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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 >Why Taiwanese hospice patients want to stay in hospital: health-care professionals' beliefs and solutions.
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Why Taiwanese hospice patients want to stay in hospital: health-care professionals' beliefs and solutions.

机译：台湾临终关怀患者为何要住院：医疗保健专业人员的信念和解决方案。

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Patient-related barriers and their solution in the planning of discharge to palliative home care were investigated through a nationwide survey conducted in Taiwan. Of 250 questionnaires sent to palliative care workers at 15 hospices in Taiwan, 229 valid questionnaires (91.6%) were retrieved. Most of the respondents were nursing staff (72.5%) while only 38 were physicians (16.6%). Canonical correlation analysis was used to examine the association between the barriers and solutions, and revealed that the value of the first variate was 0.49 ( P<0.05). The barriers and canonical loadings were: unable to manage emergent medical conditions (0.83), the quality of care in the hospital is better (0.74), and insufficient number of caregivers (0.72). The effective solutions that correlated significantly with the above factors were ranked as: to reassure the patient about the possibility of smooth readmission (0.84), to arrange palliative home care programs (0.68), and to educate family members on taking care of the patient at home (0.64). In conclusion, to solve patient-related barriers in the planning of the discharge of patients with terminal cancer, the results suggest that (1). health professionals involved in the care of patients with terminal cancer should have adequate knowledge of palliative care, particularly communication skills, (2). an effective referral system among general or oncology and palliative care units should be established, (3). inpatient care facilities and home-care programs should be provided, and (4). patients and families should be educated as to what may happen and how to manage these conditions at home and should be assured of the availability of medical help.
机译：通过在台湾进行的一项全国性调查，调查了与患者相关的障碍及其在姑息性家庭护理出院计划中的解决方案。在向台湾15个医院的姑息治疗工作者发送的250份问卷中，检索到229份有效问卷（占91.6％）。大部分受访者是护理人员（72.5％），而只有38位医生（16.6％）。典型相关分析用于检查障碍与解决方案之间的关联，发现第一个变量的值为0.49（P <0.05）。障碍和规范负荷是：无法处理紧急医疗情况（0.83），医院的护理质量更好（0.74），护理人员数量不足（0.72）。与上述因素显着相关的有效解决方案包括：确保患者再次入院的可能性（0.84），安排姑息性家庭护理计划（0.68），以及教育家属在以下方面照顾患者家（0.64）。综上所述，为解决与患者有关的晚期癌症患者出院计划中的障碍，研究结果表明（1）。参与晚期癌症患者护理的卫生专业人员应该对姑息治疗有足够的了解，尤其是沟通技巧（2）。在普通或肿瘤科和姑息治疗部门之间应建立有效的转诊系统，（3）。应提供住院护理设施和家庭护理计划，以及（4）。应该教育患者和家庭有关可能发生的情况以及如何在家中应对这些情况的教育，并应确保可获得医疗帮助。

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