Mercadante Sebastiano, Masedu Francesco, Mercadante Alessandro, Marinangeli Franco, Aielli Federica
Supportive/Palliative Care Unit, La Maddalena Cancer Center, Via San Lorenzo 312, 90146, Palermo, Italy.
Department of Biotechnological and Applied Clinical Sciences, Section of Clinical Epidemiology and Environmental Medicine, University of L'Aquila, L'Aquila, Italy.
Support Care Cancer. 2017 May;25(5):1615-1620. doi: 10.1007/s00520-017-3581-3. Epub 2017 Jan 17.
Information about the attitudes towards palliative sedation (PS) at home is limited.
The aim of this survey was to assess the attitudes of palliative care physicians in Italy regarding PS at home.
A questionnaire was submitted to a sample of palliative care physicians, asking information about their activity and attitudes towards PS at home.
This is a survey of home care physicians in Italy who were involved in end-of-life care decisions at home.
One hundred and fifty participants responded. A large heterogeneity of home care organizations that generate some problems was found. Indications, intention and monitoring of PS seem to be appropriate, although some cultural and logistic conditions were limiting the use of PS. Specialized home care physicians are almost involved to start PS at home. Midazolam was seldom available at home and opioids were more frequently used.
These data should prompt health care agencies to make a minimal set of drugs easily available for home care. Further research is necessary to compare attitudes in countries with different sociocultural profiles.
关于在家中对姑息性镇静（PS）的态度的信息有限。
本次调查的目的是评估意大利姑息治疗医生对在家中进行PS的态度。
向一组姑息治疗医生发放问卷，询问他们关于其在家中进行PS的活动及态度的信息。
这是一项针对意大利参与家庭临终关怀决策的家庭护理医生的调查。
150名参与者做出了回应。发现提供家庭护理的组织存在很大差异，这产生了一些问题。尽管一些文化和后勤条件限制了PS的使用，但PS的指征、意图和监测似乎是恰当的。专业家庭护理医生几乎参与在家中启动PS。家中很少有咪达唑仑，更常用的是阿片类药物。
这些数据应促使医疗保健机构为家庭护理提供一套基本药物。有必要进行进一步研究，以比较不同社会文化背景国家的态度。
