A palliative-care intervention and death at home: a cluster randomised trial
A palliative-care intervention and death at home: a cluster randomised trial
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DOI：
10.1016/s0140-6736(00)02678-7
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发表时间：
2000-09-09
期刊：
影响因子：
168.9
通讯作者：
Kaasa, S
中科院分区：
文献类型：
--
作者：
Jordhoy, MS;Fayers, P;Kaasa, S
背景 挪威特隆赫姆大学医院的姑息医学科启动了一项干预计划，旨在让患者能够花更多时间在家中，如果愿意的话，也可以在家中死去。需要与作为主要正式护理人员的社区卫生保健专业人员密切合作，并由多学科顾问团队协调护理。我们进行了一项整群随机试验，以评估干预措施与传统护理方法相比的有效性。挪威特隆赫姆及其周边地区的社区卫生保健区被定义为随机分组。我们在这些地区招募了 434 名患者（235 名指定干预组和 199 名常规护理[对照]），他们患有无法治愈的恶性疾病，预计生存期为 2-9 个月。主要结果是死亡地点和生命最后一个月在机构中度过的时间。结果 395 名患者死亡。其中，干预患者在家中死亡的人数多于对照组患者（54 名 [25%] 比 26 名 [15%]，p
Background The Palliative Medicine Unit at University Hospital of Trondheim, Norway, started an intervention programme that aims to enable patients to spend more time at home and die there if they prefer. Close cooperation was needed with the community health-care professionals, who acted as the principal formal caregivers, and a multidisciplinary consultant team coordinated the care. We did a cluster randomised trial to assess the intervention's effectiveness compared with conventional careMethods Community health-care districts in and around Trondheim, Norway, were defined as the clusters to be randomised. We enrolled 434 patients (235 assigned intervention and 199 conventional care [controls]) in these districts who had incurable malignant disease and an expected survival of 2-9 months. Main outcomes were place of death and time spent in institutions in the last month of life.Findings 395 patients died. Of these, more intervention patients than controls died at home (54 [25%] vs 26 [15%], p