PROFILE OF PATIENTS RECEIVING PALLIATIVE HOME CARE IN AN URBAN PRIMARY HEALTH UNIT IN THIRUVANANTHAPURAM - KERALA, INDIA

Autor: Retheesh K H, Suni K Akbar, Princy S, Althaf A
Rok vydání: 2020
Předmět:
Zdroj: INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH. :1-2
DOI: 10.36106/ijsr/9831648
Popis: Background: Community based approach to palliative care considers home based care as the corner stone of palliative care services. To ensure the services available and accessible to all, thrust should be given for a primary health care based approach. However there is an acute shortage of trained manpower. The primary health care physicians need to be trained in effective pain and symptom palliation. We aimed to study the clinical and socio-demographic profile of patients receiving palliative home care which would be helpful for the training of more man power and effective planning in this interdisciplinary endeavor. Methods: Cross sectional study among 345 participants who were registered with the palliative care unit at the Urban Primary Health Care Unit in Thiruvananthapuram, Kerala. Statistical Analysis: The data were entered using Microsoft excel for Windows XP and analyzed using SPSS 16.0 (Statistical Package for Social Sciences; SPSS Inc., Chicago, IL, USA). Results: Mean age was 70.9 years and 56.8% were females. 98% of the patients have care givers and 50% caregivers were elementary educated and 25% caregivers were employed. 51% participants have benefits of pension schemes and others did not receive any kind of financial assistance. 70.7% did not have any kind of insurance coverage. 84.3% participants availed services of public hospitals. Majority had Hypertension (70.4%) followed by diabetes mellitus (49.3%) and dyslipidemia (26.7%) as comorbidities. Conclusions: Contrary to the existing conventional expensive hospital care model, LSG supported home-based palliative care conducted by local primary health care system to certain extend can give comprehensive health care to bed ridden patients and thus improve the quality of life. The interface between institutional care and home care needs more exploration and prospective studies.
Databáze: OpenAIRE