Which terminally ill cancer patients in the United Kingdom receive care from community specialist palliative care nurses?
作者： Julia Addington-Hall , Dan Altmann
DOI: 10.1046/J.1365-2648.2000.T01-1-01543.X
关键词:
摘要: This study investigates how cancer patients who receive care from community specialist palliative (CSPC) nurses differ those do not. was achieved by secondary data analyses the Regional Study of Care for Dying, a retrospective interview survey deaths in 1990 20 nationally representative health districts. Interviews were obtained 2,074/2,915 (71%) randomly selected deaths; 574 (27.8%) reported to have received Macmillan nurse, hospice home-care or other nurse. Using logistic regression analysis 10 factors found predict independently CSPC use. Being dependent with dressing/undressing, needing help at night, having constipation, experiencing vomiting/nausea, being mentally confused, breast and under age 75 years increased likelihood receiving CSPC. Having lymphoma, leukaemia myeloma, brain tumour on others self-care more than 1 year decreased likelihood. The use provide expertise symptom control support families is consistent aims care, therefore appears appropriate. Further research is, however, needed investigate apparent bias access these services, ensure that services are provided basis need, irrespective patient age.
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