Factors Involved in the Death at Home of Terminal Cancer Patients Receiving Home Palliative Care within a Well-established Home Medical Care System

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  • 在宅医療提供体制が整った環境において在宅緩和ケアを受けた終末期がん患者の在宅看取りの関連要因
  • ザイタク イリョウ テイキョウ タイセイ ガ トトノッタ カンキョウ ニ オイテ ザイタク カンワ ケア オ ウケタ シュウマツキ ガン カンジャ ノ ザイタク ミトリ ノ カンレン ヨウイン

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Abstract

<p>Objective: We sought to demonstrate the factors involved in the death at home of terminal cancer patients receiving home palliative care within a well-established home medical care system.</p><p>Methods: We conducted a retrospective study using home medical care records of deceased terminal cancer patients who had started receiving house calls by Corporation A, and who had also received home nursing care. Study variables were patient age, sex, disease name, primary carer attributes, whether or not patients and their family members had been informed of the patient’s disease and prognosis at commencement of house calls, whether or not patients wished to continue receiving home care, and time from commencement of house calls until death. After collecting the study data, we performed logistic regression analysis using death at home as the dependent variable.</p><p>Results: The study population consisted of 933 patients. Our analysis showed that factors enabling death at home were the patient’s wish to continue receiving home care at the commencement of house calls (odds ratio, 95% confidence interval: 3.28, 2.30–4.68, p < .01), and a ≤30-day time period from the commencement of house calls until death (odds ratio, 95% confidence interval: 1.51, 1.13–2.03, p < .01).</p><p>Conclusion: We found that the factors involved in the death at home of terminal cancer patients within a well-established home medical care system are the patient’s wish to continue receiving home care at the commencement of house calls, and a ≤ 30-day time period from the commencement of house calls until death.</p>

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