Monnery Daniel, Webb Esther, Richardson Lorna, Isaac Jane, Chapman Laura
Registrar in Palliative Medicine, Clatterbridge Cancer Centre, Wirral, UK.
Healthcare Assistant, Marie Curie Hospice, Liverpool, UK.
Int J Palliat Nurs. 2018 Feb 2;24(2):92-95. doi: 10.12968/ijpn.2018.24.2.92.
There is a paucity of evidence supporting the benefits of palliative care day therapy services for patients with non-malignant diseases. Outcome measures in this setting are also lacking.
To evaluate the use of the modified Measure Yourself Medical Outcome Profile 2 (MYMOP2) tool in tailoring day therapy services toward the needs of patients with non-malignant conditions Method: A single system, 'before and after' design quality improvement study was conducted. Data were collected regarding outcome measures, re-referral rates and mortality.
After the introduction of the modified MYMOP2 tool, there was an improvement in the mean outcome scores for patients with non-malignant disease. Re-referral rates for these patients dropped by 28% during the follow up period, with no change in mortality.
These findings suggest that using the modified MYMOP2 tool to tailor and measure the outcome of holistic day therapy services results in a more sustained improvement for patients with non-malignant disease.
缺乏证据支持姑息治疗日间治疗服务对非恶性疾病患者的益处。在这种情况下也缺乏结果测量指标。
评估使用改良的自我测量医疗结果概况2（MYMOP2）工具来根据非恶性疾病患者的需求定制日间治疗服务。方法：进行了一项单系统、“前后”设计的质量改进研究。收集了关于结果测量指标、再次转诊率和死亡率的数据。
引入改良的MYMOP2工具后，非恶性疾病患者的平均结果得分有所改善。在随访期间，这些患者的再次转诊率下降了28%，死亡率没有变化。
这些发现表明，使用改良的MYMOP2工具来定制和测量整体日间治疗服务的结果，能使非恶性疾病患者获得更持续的改善。
