癌症患者中与医院功能相关的死亡:使用日本死亡记录进行的一项综合国家研究
Richi Takahashi1,2, Yoko Nakazawa1,2, Norihito Etoh3
1Division of Policy Evaluation, Institute for Cancer Control, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.
Japanese journal of clinical oncology
|January 9, 2025
概括
许多癌症死亡发生在缺乏息治疗的医院. 这项研究发现,超过44%的癌症死亡发生在没有息护理服务的设施中,突出了改善终身癌症护理的需要.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在日本,绝大多数癌症死亡发生在医院环境中.
- 在癌症患者死亡的医院提供息护理的情况尚不清楚.
- 这项研究调查了在癌症患者死亡的医院提供息护理的情况.
研究的目的:
- 确定哪些癌症患者死亡的医院提供息护理服务的程度.
- 确定有或没有癌症死者的息护理的医院的特点.
- 分析影响癌症患者在指定癌症医院死亡的因素.
主要方法:
- 对2018年死亡的20岁及以上癌症患者的日本死亡记录和医院功能数据的分析.
- 总结癌症死亡人数和医院特征,按医院功能和患者年龄划分.
- 后勤回归分析,以评估特定因素对指定癌症医院癌症患者死亡率的影响.
主要成果:
- 在302511名癌症患者中,超过55%的患者在有息治疗的医院中死亡.
- 没有息治疗的100-199和200-499张床位的医院报告了更高的癌症死亡中位数 (每年17和26人).
- 在指定癌症医院的年轻患者 (20-29岁) 与老年患者 (70-79岁) 相比,死亡几率比率更高 (4.28); 血液癌症也显示出更高的几率比率 (2.36).
结论:
- 调查结果表明,大量的癌症死亡发生在缺乏息治疗的医院.
- 建议针对100-199或200-499张床位的医院,以及每年20-49例癌症死亡的医院进行息护理推广.
- 在这些设施改善息护理的准入,可以显著提高日本的终身癌症护理.
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