Moriyama Megumi, Miyake Yasuhiro, Kishimoto Masayuki, Matsuda Manami, Oka Yoshio, Ogawa Hiroyuki, Ikeda Toshiyuki, Nezu Riichiro
Home Care Support Office, Nishinomiya Municipal Central Hospital.
Gan To Kagaku Ryoho. 2015 Dec;42 Suppl 1:9-10.
It is very important for advanced cancer patients who receive palliative care to select appropriate places to stay during the end-of-life period. We reviewed the cases of 147 patients who were referred to palliative care services from our hospital. Forty-four patients(30%)were referred to palliative care facilities, and 103 patients(70%)received palliative care in their homes. Fifty-two patients(47%)died at a palliative care facility, 41(37%)died at home, and 18(16%)died at our hospital. The proportion of patients who died at home was three times the number of people who wanted to die at home, according to a Japan National questionnaire. To increase cooperation between regional hospitals and home palliative care services, we attended meetings and conferences conducted by the Nishinomiya City Medical Association. As a result of these activities, we think that the number of patients who die at home has increased.
对于接受姑息治疗的晚期癌症患者而言，在生命末期选择合适的住所非常重要。我们回顾了我院转介至姑息治疗服务的147例患者的病例。44例患者（30%）被转介至姑息治疗机构，103例患者（70%）在家中接受姑息治疗。52例患者（47%）在姑息治疗机构死亡，41例（37%）在家中死亡，18例（16%）在我院死亡。根据一份日本全国调查问卷，在家中死亡的患者比例是希望在家中离世人数的三倍。为加强地区医院与居家姑息治疗服务之间的合作，我们参加了西宫市医学协会举办的会议。通过这些活动，我们认为在家中死亡的患者数量有所增加。
