How do cancer patients who die at home differ from those who die elsewhere?
How do cancer patients who die at home differ from those who die elsewhere?
复制标题
DOI：
10.1191/026921698673427657
复制
发表时间：
1998-07-01
影响因子：
4.4
通讯作者：
Addington-Hall, J
中科院分区：
文献类型：
--
作者：
Karlsen, S;Addington-Hall, J
我们的目的是调查在家中死亡的癌症患者与那些不在家死亡的癌症患者有何不同。对229名在伦敦市中心卫生当局登记死亡的随机样本的人进行了丧亲后调查。结果发现，五分之一的患者（21%）在自己家中死亡。总体而言，38%的人表示更喜欢死亡地点，其中73%的人希望在家中死亡。只有58%的人做到了。拥有特殊设备和对死亡地点的偏好与在家死亡的可能性增加有关;使用社会和健康服务进行社会护理与这样做的可能性降低有关。结论是，与以前的研究一样，大多数表达偏好的患者希望在家中死亡，但近一半的人没有实现这一点。承认对家庭死亡的偏好，提供在家中“坚持到底”的动机，以及足够的社区支持，以提供实现偏好的实际手段，对于所有希望实现家庭死亡的人来说，似乎是至关重要的。
Our objective was to investigate how cancer patients who die at home differ from those who do not.A postbereavement survey of 229 people who registered the death of a random sample of cancer deaths in an inner London health authority was conducted. It was found that a fifth of patients (21%) died in their own home. Overall, 38% were reported to have expressed a preference for place of death, 73% of whom wanted to die at home. Only 58% achieved this. Having special equipment and stating a preference for place of death was associated with an increased likelihood of dying at home; using social and health services for social care was associated with a decreased likelihood of so doing.It was concluded that, as in previous studies, most patients who expressed a preference wanted a home death, but nearly half did not achieve this. Recognition of a preference for home death, providing the motivation to 'stick it out' at home, and adequate community support to provide the practical means to fulfil the preference, appear to be crucial in the achievement of a home death for all who desire it.