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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Does a social model of hospice day care affect advanced cancer patients' use of other health and social services? A prospective quasi-experimental trial.
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Does a social model of hospice day care affect advanced cancer patients' use of other health and social services? A prospective quasi-experimental trial.

机译：临终关怀日托的社会模式是否会影响晚期癌症患者对其他健康和社会服务的使用？一项准准实验性试验。

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BACKGROUND: Hospice day care (HDC) services have developed but no trials evaluate their impact on the other health and social care services. PURPOSE: The purpose of this study was to evaluate the effect of HDC on the use of health and social services in a prospective quasi-experimental study. METHODS: The trial compared consecutive patients receiving HDC, with two control groups: a 'before' group and a 'standard care' group. All data was collected in face to face interviews at baseline and then at 6-8 weeks and 12-15 weeks. The health and social service use at baseline and follow-up interviews were examined by five categories (community, hospice, social care support, hospital, and therapist). The multivariate analysis of covariance (MANCOVA) was used to test service use differences between groups, adjusting for potential confounders. RESULTS: In total, 37, 50, and 76 patients were recruited to the day care, standard care and before groups. Patients in the HDC group used significantly more social care support (11.5 +/- 18.9 versus 3.2 +/- 10.0, P = 0.015) and therapists (0.9 +/- 1.7 versus 0.2 +/- 0.4, P = 0.009) than the standard care at the baseline. The therapist service use from the baseline to the first follow-up reduced (mean change +/- SD, -0.3 +/- 0.6; 95%CI, -0.7 to 0.0) in the HDC group and increased in the standard care group (mean change +/- SD, 0.1 +/- 0.5; 95%CI, -0.1 to 0.3), the difference was significant (P = 0.003). No other changes in service use were significant in other study periods. CONCLUSIONS: HDC appears to supplement existing services with little effect on the other community and hospital services.
机译：背景：临终关怀日间护理（HDC）服务已经发展，但尚无试验评估其对其他卫生和社会护理服务的影响。目的：本研究的目的是在一项前瞻性准实验研究中评估HDC对健康和社会服务使用的影响。方法：该试验比较了连续接受HDC的患者和两个对照组：“之前”组和“标准护理”组。在基线，然后在6-8周和12-15周的面对面访谈中收集所有数据。通过五个类别（社区，临终关怀，社会护理支持，医院和治疗师）检查了基线和后续访谈中的卫生和社会服务使用情况。协方差的多元分析（MANCOVA）用于测试组之间的服务使用差异，并针对潜在的混杂因素进行调整。结果：总共有37、50和76名患者被纳入日托，标准护理和分组前。 HDC组患者使用的社会护理支持（11.5 +/- 18.9 vs 3.2 +/- 10.0，P = 0.015）和治疗师（0.9 +/- 1.7 vs 0.2 +/- 0.4，P = 0.009）基线护理。 HDC组从基线到首次随访的治疗师使用量减少（平均变化+/- SD，-0.3 +/- 0.6; 95％CI，-0.7至0.0），而标准护理组则增加（平均变化+/- SD，0.1 +/- 0.5; 95％CI，-0.1至0.3），差异显着（P = 0.003）。在其他学习期间，服务使用方面没有其他变化是重要的。结论：HDC似乎补充了现有服务，而对其他社区和医院服务的影响很小。

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