Cancer：良好的家庭临终关怀，不见得比住院差

2016-03-28 Seven L MedSci原创

日本的一项大规模研究发现，死于家里的癌症患者比那些在医院里的人活得更久。研究成果在线发表在Cancer上。研究结果表明，当不能提供可能的治疗时，肿瘤科医生应该毫不犹豫地把病人放回家进行姑息治疗。对于大多数人来说，如果即将死去，他们宁愿在家里接受照顾他们，不过目前还不清楚的是，在家里是否能像在医院里，得到差不多的护理。因此日本筑波大学的Jun Hamano博士和同事们对2069名患者进行了一项前瞻性

日本的一项大规模研究发现，在家里去世的癌症患者比那些在医院里死亡的人临终时活得更久。研究成果在线发表在Cancer上。研究结果表明，当不能提供可能的治疗时，肿瘤科医生应该毫不犹豫地把病人放回家中进行姑息治疗。

对于大多数人来说，如果即将死去，他们宁愿在家里接受照顾，不过目前还不清楚的是，在家里是否能像在医院里，得到相似的护理。因此日本筑波大学的Jun Hamano博士和同事们对2069名患者进行了一项前瞻性研究，探究该问题，队列包括1582例住院姑息治疗和487例在家里进行姑息治疗的患者。

研究者发现，死于家中的患者，其生存时间明显长于医院死亡的患者，即使在校正患者的人口统计学、临床特征和其他因素后，趋势仍存在。

Hamano博士说：“癌症患者和家属会担心家里的医疗质量低于医院，导致患者的生存缩短；不过我们的研究表明，回家进行姑息治疗可能会对患者的生存起积极作用，因此患者和家属可以根据自己的倾向性、价值观等选择最适合的等待死亡的地方。同时无论是患者、家庭还是临床医生，都应该放心，良好的家庭临终关怀不会缩短患者的生存，甚至可以延长存活时间。”

原始出处：

Jun Hamano, Takashi,et al,"A multicenter cohort study on the survival time of cancer patients dying at home or in hospital: Does place matter?" Cancer; Published Online: March 28, 2016.

Choosing to die at home does not hasten death for patients with terminal cancer.MedicalXpress.March 28, 2016

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2017-05-31 阿吴

认同

61 0
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2016-03-30 zhaojie88

#临终关怀#

29 0
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2016-03-30 bbjsj_1984

#临终#

23 0
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2016-03-29 忠诚向上

蒋介石三邀毛泽东

118 0
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2016-03-29 Gsurgeon

需要儿女孝顺

160 0
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2016-03-29 文医生

临终关怀在心理上的治疗

103 0
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2016-03-29 jiangxianchen

健康人进医院都要得病

104 0
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2016-03-29 milkshark

是这样的

43 0
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2016-03-29 milkshark

在医院不好

73 0
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2016-03-29 zwjnj2

是的应当这样

56 0

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