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http://dx.doi.org/10.14475/kjhpc.2018.21.4.137

The Characteristics of Terminally Ill Cancer Patients in Hospice and Palliative Care according to Family Composition  

Park, Sang Mi (Department of Family Medicine, St. Paul Hospital, The Catholic University of Korea)
Hwang, Sun Wook (Department of Family Medicine, St. Paul Hospital, The Catholic University of Korea)
Han, Kyung Do (Department of Biostatistics, College of Medicine, The Catholic University of Korea)
Publication Information
Journal of Hospice and Palliative Care / v.21, no.4, 2018 , pp. 137-143 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the family composition of terminally ill cancer patients admitted to the hospice unit and how it affects their hospice care. Methods: We retrospectively analyzed the medical records of terminal cancer patients who died in one hospice unit between January 2009 and March 2014. The demographic and clinical characteristics of the patients were examined, and any different made by their marital status was evaluated. We calculated the time interval between cancer diagnosis and hospice admission and the survival period from hospice admission to death and analyzed their association with family composition. Results: When divided by the median time of 13 months between diagnosis and admission, Group B (>13 months) had a significantly higher proportion of patients living with their spouses; (P<0.01). The main decision maker was a spouse (52.9%) in Group B; (P=0.04). Conclusion: Among the characteristics of the family composition, the presence of spouse was an important factor associated with admission to a hospice unit. Clinicians need to be aware of the impact of marital status on end-of-life care. This study indicates that it is helpful to understand family composition of terminallyill cancer patients for an effective palliative and hospice care.
Keywords
Family; Spouses; Terminally ill; Hospices;
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1 Wachterman MW, Sommers BD. The impact of gender and marital status on end-of-life care: evidence from the National Mortality Follow-Back Survey. J Palliat Med. 2006;9:343-52.   DOI
2 Lee JR, Lee JK, Hwang SJ, Kim JE, Chung JI, Kim SY. Doctor's perception and referral barriers toward palliative care for advanced cancer patients. Korean J Hosp Palliat Care 2012;15:10-7.
3 Ministry of Health & Welfare, National Cancer Center. Hospice & palliative care in Korea: facts & figures 2016. Goyang:Ministry of Health & Welfare, National Cancer Center;2018. p.2.
4 Kravdal H, Syse A. Changes over time in the effect of marital status on cancer survival. BMC Public Health 2011;11:804.   DOI
5 Economist Intelligence Unit (Great Britain),; Lien Foundation. The 2015 Quality of Death Index : ranking palliative care across the world : a report. [London]:The Economist;c2015.
6 National Center for Health Statistics (U.S.) Health, United States, Health and aging chartbook. Hyattsville, Md.:U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics ; Washington, DC : For sale by Supt. of Docs., U.S. G.P.O.;1999.
7 Lackan NA, Ostir GV, Kuo YF, Freeman JL. The association of marital status and hospice use in the USA. Palliat Med 2005;19:160-2.   DOI
8 Son JY, Han GH. The effects of marital status on health among older women. Korea J Population Studies 2012;35:211-38.
9 Stroebe M, Schut H, Stroebe W. Health outcomes of bereavement. Lancet 2007;370:1960-73.   DOI
10 Christakis NA, Iwashyna TJ. The health impact of health care on families: a matched cohort Study of hospice use by decedents and mortality outcomes in surviving, widowed spouses. Soc Sci Med 2003;57:465-75.   DOI
11 Song JE, Marks NF. Parent-adult child relationships and mental health among older parents: A Longitudinal U.S. National Study. J Korean Gerontol Soc 2006;26:581-99.
12 Choi JY, Chang YJ, Song HY, Jho HJ, Lee MK. Factors that affect quality of dying and death in terminal cancer patients on inpatient palliative care units: perspectives of bereaved family caregivers. J Pain Symptom Manage 2013;45:735-45.   DOI
13 Powazki RD, Walsh D. Family distress in palliative medicine: a pilot study of the family APGAR scale. Am J Hosp Palliat Care 2002;19;392-6.   DOI
14 Jemal A, Siegel R, Ward E, Hao Y, Xu J, Thun MJ. Cancer Statistics, 2009. CA Cancer J Clin 2009;59:225-49.   DOI
15 Korea Ministry of Government Legislation [Internet]. Sejong: Korea Ministry of Government Legislation; c1997-2018 [cited 2018 Aug 03]. Available from: http://www.law.go.kr.
16 Ju MJ, Sohn SK. Relationship between perceived family support and quality of life in hospitalized patients with terminal cancer. J Korean Oncol Nurs 2008;8:32-9.
17 Choi YH. An experimental study of the effects of supportive nursing intervention on family support behavior and sick role behavior [dissertation]. Seoul:Yonsei Univ.;1983. Korean.
18 Yim HJ, Park HA, Kang JH, Kim KW, Cho YG, Hur YI, et al. Marital status and health behavior in middle-aged Korean adults. Korean J Fam Med 2012;33:390-7.   DOI
19 Aizer AA, Chen MH, McCarthy EP, Mendu ML, Koo S, Wilhite TJ, et al. Marital status and survival in patients with cancer. J Clin Oncol 2013;31:3869-76.   DOI
20 Manzoli L, Villari P, M Pirone G, Boccia A. Marital status and mortality in the elderly: a systematic review and meta-analysis. Soc Sci Med 2007;64:77-94.   DOI
21 Kravdal O. Children, family and cancer survival in Norway. Int J Cancer 2003;105;261-6.   DOI
22 Choi KS, You CH, Lee KH, Kim CY, Heo DS, Yun YH. Comparison of medical care cost between hospice care and conventional care in the last year of life. KJHPA 2005;15:1-15.
23 National Institutes of Health (U.S.). Clinical Center. Pain Intensity Instruments. [Bethesda, Md.]:U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, the Clinical Center;2003.
24 Gwak MD, Suh SY. The assessment tools in palliative medicine. Korean J Hosp Palliat Care 2009;12:177-93.
25 National Cancer Information Center [Internet]. Goyang: National Cancer Registration Statistics 2015; 2017 [cited 2018 Aug 03]. Available from: https://www.cancer.go.kr/lay1/bbs/S1T674C680/B/26/view.do?article_seq=20878.
26 Kwon YC, Shin DW, Lee JH, Heo DS, Hong YS, Kim SY, et al. Impact of perception of socioeconomic burden on advocacy for patient autonomy in end-of-life decision making: a study of societal attitudes. Palliat Med 2009;23:87-94.   DOI