Patient-defined factors that are important at the end of life include being physically independent for as long as possible, good symptom control, and spending quality time with friends and family. Hospice care adds to the quality of care and these patient-centered priorities for people with cancer and their families in the last weeks and days of life. Evidence from large observational studies demonstrate that hospice care can improve outcomes directly and support better and more appropriate health care use for people in the last stages of cancer.Team-based community hospice care has measurable benefits for patients, their family caregivers, and health services. In addition to improved symptom control for patients and a greater likelihood of time spent at home, caregiver outcomes are better when hospice care is accessed: informational needs are better met, and caregivers have an improved ability to move on with life after the patient's death compared with people who did not have access to these services.Hospice care continues to evolve as its reach expands and the needs of patients continue to broaden. This is reflected in the transition from hospice being based on excellence in nursing to teams with a broad range of health professionals to meet the complex and changing needs of patients and their families. Additional integration of cancer services with hospice care will help to provide more seamless care for patients and supporting family caregivers during their caregiving and after the death of the patient.

中文翻译：

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临终关怀在癌症患者生命末期的作用

在生命结束时，患者定义的重要因素包括尽可能长时间的身体独立、良好的症状控制以及与朋友和家人共度美好时光。临终关怀提高了癌症患者及其家人在生命最后几周和几天的护理质量和这些以患者为中心的优先事项。来自大型观察性研究的证据表明，临终关怀可以直接改善结果，并支持癌症晚期患者更好、更适当地使用医疗保健。以团队为基础的社区临终关怀对患者、他们的家庭护理人员和医疗服务都有可衡量的好处. 除了改善患者的症状控制和更有可能在家里度过的时间之外，当获得临终关怀服务时，护理人员的结果会更好：信息需求得到更好的满足，与无法获得这些服务的人相比，护理人员在患者死后继续生活的能力有所提高。随着其覆盖范围的扩大和患者需求的不断扩大，临终关怀护理不断发展. 这反映在从以卓越护理为基础的临终关怀转变为拥有广泛卫生专业人员的团队以满足患者及其家人复杂和不断变化的需求。癌症服务与临终关怀的额外整合将有助于为患者提供更无缝的护理，并在患者护理期间和患者死亡后为家庭护理人员提供支持。s 死亡与无法获得这些服务的人相比。随着其覆盖范围的扩大和患者需求的不断扩大，临终关怀护理不断发展。这反映在从以卓越护理为基础的临终关怀转变为拥有广泛卫生专业人员的团队以满足患者及其家人复杂和不断变化的需求。癌症服务与临终关怀的额外整合将有助于为患者提供更无缝的护理，并在患者护理期间和患者死亡后为家庭护理人员提供支持。s 死亡与无法获得这些服务的人相比。随着其覆盖范围的扩大和患者需求的不断扩大，临终关怀护理不断发展。这反映在从以卓越护理为基础的临终关怀转变为拥有广泛卫生专业人员的团队以满足患者及其家人复杂和不断变化的需求。癌症服务与临终关怀的额外整合将有助于为患者提供更无缝的护理，并在患者护理期间和患者死亡后为家庭护理人员提供支持。这反映在从以卓越护理为基础的临终关怀转变为拥有广泛卫生专业人员的团队以满足患者及其家人复杂和不断变化的需求。癌症服务与临终关怀的额外整合将有助于为患者提供更无缝的护理，并在患者护理期间和患者死亡后为家庭护理人员提供支持。这反映在从以卓越护理为基础的临终关怀转变为拥有广泛卫生专业人员的团队以满足患者及其家人复杂和不断变化的需求。癌症服务与临终关怀的额外整合将有助于为患者提供更无缝的护理，并在患者护理期间和患者死亡后为家庭护理人员提供支持。