Symptom Prevalence in the Last days of Life in Germany: The Role of Place of Death
Symptom Prevalence in the Last days of Life in Germany: The Role of Place of Death
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DOI：
10.1177/1049909111425228
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发表时间：
2012-09-01
影响因子：
1.9
通讯作者：
Weber, Martin
中科院分区：
文献类型：
--
作者：
Pinzon, Luis Carlos Escobar;Claus, Matthias;Weber, Martin
调查表明，症状患病率因死亡地点而异。我们试图评估德国慢性病患者的症状患病率，以及这种患病率如何根据死亡地点的不同而不同。我们向德国莱茵兰-巴拉蒂纳的5000名失去亲人的人发出了问卷，他们的亲属在2008年5月25日至8月24日期间去世。共发放问卷3832份，收回1378份，回应率为36.0%。大多数死者有中重度虚弱(94.5%)、乏力(93.5%)、日常活动需要帮助(87.9%)和食欲不振(87.4%)。在医院的疼痛和呼吸困难最严重；在疗养院的疲惫、混乱/迷失和伤口护理问题；在日常活动中需要帮助和家庭负担过重。在对潜在的混杂因素进行调整后，相关性仍然存在。
Investigations have shown that symptom prevalence varies according to the place of death. We sought to assess the symptom prevalence of chronically ill people in Germany and how this prevalence differs depending on the place of death. We sent questionnaires to 5000 bereaved people in Rhineland-Palatinate (Germany), whose relatives died between May 25 and August 24, 2008. In all, 3832 questionnaires were delivered and 1378 completed (response 36.0%). Most decedents had moderate-to-severe weakness (94.5%), fatigue (93.5%), need for help in daily activities (87.9%), and appetite loss (87.4%). Pain and dyspnea were most severe in hospitals; fatigue, confusion/disorientation, and problems with wound care in nursing homes; and need for help in daily activities and overburden of family at home. Associations persisted after adjusting for potential confounders.