Dewi Rees W
Br Med J. 1972 Jul 8;3(5818):105-7. doi: 10.1136/bmj.3.5818.105.
A simple method of recording the distress of dying patients is described. Significant differences occurred between deaths at home and in hospital for three factors. Patients dying at home were (a) more likely to be fully alert shortly before death (P < 0.05); (b) less likely to be suffering from vomiting, incontinence, or bedsores (P < 0.001); and (c) less likely to have unrelieved physical distress (P < 0.05). No significant differences occurred in the distress of patients dying in general-practitioner compared with other hospitals, though the numbers compared were small and a larger study might prove useful.
本文描述了一种记录临终患者痛苦程度的简单方法。在家中死亡和在医院死亡的患者在三个因素上存在显著差异。在家中死亡的患者：（a）在死亡前不久更有可能完全清醒（P<0.05）；（b）出现呕吐、大小便失禁或褥疮的可能性较小（P<0.001）；（c）出现无法缓解的身体痛苦的可能性较小（P<0.05）。与其他医院相比，在全科医生处死亡的患者的痛苦程度没有显著差异，不过比较的数量较少，更大规模的研究可能会有所帮助。
