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首页> 美国卫生研究院文献>Pain and Therapy >Fully Integrated Oncology and Palliative Care Services at a Local Hospital in Mid-Norway: Development and Operation of an Innovative Care Delivery Model
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Fully Integrated Oncology and Palliative Care Services at a Local Hospital in Mid-Norway: Development and Operation of an Innovative Care Delivery Model

机译：挪威中部当地一家医院的肿瘤与姑息治疗服务全面集成：创新护理提供模式的开发和运营

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Palliative care is an important part of cancer care which aims at improving cancer patients’ symptom burden and quality of life and support their carers. Palliative care has traditionally been separated from cancer care. During the last decade, one has become aware of the benefits of introducing palliative care early and concurrent with cancer treatment. Most cancer patients are nowadays treated as outpatients. Availability of palliative care as a routine part of outpatient cancer clinics is therefore important. Most of the described models of early palliative care in cancer care are within large tertiary hospitals. Here it is described how early palliative care was delivered to cancer patients in an outpatient clinic in a smaller hospital in a rural region of Mid-Norway. In this integrated cancer and palliative care outpatient clinic, cancer and palliative care were provided by one team of healthcare professionals trained in both fields. The integrated outpatient clinic collaborated closely with the other hospital departments and with community health and care services. This was needed to be able to offer palliative care to all cancer patients in need of it, and closer to their home. Many of the patients attending the integrated outpatient clinic could not be cured for their cancer. They did not have many symptoms of their cancer, and they had a high functional status. This demonstrated that the integrated outpatient clinic in this local hospital was a relevant place to offer palliative care early and concurrent with cancer treatment before symptoms became severe.
机译：姑息治疗是癌症治疗的重要组成部分，旨在改善癌症患者的症状负担和生活质量并为其护理人员提供支持。传统上，姑息治疗与癌症治疗是分开的。在过去的十年中，人们已经意识到在早期以及与癌症治疗同时引入姑息治疗的好处。如今，大多数癌症患者被视为门诊病人。因此，将姑息治疗作为门诊癌症门诊的常规组成部分非常重要。所描述的癌症姑息早期治疗的大多数模型都在大型三级医院内。这里描述了如何在挪威中部农村地区的一家较小医院的门诊诊所为癌症患者提供早期姑息治疗。在这个综合癌症和姑息治疗门诊中，癌症和姑息治疗由在这两个领域接受培训的一组医疗保健专业人员提供。综合门诊与其他医院部门以及社区卫生和护理服务紧密合作。这是需要的，以便能够为所有需要它并且靠近家的癌症患者提供姑息治疗。在综合门诊就诊的许多患者无法治愈其癌症。他们没有很多癌症症状，并且具有很高的功能状态。这表明该地方医院的综合门诊诊所是在症状严重之前尽早提供姑息治疗并与癌症治疗同时进行姑息治疗的合适场所。

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