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家中死亡与居家护理的使用及类型之间的关联

Associations Between Home Death and the Use and Type of Care at Home.

作者信息

McEwen Rebecca, Asada Yukiko, Burge Frederick, Lawson Beverley

机构信息

1 St. Joseph's Care Group, Thunder Bay Ontario, Canada.

2 Department of Community Health & Epidemiology, Dalhousie University, Nova Scotia, Canada.

出版信息

J Palliat Care. 2018 Jan;33(1):26-31. doi: 10.1177/0825859717751933. Epub 2018 Jan 14.

Abstract

Despite wishes for and benefits of home deaths, a discrepancy between preferred and actual location of death persists. Provision of home care may be an effective policy response to support home deaths. Using the population-based mortality follow-back study conducted in Nova Scotia, we investigated the associations between home death and formal care at home and between home death and the type of formal care at home. We found (1) the use of formal care at home at the end of life was associated with home death and (2) the use of formal home support services at home was associated with home death among those whose symptoms were well managed.

摘要

尽管人们希望在家中离世且这样做有诸多益处,但死亡的首选地点与实际地点之间仍存在差异。提供居家护理可能是支持在家中离世的一项有效政策举措。通过在新斯科舍省开展的基于人群的死亡随访研究,我们调查了在家中离世与在家接受正式护理之间的关联,以及在家中离世与在家接受的正式护理类型之间的关联。我们发现:(1)临终时在家接受正式护理与在家中离世相关;(2)对于症状得到良好控制的人群,在家使用正式的居家支持服务与在家中离世相关。

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