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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 >Ten years' activity of the first Italian public hospice for terminally ill patients.
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Ten years' activity of the first Italian public hospice for terminally ill patients.

机译：意大利首例临终患者的临终关怀机构开展活动已有十年。

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We present a review of the first 10 years of the hospice at the Geriatric Institute Pio Albergo Trivulzio of Milan, Italy's first public hospice for the admission of terminally ill patients. Over 1200 patients were admitted to the nine-bed hospice between October 1991 and December 2001, most of whom (63%) were referred by the Home Palliative Care Units operating in Milan. The hospice patients are elderly (nearly 60% are 70 or more years of age, median 72 years). Admission to the hospice was until the patient's death (74% of patients) after a brief time (4 weeks on average). From the very outset, we have striven to focus our attention on the daily application of the programmes of care inspired by the philosophy and practice of palliative medicine, i.e. the holistic approach and attention devoted to quality of life, multidimensional assessment, and the services of a multiprofessional team to provide, alongside medical and nursing assistance, psychosocial and spiritual support, bereavement support, etc. The continuing education of health workers and the systematic use of a clinical audit tool specifically designed for palliative care, are the two key elements which, in our judgement, have proved to be the most fruitful in reaching the objectives described above. These 10 years of the Pio Albergo Trivulzio Hospice have made a significant contribution towards defining a concrete Italian model which can be applied to the care of the terminally ill inpatient.
机译：我们将在米兰的老年医学研究所Pio Albergo Trivulzio米兰对这家临终关怀医院的前10年进行回顾，这是意大利第一个收治绝症患者的公共临终关怀医院。在1991年10月至2001年12月期间，共有1200多名患者入住了9张病床的临终关怀医院，其中大部分（63％）由位于米兰的Home Palliative Care Units转诊。临终关怀患者是老年人（将近60％的年龄为70岁或以上，中位数为72岁）。短暂的时间（平均4周）后直到患者死亡（占患者的74％）才入院。从一开始，我们就努力将注意力集中在姑息医学的哲学和实践启发下的护理计划的日常应用上，即，致力于生活质量，多维评估和医疗服务的整体方法和关注一个多专业团队，除了提供医疗和护理援助，社会心理和精神支持，丧亲支持外，还提供其他服务。卫生工作者的继续教育和专为姑息治疗设计的临床审计工具的系统使用是两个关键要素，根据我们的判断，事实证明，在实现上述目标方面最有成果。 Pio Albergo Trivulzio临终关怀医院的这十年来为定义可用于临终病人住院治疗的具体意大利模式做出了重大贡献。

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