AN ALTERNATIVE IN TERMINAL CARE - RESULTS OF THE NATIONAL HOSPICE STUDY
AN ALTERNATIVE IN TERMINAL CARE - RESULTS OF THE NATIONAL HOSPICE STUDY
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DOI：
10.1016/0021-9681(86)90103-7
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发表时间：
1986-01-01
期刊：
影响因子：
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通讯作者：
BIRNBAUM, H
中科院分区：
文献类型：
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作者：
GREER, DS;MOR, V;BIRNBAUM, H
临终关怀是一项为临终病人及其家人提供的支持性服务计划，在家中或在指定的住院环境中提供，旨在以比传统临终关怀更低的成本提高患者和家庭的生活质量。国家临终关怀研究是一项多点准实验研究，旨在将晚期癌症患者及其家人在临终关怀机构的经历与接受传统临终关怀的类似患者和家庭的经历进行比较。结果表明，尽管临终关怀不同，例如较少使用积极的介入治疗和诊断性测试，但临终关怀和传统护理系统中患者的生活质量相似，只是疼痛和症状控制不同，在住院临终关怀环境中可能更好。临终关怀患者更有可能在家中死亡，他们的家人对这一结果感到满意。否则，家庭结局的一致性优势与临终关怀方法无关。临终关怀的费用低于在没有住院设施的临终关怀中为病人提供的传统临终关怀，但临终关怀的费用似乎与在有床位的临终关怀中的病人的传统护理相同。
Hospice is a program of supportive services for terminally ill patients and their families, provided either at home or in designated inpatient settings, which is purported to improve patient and family quality of life at lower cost than conventional terminal care. The National Hospice Study was a multi-site, quasi-experimental study to compare the experiences of terminal cancer patients and their families in hospices with those of similar patients and families receiving conventional terminal care. The results indicate that, although care is different in hospices, e.g. lesser utilization of aggressive interventional therapy and diagnostic testing, patients'' quality of life is similar in the hospice and conventional care systems with the exception of pain and symptom control, which may be better in the inpatient hospice setting. Hospice patients are more likely to die at home and their families are satisfied with that outcome. Otherwise, no consistent superiority of family outcome was associated with the hospice approach. The cost of hospice care is less than that of conventional terminal care for patients in hospices without inpatient facilities, but the cost of hospice appears to be equivalent to conventional care for patients in hospices having beds.