Moon Sook Hwang; Ho Sihn Ryu

doi:10.4040/jkan.2009.39.4.528

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Original Article
Effects of a Palliative Care Program based on Home Care Nursing: Moon Sook Hwang, Ho Sihn Ryu; Journal of Korean Academy of Nursing 2009;39(4):528-538.
DOI: https://doi.org/10.4040/jkan.2009.39.4.528
Published online: August 31, 2009

¹Clinical Professor, Graduate School of Clinical Nursing Science, Sungkyunkwan University, Research Institute for Clinical Nursing Science, Samsung Medical Center, Seoul, Korea.

²Professor, College of Nursing, Korea University, Seoul, Korea.

Address reprint requests to: Hwang, Moon Sook. Graduate School of Clinical Nursing Science, Sungkyunkwan University, Research Institute for Clinical Nursing Science, Samsung Medical Center, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Korea. Tel: 82-2-3410-6430, Fax: 82-2-3410-6616, msyellow45@hanmail.net

• Received: February 27, 2009 • Accepted: July 21, 2009

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Abstract
REFERENCES

Abstract

Purpose
This study was done to develop and test a palliative care program based on home care nursing.
Methods
A quasi-experimental design was employed. Changes in the variables were evaluated to test effects of the developed program. Participants were patients with terminal cancer and their families receiving home care nursing from six hospitals (experimental group: 24 and control group: 22). Data collection was conducted from February to October, 2006. Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test and repeated measures ANOVA were used to analyse the data.
Results
Hypothesis 1, the experimental group receiving this program will experience less pain (severe, average, weak pain) than the control group, was supported. Hypothesis 2, the experimental group will have less symptom experience than the control group, was supported. Hypothesis 3, the experimental group will have higher QOL than the control group, was supported and the last hypothesis 4, family burden in the experimental group will be less than the control group, was supported.
Conclusion
The home care nursing based palliative program developed in this study was found to be an effective program to reduce patient pain and symptom experience, to improve patient QOL and to decrease family burden.
Keywords: Home nursing; Palliative care; Pain; Symptom; Quality of life

REFERENCES

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Figure 1

Conceptual framework.

Figure 2

Change of symptom experience, quality of life and family burden by time.

Exp.=experimental group; Cont.=control group.

Table 1

The Components and Contents for Palliative Care Program

Table 2

Homogeneity Test for General Characteristics and Disease related Characteristics (N=46)

^†Fisher's exact test.

Exp.=experimental group; Cont.=control group.

Table 3

Differences of the Pain between Experimental and Control groups (N=46)

Exp.=experimental group; Cont.=control group.

Table 4

Symptom Experience, Quality of Life and Family Burden between Experimental and Control groups according to the Time Intervals (N=46)

Exp.=experimental group; Cont.=control group.

Figure & Data

REFERENCES

Citations

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Effects of a Palliative Care Program based on Home Care Nursing

J Korean Acad Nurs. 2009;39(4):528-538. Published online August 31, 2009

DOI: https://doi.org/10.4040/jkan.2009.39.4.528

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Figure

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Effects of a Palliative Care Program based on Home Care Nursing

Figure 1 Conceptual framework.

Figure 2 Change of symptom experience, quality of life and family burden by time. Exp.=experimental group; Cont.=control group.

Figure 1

Figure 2

Effects of a Palliative Care Program based on Home Care Nursing

Table 1

The Components and Contents for Palliative Care Program

Table 2

Homogeneity Test for General Characteristics and Disease related Characteristics (N=46)

^†Fisher's exact test.

Exp.=experimental group; Cont.=control group.

Table 3

Differences of the Pain between Experimental and Control groups (N=46)

Exp.=experimental group; Cont.=control group.

Table 4

Symptom Experience, Quality of Life and Family Burden between Experimental and Control groups according to the Time Intervals (N=46)

Exp.=experimental group; Cont.=control group.

Table 1 The Components and Contents for Palliative Care Program

Table 2 Homogeneity Test for General Characteristics and Disease related Characteristics (N=46)

^†Fisher's exact test.

Exp.=experimental group; Cont.=control group.

Table 3 Differences of the Pain between Experimental and Control groups (N=46)

Exp.=experimental group; Cont.=control group.

Table 4 Symptom Experience, Quality of Life and Family Burden between Experimental and Control groups according to the Time Intervals (N=46)