Quality of dying and quality of end-of-life care of nursing home residents in six countries: An epidemiological study.
Quality of dying and quality of end-of-life care of nursing home residents in six countries: An epidemiological study.
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DOI：
10.1177/0269216318800610
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发表时间：
2018-12
影响因子：
4.4
通讯作者：
Van den Block L
中科院分区：
文献类型：
--
作者：
Pivodic L;Smets T;Van den Noortgate N;Onwuteaka-Philipsen BD;Engels Y;Szczerbińska K;Finne-Soveri H;Froggatt K;Gambassi G;Deliens L;Van den Block L
养老院是许多国家最常见的死亡地点之一。确定六个欧洲国家的养老院居民的临终和临终关怀质量。按比例分层随机抽样的养老院流行病学调查。我们确定了前3个月内所有居民的死亡人数。主要成果：生命最后一周的临终质量（使用痴呆症临终量表-临终时舒适度评估（EOLD-CAD）测量）;生命最后一个月的临终护理质量（使用长期护理中的临终质量（QoD-LTC）量表测量）。分数越高表示质量越好。比利时、芬兰、意大利、荷兰、波兰和英国的322家养老院。参与者是最参与每个居民护理的工作人员（护士或护理助理）。工作人员返回问卷调查1384（81.6%）的1696名已故居民。老年痴呆症患者的临终量表-临终时舒适度评估平均评分（95%置信区间）（理论值14-42）范围为意大利的29.9（27.6; 32.2）至英国的33.9（31.5; 36.3）。长期护理中死亡质量平均评分（95%置信区间）（理论值11-55）范围为意大利的35.0（31.8; 38.3）至英国的44.1（40.7; 47.4）。较高的老年痴呆症量表-临终时舒适度评估评分与国家（p = 0.027）、年龄较大（p = 0.012）、住院时间> 1年（p = 0.034）、较高的功能状态（p < 0.001）相关。长期护理中死亡质量评分较高与国家（p < 0.001）、年龄较大（p <0.001）、住院时间> 1年（p <0.001）、较高的功能状态（p = 0.002）、无痴呆（p = 0.001）、在疗养院死亡（p = 0.033）相关。在所研究的国家中，临终护理的质量和临终护理的质量都不是最佳的。这包括比利时、荷兰和英国等养老院姑息治疗发展水平较高的国家。
Nursing homes are among the most common places of death in many countries. To determine the quality of dying and end-of-life care of nursing home residents in six European countries. Epidemiological survey in a proportionally stratified random sample of nursing homes. We identified all deaths of residents of the preceding 3-month period. Main outcomes: quality of dying in the last week of life (measured using End-of-Life in Dementia Scales – Comfort Assessment while Dying (EOLD-CAD)); quality of end-of-life care in the last month of life (measured using Quality of Dying in Long-Term Care (QoD-LTC) scale). Higher scores indicate better quality. Three hundred and twenty-two nursing homes in Belgium, Finland, Italy, the Netherlands, Poland and England. Participants were staff (nurses or care assistants) most involved in each resident’s care. Staff returned questionnaires regarding 1384 (81.6%) of 1696 deceased residents. The End-of-Life in Dementia Scales – Comfort Assessment while Dying mean score (95% confidence interval) (theoretical 14–42) ranged from 29.9 (27.6; 32.2) in Italy to 33.9 (31.5; 36.3) in England. The Quality of Dying in Long-Term Care mean score (95% confidence interval) (theoretical 11–55) ranged from 35.0 (31.8; 38.3) in Italy to 44.1 (40.7; 47.4) in England. A higher End-of-Life in Dementia Scales – Comfort Assessment while Dying score was associated with country (p = 0.027), older age (p = 0.012), length of stay ⩾1 year (p = 0.034), higher functional status (p < 0.001). A higher Quality of Dying in Long-Term Care score was associated with country (p < 0.001), older age (p < 0.001), length of stay ⩾1 year (p < 0.001), higher functional status (p = 0.002), absence of dementia (p = 0.001), death in nursing home (p = 0.033). The quality of dying and quality of end-of-life care in nursing homes in the countries studied are not optimal. This includes countries with high levels of palliative care development in nursing homes such as Belgium, the Netherlands and England.
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影响因子：
4.5
作者：
Beccaro M;Costantini M;Merlo DF;ISDOC Study Group
通讯作者：
ISDOC Study Group
影响因子：
120.7
作者：
Teno, Joan M.;Gozalo, Pedro L.;Bynum, Julie P. W.;Leland, Natalie E.;Miller, Susan C.;Morden, Nancy E.;Scupp, Thomas;Goodman, David C.;Mor, Vincent
通讯作者：
Mor, Vincent
DOI：
10.1016/j.jamda.2014.12.013
发表时间：
2015-03-01
影响因子：
7.6
作者：
Sanford, Angela M.;Orrell, Martin;Vellas, Bruno
通讯作者：
Vellas, Bruno
影响因子：
3.7
作者：
Pivodic, Lara;Pardon, Koen;Deliens, Luc
通讯作者：
Deliens, Luc
影响因子：
2.1
作者：
Jansen, Kristian;Schaufel, Margrethe Aase;Ruths, Sabine
通讯作者：
Ruths, Sabine