- 期刊
家庭會議在安寧病房的實行情形
Family Conference in a Hospice Palliative Care Unit
摘要
To understand the utilization and the content of family conference(FC) in palliative care practice, we enrolled 154 patients who were admitted to the Hospice Palliative Unit in Taipei VGH between Oct 1, 1999 and Sep 30,2000. Family conferences conducted by the attending physician during hospice admission were collected. Total 98 sessions of FC were recorded in 69 separate admissions (44.8%). There were significant differences in lengths of stay between patients whom FC was held for or not during admission (28.8±20.0 days vs.7.3±5.5days, p＜0.001). Eighty FCs(81.6%) were held in the daytime, while eighteen FCs(18.4%) were at the night or holidays. The frequency distribution of spending time was: less than 30 minutes in 21.4%,between 30 and 60 minutes in 63.3%, and over 60 minuets in 12.2%. The purposes of conferences were: disease explanation in 96.9%, managing emotional problems in 67.3%, care planning in 51%, incorporating family opinions in 43.9%, and discharge planning in 43.9%. The attendance rates of family members were: spouse for66.3%, son for 52.0%, daughter for 41.8%, daughter-in-law for 31.6%, son-in-law for 7.1% and others for 19.4%. The attending frequency of other team members were: head nurse in 37.8%, social worker in 35.7%, and in-charged nurse in 18.4%. Thirty-nine FCs (39.8%) were accomplished by physician alone. Good communication plays an important role for quality improvement in palliative care. It is necessary to investigate the process and the outcome of family conference.
關鍵字
無資料並列摘要
To understand the utilization and the content of family conference(FC) in palliative care practice, we enrolled 154 patients who were admitted to the Hospice Palliative Unit in Taipei VGH between Oct 1, 1999 and Sep 30,2000. Family conferences conducted by the attending physician during hospice admission were collected. Total 98 sessions of FC were recorded in 69 separate admissions (44.8%). There were significant differences in lengths of stay between patients whom FC was held for or not during admission (28.8±20.0 days vs.7.3±5.5days, p＜0.001). Eighty FCs(81.6%) were held in the daytime, while eighteen FCs(18.4%) were at the night or holidays. The frequency distribution of spending time was: less than 30 minutes in 21.4%,between 30 and 60 minutes in 63.3%, and over 60 minuets in 12.2%. The purposes of conferences were: disease explanation in 96.9%, managing emotional problems in 67.3%, care planning in 51%, incorporating family opinions in 43.9%, and discharge planning in 43.9%. The attendance rates of family members were: spouse for66.3%, son for 52.0%, daughter for 41.8%, daughter-in-law for 31.6%, son-in-law for 7.1% and others for 19.4%. The attending frequency of other team members were: head nurse in 37.8%, social worker in 35.7%, and in-charged nurse in 18.4%. Thirty-nine FCs (39.8%) were accomplished by physician alone. Good communication plays an important role for quality improvement in palliative care. It is necessary to investigate the process and the outcome of family conference.