Restorative care for palliative patients: a retrospective clinical audit of outcomes for patients admitted to an inpatient palliative care unit
Restorative care for palliative patients: a retrospective clinical audit of outcomes for patients admitted to an inpatient palliative care unit
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DOI：
10.1136/bmjspcare-2014-000774
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发表时间：
2016-03-01
影响因子：
2.7
通讯作者：
Ugalde, Anna
中科院分区：
文献类型：
--
作者：
Runacres, Fiona;Gregory, Heidi;Ugalde, Anna
背景 姑息治疗中的恢复性护理是康复的一个子集，旨在通过恢复或维持身体功能来提高生活质量。姑息治疗病房提供的恢复性护理计划的结果尚未得到充分评估。 目的 目标是检查住院姑息治疗病房中恢复性护理计划的结果，包括出院目的地、表现状态变化和住院时间。方法 对澳大利亚墨尔本 Calvary Health Care Bethlehem 连续收治的患者进行回顾性临床审核，主要是从 2010 年 7 月至 2011 年 12 月进行恢复性护理。 结果 79录取符合纳入标准。平均年龄为 76.5 岁 (SD=11.14)，其中 43 名 (54%) 为男性。 75（95%）名患者诊断为恶性；其中，大多数患有肺癌（24%）。 16 名患者（20%）出院回家，51 名患者（65%）死亡，12 名患者（15%）转院。在出院回家的患者中，只有 6 名（出院回家患者的 38%）的体能状态有所改善。出院回家者的住院时间显着缩短（17 天与 39 天相比；p
Background Restorative care in palliative care is a subset of rehabilitation that aims to improve quality of life through restoration or maintenance of physical functions. Outcomes for restorative care programmes delivered by palliative care units have not adequately been assessed.Objectives The objectives are to examine the outcomes of a restorative care programme in an inpatient palliative care unit, including discharge destination, performance status changes and length of stay.Methods Retrospective clinical audit of consecutive patients admitted to Calvary Health Care Bethlehem in Melbourne, Australia, principally for restorative care from July 2010 to December 2011.Results 79 admissions met inclusion criteria. Mean age was 76.5 years (SD=11.14) and 43 (54%) were men. 75 (95%) patients had a malignant diagnosis; of these, the majority had lung cancer (24%). 16 patients (20%) were discharged home, 51 (65%) died and 12 (15%) were transferred. Of the patients discharged home, only 6 (38% of those discharged home) improved their performance status. Those discharged home had a significantly shorter length of stay (17 days compared to 39 days; p