Department of Radiation Oncology, Dr AY Ankara Oncology Training and Research Hospital, University of Health Sciences, Ankara, Turkey.
Palliative Care Unit, Department of Anesthesiology, Dr AY Ankara Oncology Training and Research Hospital, University of Health Sciences, Ankara, Turkey.
Eur J Cancer Care (Engl). 2020 Nov;29(6):e13285. doi: 10.1111/ecc.13285. Epub 2020 Jul 26.
Palliative care (PC) is a holistic philosophy of care that can only be obtained through the awareness of public and healthcare professionals, PC training and good integration into the health system. Depending on health system structures, there are differences in PC models and organisations in various countries. This study is designed to evaluate the current status of PC services in Turkey, which is strongly supported by national health policies.
The data were collected through official correspondence with the Ministry of Health, Provincial Directorate of Health and hospital authorities. Numbers of patients who received inpatient PC, the number of hospital beds, diagnosis of disease, duration of hospitalisation, the first three symptoms as the cause of hospitalisation, opioid use, place of discharge and mortality rates were evaluated.
A total of 48,953 patients received inpatient PC support in 199 PC centres with 2,429 beds over a 26-month period. The most frequent diagnosis for hospitalisation was cancer (35%), and the most common symptom was pain (25%). Opioids were used in 26.7% of patients.
Steps should be taken for PC training and providing continuity through organisations outside the hospital and home care.
姑息治疗（PC）是一种整体护理理念，只有通过公众和医疗保健专业人员的意识、PC 培训以及与卫生系统的良好整合才能实现。根据卫生系统的结构，不同国家的 PC 模式和组织存在差异。本研究旨在评估土耳其的 PC 服务现状，该国的卫生政策对此提供了大力支持。
通过与卫生部、省级卫生局和医院当局的正式通信收集数据。评估了接受住院 PC 支持的患者人数、医院病床数、疾病诊断、住院时间、住院的前三个症状作为住院原因、阿片类药物使用、出院地点和死亡率。
在 26 个月的时间里，共有 48953 名患者在 199 个 PC 中心的 2429 张病床接受了住院 PC 支持。最常见的住院诊断是癌症（35%），最常见的症状是疼痛（25%）。26.7%的患者使用了阿片类药物。
应采取措施进行 PC 培训，并通过医院外的组织和家庭护理提供连续性。
