Sanz-Ortiz J, Llamazares González A
Sección de Oncología Médica y Cuidados Paliativos, Hospital Universitario Marqués de Valdecilla, Santander.
Med Clin (Barc). 1993 Oct 16;101(12):446-9.
It is currently believed that the home is not the most adequate place to die. Ninety percent of the deaths happen in hospitals. The home care of terminally ill cases by a palliative care team is analyzed.
In 93 (53 males and 40 females, mean age 63 years, range 31-89 years) oncologic patients followed at home until death the number of visits and their length, the most important symptoms, the length of the terminal phase and the place of death were analyzed.
Two hundred fifteen visits were carried out. The length per visit per patient was of 40 minutes. The terminal phase oscillated between 1 and 425 days with a median of 50 days. Pain and dyspnea were the most important symptoms. Death occurred at home in fifty-three (59%) patients and in the hospital in 37 (41%). The median survival from diagnosis was 10 months.
Home care increase the percentage of deaths in the home if adequate alleviation of symptoms, permanent communication and constant family support are provided.
目前人们认为家中并非最适宜离世的场所。90%的死亡发生在医院。本文对姑息治疗团队对晚期病例的居家护理情况进行了分析。
对93例（53例男性和40例女性，平均年龄63岁，年龄范围31 - 89岁）在家中接受随访直至死亡的肿瘤患者的访视次数及时长、最重要的症状、终末期时长及死亡地点进行了分析。
共进行了215次访视。每位患者每次访视时长为40分钟。终末期时长在1至425天之间波动，中位数为50天。疼痛和呼吸困难是最重要的症状。53例（59%）患者在家中死亡，37例（41%）在医院死亡。从诊断到死亡的中位生存期为10个月。
如果能充分缓解症状、保持持续沟通并给予家人持续支持，居家护理可提高在家中死亡的比例。
