在严重慢性疾病中死亡的首选地点:黎巴嫩的单中心研究
Farah Jaber1, Jad Kassem2, Radwan El Othman3
1Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Journal of pain and symptom management
|January 24, 2026
概括
大多数患有严重慢性疾病的黎巴嫩患者更愿意在家中死亡. 诸如社会支持和护理人员等因素影响了这种偏好,突出了更好的家庭息护理的需要.
科学领域:
- 息护理研究 息护理研究
- 生命终端研究研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 首选死亡地点 (PPOD) 对于以患者为中心的息护理至关重要.
- 了解患者的偏好及其决定因素对于医疗保健规划和改善终身护理质量至关重要.
研究的目的:
- 确定在黎巴嫩严重慢性病患者中首选死亡地点 (PPOD).
- 在这个患者群体中确定影响PPOD的因素.
主要方法:
- 在黎巴嫩的第三级医疗中心 (2020年11月 - 2022年1月) 进行了一项横截面研究.
- 使用"惊喜问题"方法识别了患有严重慢性疾病的成年患者.
- 通过结构化访谈收集了包括PPOD在内的人口,医疗,社会和心理社会因素的数据. 后勤回归分析了家庭与医院死亡偏好的预测因素.
主要成果:
- 在165名参与者中,58.8%的人更愿意在家中死亡,41.2%的人更愿意在医院死亡.
- 家庭死亡偏好与更高的社会支持,年龄较大和家庭护理人员有关.
- 医院死亡偏好与更高的疾病负担和技术依赖相关.
结论:
- 大多数患有严重疾病的黎巴嫩患者希望在家中死亡.
- 结构和医疗障碍阻碍了家庭死亡偏好的实现.
- 整合基于家庭的息护理和财务保障对于将护理与患者价值观相协调并提高终身结果至关重要.
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