A RANDOMISED CONTROLLED TRIAL OF HOSPICE CARE
A RANDOMISED CONTROLLED TRIAL OF HOSPICE CARE
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DOI：
10.1016/s0140-6736(84)91349-7
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发表时间：
1984-04
期刊：
影响因子：
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通讯作者：
R. Kane;L. Bernstein;Jeffrey Wales;A. Leibowitz;S. Kaplan
中科院分区：
文献类型：
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作者：
R. Kane;L. Bernstein;Jeffrey Wales;A. Leibowitz;S. Kaplan
退伍军人管理局医院的晚期癌症患者被随机分配接受临终关怀或常规护理。临终关怀在一个特殊的住院单位和家庭提供。对137例临终关怀患者和110例对照患者及其家属护理人员（FCG）进行随访，直至患者死亡。两组患者在疼痛、症状、日常生活活动或情感方面无显著差异。临终关怀患者对他们所接受的护理表示更满意;临终关怀患者的FCG比对照组显示出更高的满意度和更少的焦虑。临终关怀与减少住院天数或治疗程序的使用无关，至少与传统护理一样昂贵。
Terminally ill cancer patients at a Veterans Administration hospital were randomly assigned to receive hospice or conventional care. The hospice care was provided both in a special inpatient unit and at home. 137 hospice patients and 110 control patients and their familial care givers (FCGs) were followed until the patient's death. No significant differences were noted between the patient groups in measures of pain, symptoms, activities of daily living, or affect. Hospice patients expressed more satisfaction with the care they received; and hospice patients' FCGs, showed somewhat more satisfaction and less anxiety than did those of controls. Hospice care was not associated with a reduced use of hospital inpatient days or therapeutic procedures and was at least as expensive as conventional care.