两家综合性医院住院患者姑息照护需求的调查

A survey of in-patient's palliative needs in two general hospitals

目的:了解综合性医院环境中住院患者的姑息照护需求,了解不同方法确认患者姑息照护需求之间的一致性,为在综合性医院中开展姑息与临终关怀服务提供依据。方法:问卷调查法与访谈法。结果:根据GSF标准,超过三分之一(36%)的住院患者符合提供姑息照护的标准,平均年龄为78岁,绝大部分(89.5%)有一到多个并发症,多次住院治疗,癌症患者仅占27.3%,非恶性疾病患者占72.7%。医护人员对患者姑息照护需求的评估与判断与GSF标准缺乏一致性。结论:综合性医院应投入人力、物力与财力开展姑息照护服务,使得具有姑息照护需求的无治愈希望的患者能最大限度地提高生活质量。

Objective： To explore the in-patient’s needs of palliative care in general hospitals, and investigate the consistency between palliative care needs by doctors and nurses and according to GSF standard. To provide some suggestions for the practice of palliative care in general hospitals. Methods： The survey method involved questionnaire and interview. Results： 36% of the inpatients were in need of palliative care according to GSF standard,their average age was 78.89.5% of them were experiencing one or more complications, 27.3% of them were cancer victims and 72.7% were patients with non-malignant diseases. Both qualitative and quantitative study revealed the fact that paramedics’ evaluation and judgment of in-patient’s palliative care needs are not consistent with GSF standard. Conclusion： More efforts should be made to promote palliative care so that patients can live a relatively easy life in their final days.