）。我们发现会诊服务组和常规护理组之间没有显著差异。
与会诊服务或常规护理相比，在专门的姑息治疗病房接受护理期间去世患者的家属报告的总体满意度更高，且在去世前得到的情感支持也更多。
