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http://dx.doi.org/10.14475/kjhpc.2014.17.4.216

Physical Symptoms and Psychiatric, Social, Spiritual and Economical Care Needs of Patients under Home-based Cancer Service  

Kang, Myung Hee (Department of Internal Medicine, School of Medicine, Gyeongsang National University)
Moon, Young Sil (Jinju Public Health Center)
Lee, Young Joon (Department of Surgery, School of Medicine, Gyeongsang National University)
Kang, Yoon Sik (Department of Preventive Medicine, School of Medicine, Gyeongsang National University)
Kim, Hoon Gu (Department of Internal Medicine, School of Medicine, Gyeongsang National University)
Lee, Gyeong Won (Department of Internal Medicine, School of Medicine, Gyeongsang National University)
Lee, Won Sup (Department of Internal Medicine, School of Medicine, Gyeongsang National University)
Kang, Jung Hun (Department of Internal Medicine, School of Medicine, Gyeongsang National University)
Publication Information
Journal of Hospice and Palliative Care / v.17, no.4, 2014 , pp. 216-222 More about this Journal
Abstract
Purpose: This study was performed to identify the symptoms and care needs of home-based cancer patients in Korea and to add to the scarce literature on this topic. Methods: Data were collected from patients who subscribed to home-based cancer care services in Jinju. Assessments were performed by nurses at the local public health center. The Edmonton Symptom Assessment System with a numeric rating scale (NRS) was used to identify symptoms, and a four-point Likert scale was used to assess psychological, social, and spiritual needs. Results: Cross-sectional data were collected in October 2013. A total of 209 patients participated and their median age was 65 years (range, 17~89 years). Most patients were diagnosed in the early stage of cancer (n=188); only 19 patients were diagnosed in the advanced stage. More than half the patients lived alone (n=115, 55.0%) and took care of themselves (n=128, 61.2%). Anorexia and fatigue were the most common symptoms (median NRS, 5 and 4, respectively). Patients needed economic support the most, whereas spiritual care was least needed (n=138 [67.3%] vs. n=128 [62.1%], respectively). Conclusion: Patients who signed up for home-based cancer care services in Jinju are struggling with a financial issue and physical symptoms. A customized approach is needed to improve the quality of the home-based care services.
Keywords
Home care services; Symptom assessment; Needs assessment;
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Times Cited By KSCI : 4  (Citation Analysis)
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