J Hosp Palliat Nurs. 2021 Jun 1;23(3):264-270. doi: 10.1097/NJH.0000000000000752.
The quality of dying and death is currently considered an objective to achieve at the end of life. The aim of this study is to analyze the quality of dying and death of advanced cancer patients in palliative care and its association with place of death and quality of care from the perspective of family caregivers. This is a cross-sectional study. The study sample included 72 family caregivers of advanced cancer patients in palliative care. For the evaluation of the quality of dying and death, the Spanish version of the Quality of Dying and Death Questionnaire was used. Quality of care was evaluated with the Palliative Care Outcome Scale. The mean (SD) total score on the Spanish version of the Quality of Dying and Death Questionnaire was 64.56 (20.97). The quality of dying and death was higher when the patients died at home, 70.45 (19.70), and it was positively correlated with quality of care (r = 0.61). Palliative care contributes to achieving a satisfactory quality of dying and death in Spanish advanced cancer patients. Further studies that evaluate interventions for improving the quality of dying and death in the advanced cancer population are needed.
目前，临终质量被认为是生命末期的一个目标。本研究旨在从家庭照顾者的角度分析晚期癌症患者在姑息治疗中的临终和死亡质量及其与死亡地点和护理质量的关系。这是一项横断面研究。研究样本包括 72 名晚期癌症姑息治疗患者的家庭照顾者。为了评估临终和死亡质量，使用了《临终和死亡质量问卷》的西班牙语版本。姑息治疗结果量表用于评估护理质量。《临终和死亡质量问卷》西班牙语版本的总得分平均值（SD）为 64.56（20.97）。当患者在家中死亡时，临终和死亡质量更高，为 70.45（19.70），并且与护理质量呈正相关（r = 0.61）。姑息治疗有助于提高西班牙晚期癌症患者的临终和死亡质量。需要进一步研究评估改善晚期癌症人群临终和死亡质量的干预措施。
