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Medical oncologist's commitment in end-of-life care of cancer patients.
Bascioni, Romeo; Giorgi, Francesca; Esperide, Barbara; Brugni, Manuela; Basirat, Farnoosh; Rastelli, Francesca; De Signoribus, Giorgio; Giustini, Lucio.
Afiliação
  • Bascioni R; Ospedale Augusto Murri,Fermo,Hospice di Montegranaro,Italy.
  • Giorgi F; Ospedale Madonna del Soccorso,San Benedetto del Tronto,Italy.
  • Esperide B; Ospedale Augusto Murri,Fermo,Hospice di Montegranaro,Italy.
  • Brugni M; Ospedale Madonna del Soccorso,San Benedetto del Tronto,Italy.
  • Basirat F; Ospedale Augusto Murri,Fermo,Hospice di Montegranaro,Italy.
  • Rastelli F; Ospedale Augusto Murri,Fermo,Hospice di Montegranaro,Italy.
  • De Signoribus G; Ospedale Madonna del Soccorso,San Benedetto del Tronto,Italy.
  • Giustini L; Ospedale Augusto Murri,Fermo,Hospice di Montegranaro,Italy.
Palliat Support Care ; 12(5): 351-4, 2014 Oct.
Article em En | MEDLINE | ID: mdl-23768912
OBJECTIVE: Cancer patients and family members can feel abandoned by their oncologist at the transition to end-of-life (eoL) care. In this study, we evaluated the level of satisfaction of family caregivers when the oncology team assisted the patient until death. METHODS: Two oncology units were reorganized to ensure continuity of care; oncologists trained in palliative care medicine assisted patients until death. Relatives who assisted the patient at home or at an inpatient hospice underwent a semi-structured phone interview >1 month after the patient's death. Satisfaction was measured using a five-point Likert scale ranging from very dissatisfied (score 0) to very satisfied (score 100). RESULTS: Relatives of 65 patients were contacted, 55 accepted the interview. Patients were followed at home (41) or at an inpatient hospice (14), for 1-24 weeks (median 3 weeks). A specific question on the relevance of the oncologist having a role in EoL care produced a score of 82. The overall satisfaction score was higher than in our previous study in which a continuity of care model was not adopted, with a score improvement from 55/100 to 84/100 (p < 0.001). SIGNIFICANCE OF RESULTS: A care program where the oncologist is involved in EoL management improved the satisfaction of caregivers of cancer patients. When a longstanding and trusting relationship has been established, the connection between the patient and the oncologist should not be lost.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Relações Profissional-Família / Assistência Terminal / Atitude do Pessoal de Saúde / Cuidadores / Oncologia / Neoplasias Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: Europa Idioma: En Ano de publicação: 2014 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Relações Profissional-Família / Assistência Terminal / Atitude do Pessoal de Saúde / Cuidadores / Oncologia / Neoplasias Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: Europa Idioma: En Ano de publicação: 2014 Tipo de documento: Article