Wallston K A, Burger C, Smith R A, Baugher R J
Health Care Research Project, School of Nursing, Vanderbilt University, Nashville, TN 37240.
Med Care. 1988 Feb;26(2):177-82. doi: 10.1097/00005650-198802000-00008.
In this secondary analysis of data from the National Hospice Study (NHS), a new measure, quality of death (QOD), was developed by weighting reports of cancer patients' last 3 days of life by what patients wanted their last 3 days to be like. Using analysis of covariance, the QOD scores were higher for terminally ill patients in hospices (either home-care [HC] or hospital-based [HB]) than similar patients who received conventional care (CC). The results are discussed in terms of verification of the hospice philosophy and other uses for a quality of death measure.
在这项对国家临终关怀研究（NHS）数据的二次分析中，通过根据癌症患者对生命最后3天的期望来权衡他们生命最后3天的报告，开发了一种新的指标——死亡质量（QOD）。使用协方差分析，临终关怀机构（居家护理[HC]或医院护理[HB]）中的晚期患者的QOD得分高于接受传统护理（CC）的类似患者。从临终关怀理念的验证以及死亡质量指标的其他用途方面对结果进行了讨论。
