Establishment and operating mode of hospice care beds in cancer center of a Class Ⅲ general hospital
10.3760/cma.j.issn.1674-2907.2018.31.004
- VernacularTitle:综合性三级医院肿瘤中心安宁疗护病床的建立与运行模式探讨
- Author:
Li FANG
1
;
Ligui WU
;
Ling YUAN
;
Yujie ZHOU
;
Weiqin PENG
;
Qiwei GENG
Author Information
1. 南京大学医学院附属鼓楼医院肿瘤科
- Keywords:
Neoplasms;
Class Ⅲ general hospital;
Neoplasms center;
Hospice care beds
- From:
Chinese Journal of Modern Nursing
2018;24(31):3737-3740
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the establishment and operating mode of hospice care beds in the cancer center of a tertiary general hospital and to evaluate its operating effects preliminarily. Methods Totally 3 hospice care beds were set up in the Cancer Center of Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School in October 2016. The operating mode of hospice care beds in the Class Ⅲgeneral hospital was explored by building a hospice care team, performing professional training, formulating admission and transfer standards, standardizing working processes, refining service contents and quality standards and establishing a community referral system. Totally 49 patients admitted in the hospice care beds from October 2016 to August 2018 were selected. The satisfaction with symptom control and medical services and the degree of psychological pain were compared before and after hospitalization in the hospice care beds. The patients' referral was statically analyzed. Results The satisfaction with symptom control in the 49 patients after hospice care was higher than that before hospice care except for hematemesis and hematochezia, edema and delirium could not be statistically analyzed because the sample size was too small (P＜0.05). The overall satisfaction with medical services rose from (2.88±0.99) to (4.96±0.19);psychological pain decreased from (4.37±1.32) to (1.37±0.73);and the sum of daily hospitalization costs dropped from (899.21±128.46) yuan to (355.16±50.73) yuan (t=10.84, 23.60, 11.34;P＜ 0.01). Conclusions The establishment of hospice care beds in the cancer center of the tertiary general hospital provides a place of hospice care for cancer patients, connects the patients with community resources, and improve the patients' satisfaction with medical services.
