Browse > Article

Effects of a Palliative Care Program based on Home Care Nursing  

Hwang, Moon-Sook (Graduate School of Clinical Nursing Science, Sungkyunkwan University, Research Institute for Clinical Nursing Science, Samsung Medical Center)
Ryu, Ho-Sihn (College of Nursing, Korea University)
Publication Information
Journal of Korean Academy of Nursing / v.39, no.4, 2009 , pp. 528-538 More about this Journal
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;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
Times Cited By Web Of Science : 1  (Related Records In Web of Science)
연도 인용수 순위
1 Ahn, E. J. (2004). A study on burden and burnout of family care-givers for caring of terminal cancer patients. Unpublished master’s thesis, Chonnam National University, Gwangju
2 Bostrom, B., Hinic, H., Lundberg, D., & Fridlund, B. (2003). 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, 11, 189-196   DOI   PUBMED   ScienceOn
3 Choi, E. S. (2006). Experiences of facility caregivers with terminal cancer patients. Unpublished doctoral dissertation, Seoul National University, Seoul
4 Kang, K. A., Kim, S. J., & Kim, Y. S. (2004). The need for hospice care in families of patients with cancer. Journal of Korean Community Nursing, 15, 639-647   과학기술학회마을   ScienceOn
5 Kim, Y. O. (2003). Effects of home care services on discomfort in patients with cancer and on caregiver burden. Unpublished master’s thesis, Yonsei University, Seoul
6 Yun, G. E. (1998). Development of quality of life measurement for patients with terminal illness. Unpublished doctoral dissertation, Yonsei University, Seoul
7 Lee, S. W., Lee, Y. O., An, H. S., Huh, D. S., Kim, D. S., Kim, H. S., et al. (1997). The national hospice care service development in Korea. Korean Nurses, 36(3), 49-67   과학기술학회마을
8 Harrington, V., Lackey, N. R., & Gates, M. F. (1996). Needs of caregivers of clinic and hospice cancer patients. Cancer Nursing, 19, 118-125   DOI   ScienceOn
9 Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms: An update. Advances in Nursing Science, 19(3), 14-27   DOI   PUBMED   ScienceOn
10 Woods, N. F., Yates, B. C., & Primomo, J. (1989). Supporting families during chronic illness. Image-Journal of Nursing Scholarship, 21, 46-50   DOI
11 Lee, K. Y., & Song, K. Y. (1996). A study on the degree of burden and depression in family caregivers of patients with stroke. Journal of Korean Academy of Nursing, 26, 853-867   과학기술학회마을
12 Yun, Y. H., Park, Y. S., Lee E. S., Bang, S. M., Heo, D. S., Park, S. Y., et al. (2004). Validation of the Korean version of the EORTC QLQ-C30. Quality Life Research, 13, 863-868   DOI   ScienceOn
13 American Pain Society. (1995). Quality improvement guidelines for the treatment of acute pain and cancer pain. Journal of the American Medical Association, 274, 1874-1880   DOI   PUBMED   ScienceOn
14 Kwon, I. K. (1999). Effects of education on pain management provided to cancer patients and medical personnel. Unpublished doctoral dissertation, Seoul National University, Seoul
15 Sparks, S. M. (1997). Using the internet for home health and hospice care. In M. D. Harris (Ed.), Handbook of home health care administration (pp. 892-897). Gaithersburg, MD: Aspen Publishers Inc
16 Kim, T. S., Yang, B. G., Jeong, E. K., Park, N. R., Lee, Y. S., Lee, Y. S., et al. (1999). Need assessment of home based cancer patients. Korean Journal of Hospice and Palliative Care, 2, 36-45   과학기술학회마을   ScienceOn
17 Lee, S. W., Kim, H. S., Kim, S. Y., Hong, Y. S., & Kim, Y. K. (2003). Patient satisfaction with cancer pain management. Korean Journal of Hospice and Palliative Care, 6, 22-33   과학기술학회마을   ScienceOn
18 Ryu, S. Y. (2001). The effects of hospice care on QOL in terminal cancer patients. Unpublished master’s thesis, Yonsei University, Seoul
19 Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Association Pub
20 Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., et al. (1993). 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, 85, 365-376   DOI   ScienceOn
21 National Hospice Organization. (1997). Hospice operations manual. Dubuque: Kendall/Hunt Publishing Company
22 Korean National Statistical Office. (2007, October 21). Statistics on mortality causes. Retrieved April 27, 2009, from http://www. kosis.kr
23 Suh, M. H., & Oh, K. S. (1993). A survey of well-being in caregivers caring for chronically ill family members. Journal of Korean Academy of Nursing, 23, 467-486   과학기술학회마을   ScienceOn
24 Sun, J. J. (2003). Change in pain and quality of life of terminal cancer patients through hospice home care. Unpublished master’s thesis, Chonnam National University, Gwangju
25 Larson, P. J., Uchinuno, A., Izumi, S., Kawano, A., Takemoto, A., Shigeno, A., et al. (1999). An integrated approach to symptom management. Nursing and Health Science, 1, 203-210   DOI   ScienceOn
26 Yun, M. O. (2004). Development and effect of spiritual nursing program for the terminal cancer patients. Unpublished doctoral dissertation, Keimyung University, Daegu
27 Zarit, S. H., Reever, K.E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. Gerontologist, 20, 649-655   DOI   PUBMED   ScienceOn
28 Kwon, I. K., Hwang, M. S., & Kim, J. H. (2002). Effects of pain management education on pain of the terminal cancer patients at home. Journal of Korean Oncology Nursing, 2, 36-49   과학기술학회마을   ScienceOn
29 Lee, J. S. (2006). The development and evaluation of the caregiving stress management program for families of terminal cancer patients. Unpublished doctoral dissertation, Korea University, Seoul