上海医药
上海醫藥
상해의약
SHANGHAI MEDICAL & PHARMACEUTICAL JOURNAL
2013年
18期
49-50,51
,共3页
临终关怀%肿瘤患者%住院费用%问卷调查%社区卫生服务中心
臨終關懷%腫瘤患者%住院費用%問捲調查%社區衛生服務中心
림종관부%종류환자%주원비용%문권조사%사구위생복무중심
hospice care%cancer patient%hospitalization costs%questionnaire survey%community health service center
目的：回顾临终关怀服务实践，探讨社区临终关怀服务意义。方法：采用临终关怀门诊问卷，调查服务知晓度；对所有出院患者进行费用调查并与综合性医院比较；住院病例在入院时及两周后分别作《SCL-90症状自评量表》调查。结果：病人家属对临终关怀服务知晓度较高，主要通过媒体了解知晓本服务，患者最需要解决的问题是镇痛；与综合性医疗机构比较，社区开展临终关怀服务费用明显降低；治疗后抑郁和焦虑有轻度缓解。结论：社区卫生服务中心可成为临终关怀服务的主体。
目的：迴顧臨終關懷服務實踐，探討社區臨終關懷服務意義。方法：採用臨終關懷門診問捲，調查服務知曉度；對所有齣院患者進行費用調查併與綜閤性醫院比較；住院病例在入院時及兩週後分彆作《SCL-90癥狀自評量錶》調查。結果：病人傢屬對臨終關懷服務知曉度較高，主要通過媒體瞭解知曉本服務，患者最需要解決的問題是鎮痛；與綜閤性醫療機構比較，社區開展臨終關懷服務費用明顯降低；治療後抑鬱和焦慮有輕度緩解。結論：社區衛生服務中心可成為臨終關懷服務的主體。
목적：회고림종관부복무실천，탐토사구림종관부복무의의。방법：채용림종관부문진문권，조사복무지효도；대소유출원환자진행비용조사병여종합성의원비교；주원병례재입원시급량주후분별작《SCL-90증상자평량표》조사。결과：병인가속대림종관부복무지효도교고，주요통과매체료해지효본복무，환자최수요해결적문제시진통；여종합성의료궤구비교，사구개전림종관부복무비용명현강저；치료후억욱화초필유경도완해。결론：사구위생복무중심가성위림종관부복무적주체。
Objective:To review the practice of the hospice care service and discuss its signiifcance in community health service center. Methods:The questionnaire was used to survey the awareness in the outpatient department. Costs for all the discharged patients were investigated and compared with general hospital. The cases were investigated with SCL-90 symptoms self rating scale when admitted and after two weeks respectively. Results:The awareness of hospice care of the family members of the patients was higher. The main problem that the patients wanted to be solved was analgesic. Compared with general hospital, community hospice service cost decreased obviously. The depression and anxiety had mildly eased after treatment. Conclusion:The community health service center can become the main body in hospice care.
