Yamaji S, Kakinuma N, Negoro M, Takeuchi M, Arai H, Nakatani F, Kubota T
Dept. of Visiting Care Services, Fukaya Red Cross Hospital.
Gan To Kagaku Ryoho. 1996 Dec;23 Suppl 3:211-5.
The wishes of patients with terminal cancer are often not realized even if they indicate they want to die at home. We introduced a 24-hour visiting care system from November, 1994, with a view to making it possible for the patient who wants to to stay at home. As a result, the rate of the death at home increased; thus, the 24-hour visiting care system was significant for terminal care at home. On the other hand, from the viewpoint of a medical institution, the lack of sufficient cooperation with doctors and the increase of the burden on the staff were pointed out as problems to be resolved.
即使晚期癌症患者表示希望在家中离世，他们的愿望往往也无法实现。我们从1994年11月开始引入了24小时上门护理系统，目的是让希望在家中离世的患者能够如愿。结果，在家中死亡的比例有所上升；因此，24小时上门护理系统对于居家临终护理具有重要意义。另一方面，从医疗机构的角度来看，与医生缺乏充分合作以及工作人员负担加重被指出是有待解决的问题。
