The Effects of Hospital-based Palliative Care Team on Quality of Care with Terminal Cancer
Date Issued
2007
Date
2007
Author(s)
Kao, Chi-Yin
DOI
zh-TW
Abstract
The primary aim of the study was to explore the effects of hospital-based palliative care team on quality of care with terminal cancer. Pretest-posttest quasi experimental design was adopted. Between November 2005 through July 2006, we investigated 100 eligible patients with terminal cancer in a medical center in north of Taiwan. 33 patients received hospital-based palliative care team services compared with 31 patients receiving traditional supportive care and 36 patients admitted to palliative care unit directly. Data was collected using the questionnaires include “Symptom Distress Scale, Hospital Anxiety and Depression Scale, Spiritual Well-Being Scale and Social Supportive Scale” on two occasions.
The main needs for terminal cancer patients’ care were physical care (60%), psychological care (58%) and truth telling (24%). Fatigue, dry mouth, pain, loss of appetite, and abdominal distention were common physical symptoms. Ascites, pain, feces and urine incontinence, fatigue, and appetite loss were most distressed for physical symptoms. Depression was a significant symptom in psychological problem (mean score was 8.84). There were significant improvements in physical symptoms, anxiety and depression, spiritual well-being, social support and DNR approval in hospital-based palliative care team. Truth telling was also significant reduction in anxiety degree and improvements in spiritual well-being. Truth telling and uncertainty were negatively correlated. Uncertainty and anxiety were positively correlated, but uncertainty and spiritual well-being were negatively correlated. Amounts of symptoms and anxiety were positively correlated, but amounts of symptoms with spiritual well-being were negatively correlated. Anxiety and depression were positively correlated, but anxiety with spiritual well-being was negatively correlated. Depression and spiritual well-being were negatively correlated. Quality of care with patients whose DNR consent form orders were signed was greater than patients not signed DNR consent form.
In conclusion, hospital-based palliative care team improved symptoms, anxiety and depression, spiritual well-being, social support and DNR approval in patients with terminal cancer.
Subjects
安寧共同照護模式
癌末
照護品質
症狀困擾
憂鬱
hospital-based palliative care team
terminal cancer
quality of care
symptom distress
depression
SDGs
Type
other
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