Houts P S, Yasko J M, Harvey H A, Kahn S B, Hartz A J, Hermann J F, Schelzel G W, Bartholomew M J
Pennsylvania State University College of Medicine, Department of Behavioral Science, Hershey 17033.
Cancer. 1988 Aug 1;62(3):627-34. doi: 10.1002/1097-0142(19880801)62:3<627::aid-cncr2820620331>3.0.co;2-1.
A stratified random sample of recent cancer deaths was drawn from the Pennsylvania death registry, and 433 family members or close friends were interviewed concerning unmet needs during the last month of life. It was estimated that 72% of persons who died of cancer in Pennsylvania experienced at least one unmet service need during this period. The most frequently reported was help with activities of daily living, estimated at 42% of cancer deaths, involving over 11,000 persons each year in the state. There were significantly more unmet needs during the terminal period, compared with just after diagnosis, in activities of daily living, obtaining health care, transportation, and problems with medical staff. Our findings indicate a need to increase a broad range of support programs during the terminal period, especially of home-care services.
从宾夕法尼亚州死亡登记处抽取了近期癌症死亡病例的分层随机样本，对433名家庭成员或亲密朋友进行了访谈，询问他们在患者生命最后一个月期间未满足的需求。据估计，宾夕法尼亚州72%的癌症死亡患者在此期间至少有一项服务需求未得到满足。最常报告的需求是日常生活活动方面的帮助，估计占癌症死亡病例的42%，该州每年有超过11000人涉及此类需求。与刚确诊后相比，在临终期，日常生活活动、获得医疗保健、交通以及与医护人员相关的问题方面，未满足的需求显著更多。我们的研究结果表明，在临终期需要增加广泛的支持项目，尤其是家庭护理服务。
