Effectiveness of home care programmes for patients with incurable cancer on their quality of life and time spent in hospital : systematic review.
To investigate whether for patients with incurable cancer comprehensive home care programmes are more effective than standard care in maintaining the patients'quality of life and reducing their « readmission time » (percentage of days spent in hospital from start of care till death).
A computer aided search was conducted using the databases of Medline, Embase, CancerLit, and PsychLit.
The search for studies and the assessment of the methodological quality of the relevant studies were performed by two investigators, blinded from each other.
Prospective, controlled studies investigating the cffects of a home care intervention programme on patients'quality of life or on readmission time were included in the analyses.
Only 9 prospective controlled studies were found ; eight were performed in the United States and 1 in the United Kingdom.
Their methodological quality was judged to be moderate (median rating 62 on a 100 point scale).
None of the studies showed a negative influence of home care interventions on quality of life.
A significantly positive influence on the outcome measures was seen in 2 out of the 5 studies measuring patients'satisfaction with care in 3/7 studies measuring physical dimensions of quality of life, in 1/6 studies measuring psychosocial dimensions, and in 2/5 studies measuring readmission time. (...)
Mots-clés Pascal : Tumeur maligne, Réfractaire, Stade terminal, Soin, A domicile, Qualité vie, Délai hospitalisation, Psychométrie, Programme sanitaire, Evaluation performance, Homme
Mots-clés Pascal anglais : Malignant tumor, Refractory, Terminal stage, Care, At home, Quality of life, Hospitalization delay, Psychometrics, Sanitary program, Performance evaluation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0322092
Code Inist : 002B30A01C. Création : 27/11/1998.