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Palliative Care Research ; : 153-161, 2015.
Article Dans Japonais | WPRIM | ID: wpr-376646

Résumé

<b>Purpose:</b>This study investigated the current state of medical care and home palliative care for terminally ill cancer patients in Japan. <b>Methods:</b>We conducted a retrospective questionnaire study of 352 cancer patients who received home palliative care from 6 specialized home care clinics and discontinued home care or died from January to June in 2012. <b>Results:</b>The questionnaire was answered by 290 patients〔165 men(57%), mean age:72±13 years〕who started home palliative care after completing cancer treatment. Home visits from nurses were used by 238 patients(98%)and 95 patients(39%)used home care workers. Within a month before discontinuation of home care or death, 72 patients(30%)received fluid therapy and 127 patients(52%)received strong opioids. The outcome of home palliative care was death at home in 242 patients(83%)and discontinuation of home care in 48 patients(17%). The reason for discontinuation was family physical and mental problems or physical problems of the patient. <b>Conclusion:</b>This study demonstrated the current state of home palliative care by specialized home care clinics.

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