PALLIATIVE CARE SERVICES IN FAMILIES OF MALES WITH DUCHENNE MUSCULAR DYSTROPHY

被引:32
作者
Arias, Rebeca [1 ,2 ]
Andrews, Jennifer [1 ,2 ]
Pandya, Shree [3 ]
Pettit, Kathleen [1 ,2 ]
Trout, Christina [4 ]
Apkon, Susan [5 ]
Karwoski, Jane [6 ,7 ]
Cunniff, Christopher [1 ,2 ]
Matthews, Dennis [8 ,9 ]
Miller, Timothy [1 ,2 ]
Davis, Melinda F. [10 ]
Meaney, F. John [1 ,2 ]
机构
[1] Univ Arizona, Dept Pediat, Tucson, AZ 85724 USA
[2] Univ Arizona, Steele Res Ctr, Tucson, AZ 85724 USA
[3] Univ Rochester, Dept Neurol, Rochester, NY USA
[4] Univ Iowa, Dept Pediat, Iowa City, IA 52242 USA
[5] Seattle Childrens Hosp, Seattle, WA USA
[6] Oak Ridge Inst Sci & Educ, Atlanta, GA USA
[7] Ctr Dis Control & Prevent, Div Human Dev & Disabil, Natl Ctr Birth Defects & Dev Disabil, Atlanta, GA USA
[8] Univ Colorado, Sch Med, Dept Phys Med & Rehabil, Denver, CO USA
[9] Childrens Hosp, Denver, CO 80218 USA
[10] Univ Arizona, Dept Psychol, Tucson, AZ 85721 USA
关键词
advance directives; Duchenne muscular dystrophy; health services model; healthcare barriers; palliative care; ACCULTURATION; PERCEPTIONS; SURVIVAL; DISEASE;
D O I
10.1002/mus.22005
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction: Palliative care services that address physical pain and emotional, psychosocial, and spiritual needs may benefit individuals with Duchenne muscular dystrophy (DMD). Methods: The objective of this study was to describe the palliative care services that families of males with DMD report they receive. A questionnaire was administered to families of males with DMD born prior to January 1, 1982. Thirty-four families responded. Results: Most families (85%) had never heard the term palliative care. Only attendant care and skilled nursing services showed much usage, with 44% and 50% indicating receipt of these services, respectively. Receipt of other services was reported less frequently: pastoral care (27%); respite care (18%); pain management (12%); and hospice care (6%). Only 8 respondents (25%) reported having any type of directive document in place. Conclusion: The data suggest a need for improved awareness of palliative care and related services among families of young men with DMD. Muscle Nerve 44: 93-101, 2011
引用
收藏
页码:93 / 101
页数:9
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