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[目的]调查上海市晚期肿瘤定点病房的变迁情况,为探索晚期肿瘤病人照护模式提供依据。[方法]对上海市13个晚期肿瘤定点病房和11个同区的社区卫生服务中心进行调查表调查和对相关人员进行访谈。[结果]过去22年中,晚期肿瘤定点病房的总床位数从184张增加到了530张,每年平均收治病人数增加了4.6倍,但设立在一级医院的定点病房收治病人在所有定点病房中构成从59.2%锐减到6.4%。晚期肿瘤定点病房收治病人绝对数明显增长,晚期病人的比例在下降,收治的病人也从比较单纯的对症治疗的晚期肿瘤病人变成手术后恢复期病人和化疗病人。[结论]随着社区为基础的晚期肿瘤病人医护照顾的需求增大,现有晚期肿瘤定点病房功能定位不清,难以满足晚期肿瘤病人姑息照护的需求。
[Objective] To investigate the changes of the designated ward of advanced cancer in Shanghai and provide basis for exploring the care mode of patients with advanced cancer. [Methods] Conducting the questionnaire survey and interviewing the relevant personnel in 13 advanced cancer wards in Shanghai and 11 community health service centers in the same area. [Results] In the past 22 years, the total bed count of the advanced fixed-point ward increased from 184 to 530, and the average number of patients admitted per year increased 4.6-fold. However, all the designated wards set up in the first-class hospitals were treated in all the designated wards In the composition dropped sharply from 59.2% to 6.4%. The absolute number of patients admitted to advanced tumor fixed-point wards increased significantly, and the proportion of patients in advanced stage was declining. The patients treated from late-stage tumor patients with relatively symptomatic treatment turned into post-operation recovery patients and chemotherapy patients. [Conclusion] With the increasing demand of community-based advanced cancer patients for medical care, the existing function of fixed-point ward of advanced cancer is not clear and it is difficult to meet the needs of palliative care in patients with advanced cancer.