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首页> 外文期刊>The American journal of hospice and palliative care >Urban and rural differences in end-of-life pain and treatment status on admission to a nursing facility.
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Urban and rural differences in end-of-life pain and treatment status on admission to a nursing facility.

机译：进入护理机构后，城市和农村在临终之痛和治疗状态方面的差异。

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摘要

Individuals receiving end-of-life (EOL) care may have needs that are unrecognized or treated inappropriately. Yet, very little is known about differences in pain and special-care needs of EOL patients admitted to rural nursing facilities compared with urban nursing facilities, and whether the differing payer mix in urban and rural facilities affects the treatment ordered on admission. We examine a nationally representative sample of 6084 EOL patients upon admission to nursing homes to examine differences in diseases, pain assessments, and treatment orders. We found that rural EOL residents have higher rates of congestive heart failure, cancer, renal failure, and emphysema than urban EOL residents and are significantly more likely to report frequent pain, however, they are less likely to receive treatments such as IV medications, dialysis, and wound care.
机译：接受临终（EOL）护理的个人可能有无法识别或未得到适当对待的需求。然而，对于进入农村护理机构的EOL患者与城市护理机构相比，在痛苦和特殊护理需求方面的差异以及城市和农村机构中不同的付款人组合是否会影响入院时所接受的治疗，人们所知甚少。我们对6084名EOL患者入院后的全国代表性样本进行检查，以检查疾病，疼痛评估和治疗顺序方面的差异。我们发现，农村EOL居民的充血性心力衰竭，癌症，肾衰竭和肺气肿的发生率比城市EOL居民高，并且报告频繁疼痛的可能性更高，但是，他们接受静脉注射药物，透析等治疗的可能性较小和伤口护理。

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