摘要
目的基于北京市蒲黄榆社区居家安宁疗护实践经验,探讨社区居家安宁疗护的可行性。方法收集2020年1月1日至2021年12月31日北京市蒲黄榆社区卫生服务中心经安宁疗护团队评估的安宁疗护准入病例及接受居家安宁疗护的病例。总结居家安宁疗护患者的临床特点、安宁疗护服务情况及离世地点。结论蒲黄榆社区提供的居家安宁疗护服务共24例,对象以恶性肿瘤患者为主(18例,75.0%),疼痛为最常见症状(12例,50.0%)。患者通过门诊、上门服务、微信随访多种形式接受安宁疗护服务。每例患者平均每周服务时长为(2.8±1.7)h。已离世的患者中57.9%(11/19)在家中离世。结论蒲黄榆社区居家安宁疗护具有较稳定的患者来源,团队成员可提供多种居家安宁疗护服务,大部分有居家离世愿望的患者可实现居家离世,该社区居家安宁疗护服务模式具有一定可行性。
Objective To investigate the feasibility of home hospice care based on the practical experience in Puhuangyu community of Beijing.Methods We selected the patients assessed by hospice care team and receiving home hospice care from Puhuangyu Community Health Service Center of Beijing from January 1,2020 to December 31,2021.The clinical manifestations,hospice services received,and place of death of the patients were analyzed.Results A total of 24 patients were included in this study.They mainly suffered from malignant tumors(18 patients,75.0%),with pain as the most common symptom(12 patients,50.0%).The patients received a variety of hospice services through a combination of outpatient visits,home visits,and WeChat follow-up.The service time of each patient was(2.8±1.7)h each week on average and 57.9%(11/19)of the patients passed away at home.Conclusions The home hospice care in Puhuangyu community has a stable source of patients.The members of this hospice team can provide a variety of home hospice services.With this model,the wish to pass away at home can be achievable for most patients.Therefore,this model of community-based home hospice care is feasible.
作者
王明辉
余玥蓂
刘汝金
刘宏
沙蕊
刘茜
刘艳新
宁晓红
WANG Minghui;YU Yueming;LIU Rujin;LIU Hong;SHA Rui;LIU Qian;LIU Yanxin;NING Xiaohong(Puhuangyu Community Health Service Center,Beijing 100075,China;School of Clinical Medicine,CAMS and PUMC,Beijing 100730,China;Department of Geriatrics,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Department of International Medical Services,PUMC Hospital,CAMS and PUMC,Beijing 100730,China)
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2022年第5期757-762,共6页
Acta Academiae Medicinae Sinicae
基金
北京协和医学院教学改革项目(2019zlgc0119)。
关键词
居家安宁疗护
临终
社区
home hospice care
end-of-life
community
