Chowdhury Mostofa Kamal, Ahmad Nezamuddin, Biswas Fazle Noor, Farheen Nadia, Ferdous Lailatul, Akter Kazi Maksoda, Connor Stephen R
Assistant Professor, Department of Palliative Medicine, Centre for Palliative Care, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1217, Bangladesh.
Department of Palliative Medicine, Centre for Palliative Care, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Palliat Care Soc Pract. 2021 Dec 16;15:26323524211063217. doi: 10.1177/26323524211063217. eCollection 2021.
The study aimed to explore the quality and impact of care provided through an innovative palliative care project to improve the quality of life of older people in an urban informal settlement in Bangladesh.
Center for Palliative Care (CPC) at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, in collaboration with the Worldwide Hospice Palliative Care Alliance (WHPCA) has been operating this community project since 2015. A cross-sectional observational design was used in this program evaluation study. A total of 594 people received services including 227 patients (Group-1) receiving regular and intensive palliative care and 367 patients with less intense needs (Group-2) receiving relatively less support based on need. In addition, current group-1 patients (total 114) and a matched cohort of 58 group-2 patients were interviewed with an experience of care survey questionnaire. Baseline and demographic data were presented in tables. The -test was used to measure mean statistical differences between two groups.
Multiple comorbidities were common. Pain was the most frequently noted physical symptom along with anxiety, sadness, and depression as common psychological concerns. Compassionate palliative care for the older people had significant ( < 0.05) impact on psycho-social and spiritual care, caregiver training, responding to emergencies, and reduction of out of pocket healthcare expenditure among the intensive intervention group.
Using a community-based approach following this model may play a significant part in expansion of palliative care throughout Bangladesh to meet the huge need and scarcity of such services.
本研究旨在探讨通过一个创新的姑息治疗项目所提供的护理质量和影响，以改善孟加拉国一个城市非正式住区老年人的生活质量。
达卡的班加班杜·谢赫·穆吉布医科大学（BSMMU）的姑息治疗中心（CPC）自2015年以来一直与全球临终关怀与姑息治疗联盟（WHPCA）合作开展这个社区项目。本项目评估研究采用横断面观察设计。共有594人接受了服务，其中227名患者（第一组）接受常规和强化姑息治疗，367名需求较低的患者（第二组）根据需求接受相对较少的支持。此外，对目前第一组的114名患者和58名第二组的匹配队列患者进行了护理体验调查问卷访谈。基线和人口统计学数据列于表格中。采用t检验来测量两组之间的平均统计差异。
多种合并症很常见。疼痛是最常被提及的身体症状，焦虑、悲伤和抑郁是常见的心理问题。对老年人的同情姑息治疗对强化干预组的心理社会和精神护理、护理人员培训、应急反应以及减少自付医疗费用有显著（P<0.05）影响。
采用基于社区的方法遵循此模式可能在孟加拉国扩大姑息治疗以满足此类服务的巨大需求和短缺方面发挥重要作用。
