Moon Sook Hwang; Ho Sihn Ryu

doi:10.4040/jkan.2009.39.4.528

Articles

Page Path: HOME > J Korean Acad Nurs > Volume 39(4); 2009 > Article

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

13 Views
0 Download
4 Scopus

prev next

Full Article

Download PDF

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

1. Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. The European organization for research and treatment of cancer QLQ-C30: A quality of life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute. 1993;85:365–376.Article PubMed
2. Ahn EJ. A study on burden and burnout of family care-givers for caring of terminal cancer patients. 2004;Gwangju, Chonnam National University. Unpublished master's thesis.
3. American Pain Society. Quality improvement guidelines for the treatment of acute pain and cancer pain. Journal of the American Medical Association. 1995;274:1874–1880.Article PubMed
4. Bostrom B, Hinic H, Lundberg D, Fridlund B. Pain and health-related quality of life among cancer patients in final stage of life: A comparison between two palliative care teams. Journal of Nursing Management. 2003;11:189–196.Article PubMed
5. Choi ES. Experiences of facility caregivers with terminal cancer patients. 2006;Seoul, Seoul National University. Unpublished doctoral dissertation.
6. Cohen J. Statistical power analysis for the behavioral science. 1988;2nd ed. Hillsdale, NJ, Lawrence Erlbaum Association Pub.
7. Harrington V, Lackey NR, Gates MF. Needs of caregivers of clinic and hospice cancer patients. Cancer Nursing. 1996;19:118–125.Article PubMed
8. Kang KA, Kim SJ, Kim YS. The need for hospice care in families of patients with cancer. Journal of Korean Community Nursing. 2004;15:639–647.
9. Kim TS, Yang BG, Jeong EK, Park NR, Lee YS, Lee YS, et al. Need assessment of home based cancer patients. Korean Journal of Hospice and Palliative Care. 1999;2:36–45.
10. Kim YO. Effects of home care services on discomfort in patients with cancer and on caregiver burden. 2003;Seoul, Yonsei University. Unpublished master's thesis.
11. Statistics on mortality causes. Korean National Statistical Office. 2007;10 21 Retrieved April 27, 2009. from http://www. kosis.krhttp://www. kosis.kr.
12. Kwon IK. Effects of education on pain management provided to cancer patients and medical personnel. 1999;Seoul, Seoul National University. Unpublished doctoral dissertation.
13. Kwon IK, Hwang MS, Kim JH. Effects of pain management education on pain of the terminal cancer patients at home. Journal of Korean Oncology Nursing. 2002;2:36–49.
14. Larson PJ, Uchinuno A, Izumi S, Kawano A, Takemoto A, Shigeno A, et al. An integrated approach to symptom management. Nursing and Health Science. 1999;1:203–210.Article
15. Lee JS. The development and evaluation of the caregiving stress management program for families of terminal cancer patients. 2006;Seoul, Korea University. Unpublished doctoral dissertation.
16. Lee KY, Song KY. A study on the degree of burden and depression in family caregivers of patients with stroke. Journal of Korean Academy of Nursing. 1996;26:853–867.Article PDF
17. Lee SW, Kim HS, Kim SY, Hong YS, Kim YK. Patient satisfaction with cancer pain management. Korean Journal of Hospice and Palliative Care. 2003;6:22–33.
18. Lee SW, Lee YO, An HS, Huh DS, Kim DS, Kim HS, et al. The national hospice care service development in Korea. Korean Nurses. 1997;36(3):49–67.
19. Lenz ER, Pugh LC, Milligan RA, Gift A, Suppe F. The middle-range theory of unpleasant symptoms: An update. Advances in Nursing Science. 1997;19(3):14–27.PubMed
20. National Hospice Organization. Hospice operations manual. 1997;Dubuque, Kendall/Hunt Publishing Company.
21. Ryu SY. The effects of hospice care on QOL in terminal cancer patients. 2001;Seoul, Yonsei University. Unpublished master's thesis.
22. Sparks SM. Harris MD. Using the internet for home health and hospice care. In: Handbook of home health care administration. 1997;Gaithersburg, MD, Aspen Publishers Inc. 892–897.
23. Suh MH, Oh KS. A survey of well-being in caregivers caring for chronically ill family members. Journal of Korean Academy of Nursing. 1993;23:467–486.
24. Sun JJ. Change in pain and quality of life of terminal cancer patients through hospice home care. 2003;Gwangju, Chonnam National University. Unpublished master's thesis.
25. Woods NF, Yates BC, Primomo J. Supporting families during chronic illness. Image-Journal of Nursing Scholarship. 1989;21:46–50.
26. Yun GE. Development of quality of life measurement for patients with terminal illness. 1998;Seoul, Yonsei University. Unpublished doctoral dissertation.
27. Yun MO. Development and effect of spiritual nursing program for the terminal cancer patients. 2004;Daegu, Keimyung University. Unpublished doctoral dissertation.
28. Yun YH, Park YS, Lee ES, Bang SM, Heo DS, Park SY, et al. Validation of the Korean version of the EORTC QLQ-C30. Quality Life Research. 2004;13:763–768.
29. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist. 1980;20:649–655.Article PubMed

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

Citations to this article as recorded by

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

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

XML Download

Figure

We recommend

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)