Factors influencing death or the cessation of palliative care in home-based setting among patients with cancer
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- Sato Kazuki
- Department of Palliative Nursing, Health Sciences, Graduate School of Medicine, Tohoku University,
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- Hashimoto Kotaro
- Fukushima Home Palliative Care Clinic,
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- Uchiumi Junko
- Okabe Clinic,
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- Demizu Akira
- Demizu Clinic,
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- Fujimoto Hajime
- Fujimoto Home Palliative Care Clinic,
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- Morii Masatoshi
- Home Hospice Hibari Clinic,
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- Nagasawa Yuzuru
- Department of Nursing, Tohoku University School of Health Sciences
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- Miyashita Mitsunori
- Department of Palliative Nursing, Health Sciences, Graduate School of Medicine, Tohoku University,
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- Suzuki Masao
- Fukushima Home Palliative Care Clinic,
Bibliographic Information
- Other Title
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- 在宅緩和ケアを受けた終末期がん患者の在宅診療中止の関連要因
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Description
Objectives:To determine the factors influencing death or the cessation of palliative care in home-based setting among patients with cancer. Methods:We included 352 terminally ill patients with cancer who received home-based palliative care from six specialized palliative care clinics. We reviewed the medical charts when patients died at home or chose to stop home care. Results:A total of 82％ of participants died at home, and 18％ chose to stop home care. Multiple logistic regression analysis revealed five independent factors that affected cessation of home-based palliative care:patient and informal caregiver preferences for the place of death not to be at home［odds ratio, 10.1（95％ Confidential interval, 2.5-40.9）and 51.9（11.9-226.6）, respectively］or uncertain preferences［5.0（1.3-19.4）, 10.8（2.3-50.5）］;anxiety and depression among informal caregiver［4.1（1.2-13.9）］;lower frequency of informal care［6.8（2.0-23.4）］;and history of admittance to hospital during home care［11.6（4.0-33.9）］. Conclusion:We revealed independent factors influencing death or the cessation of palliative care in home-based settings among patients with cancer. Our findings suggest the importance of providing support for decision making about the place of death and hospital admission, and psychosocial support for informal caregiver to ensure home death consistent with patient preference.
Journal
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- Palliative Care Research
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Palliative Care Research 10 (2), 116-123, 2015
Japanese Society for Palliative Medicine
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Details 詳細情報について
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- CRID
- 1390282680233727232
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- NII Article ID
- 130005065489
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- ISSN
- 18805302
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- Text Lang
- ja
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- Article Type
- journal article
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- KAKEN
- OpenAIRE
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- Abstract License Flag
- Disallowed
