Emergency calls and need for emergency care in patients looked after by a palliative care team: Retrospective interview study with bereaved relatives.
Emergency calls and need for emergency care in patients looked after by a palliative care team: Retrospective interview study with bereaved relatives.
复制标题
DOI：
10.1186/1472-684x-7-11
复制
发表时间：
2008-08-12
影响因子：
3.1
通讯作者：
Hanekop, Gerd G
中科院分区：
文献类型：
--
作者：
Wiese, Christoph H R;Vossen-Wellmann, Andrea;Hanekop, Gerd G
背景：在生命的最后阶段，姑息治疗患者经常经历呼吸窘迫、出血、疼痛或癫痫发作。在这种情况下，护理人员可能会呼叫紧急医疗服务机构，导致不想要的入院治疗。本研究旨在展示我们的姑息关怀团队对减少癌症患者或其亲属在生命的最后六个月期间拨打急救电话的影响。方法：随机选择50名参加我们姑息关怀团队的已故患者的亲属。数据是在结构化访谈中回溯性获得的。除人口统计学资料外，还记录了患者生命的最后6个月内拨打的急救电话的数量、打电话的原因和照顾者的精神复合评分(MCS-12)。在生命的最后六个月里，18名患者(39%)接到了紧急电话。总共接到了23个紧急电话。有16例(70%)患者入院。21个(91%)的电话是在患者被招募接受团队的姑息治疗之前拨打的，两个(9%)是在患者登记接受姑息治疗之后拨打的。在访谈时，照顾者的平均心理复合得分为41(范围28-57)。MCS-12与急救电话数量之间缺乏相关性。结论：如果患者没有得到我们姑息治疗团队的照顾，则更有可能发生急救电话。由于MCS-12与紧急呼叫的数量之间缺乏相关性，MCS-12不能表明是极度紧张的情况触发了这些呼叫。然而，我们得出的结论是，特殊的姑息护理计划可以减少家庭照顾者的心理社会压力。因此，紧急呼叫的数量可能会减少，这一事实允许更多姑息患者在家中死亡。
BACKGROUND: During the last stage of life, palliative care patients often experience episodes of respiratory distress, bleeding, pain or seizures. In such situations, caregivers may call emergency medical services leading to unwanted hospital admissions. The study aims to show the influence of our palliative care team to reducing emergency calls by cancer patients or their relatives during the last six month of life.METHODS: Fifty relatives of deceased patients who had been attended by our palliative care team were randomly selected. Data was obtained retrospectively during a structured interview. In addition to demographic data, the number of emergency calls made during the final six months of the patient's life, the reason for the call and the mental compound score (MCS-12) of the caregivers was registered.RESULTS: Forty-six relatives agreed to the interview. Emergency calls were placed for 18 patients (39%) during the final six months of their lives. There were a total of 23 emergency calls. In 16 cases (70%) the patient was admitted to the hospital. Twenty-one (91%) of the calls were made before patients had been enrolled to receive palliative care from the team, and two (9%) were made afterwards. The mean mental compound score of the caregivers at the time of the interview was 41 (range 28-57). There was a lack of correlation between MCS-12 and number of emergency calls.CONCLUSION: Emergency calls were more likely to occur if the patients were not being attended by our palliative care team. Because of the lack of correlation between MCS-12 and the number of emergency calls, the MCS-12 cannot indicate that acutely stressful situations triggered the calls. However, we conclude that special palliative care programs can reduce psychosocial strain in family caregivers. Therefore, the number of emergency calls may be reduced and this fact allows more palliative patients to die at home.