Porock D, Martin K, Oldham L, Underwood R
School of Nursing, Edith Cowan University, Churchlands.
Palliat Med. 1997 Nov;11(6):444-50. doi: 10.1177/026921639701100603.
Transfer of patients from palliative care services to nursing homes is necessary at present when a patient is relatively stable, but does not have adequate support systems at home. With the ageing of the population and the increasing incidence of cancer, the need for inpatient palliative care beds is growing with corresponding pressure for patients to be transferred to nursing homes. Transfer to a nursing home in the general population has been described extensively in the gerontology literature where a critical early phase of relocation has been identified by a high incidence of morbidity and mortality. The vulnerability of terminally ill patients means that they are at increased risk of suffering from stress associated with a transfer. The prognosis of a patient may be shorter than the time required for adjustment to the patient's new home. The issues surrounding transfer of palliative care patients to nursing homes and possible strategies designed to reduce distress associated with transfers are explored.
目前，当患者病情相对稳定但家中缺乏足够的支持系统时，将患者从姑息治疗服务机构转至养老院是必要的。随着人口老龄化和癌症发病率的上升，住院姑息治疗床位的需求不断增加，患者被转至养老院的压力也相应增大。老年医学文献中已广泛描述了普通人群转至养老院的情况，其中已确定搬迁的关键早期阶段发病率和死亡率较高。晚期患者的脆弱性意味着他们承受与转院相关压力的风险增加。患者的预后可能短于适应新环境所需的时间。本文探讨了姑息治疗患者转至养老院的相关问题以及旨在减少与转院相关痛苦的可能策略。
