Current Status of Complementary Therapies Provided by Hospice Palliative Care in South Korea.

Sinyoung Kwon, Jihye Bak, So-Hi Kwon
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Abstract

Purpose: The aim of this study was to investigatecomplementary therapiesprovided at hospice palliative care facilities in South Koreaas designated by the Ministry of Health and Welfare.

Methods: The survey was conducted via e-mail from September 2 to September 23, 2020, with responsesfrom 109 therapists and 59 managers from 55 different hospice care facilities.

Results: Hospices provided an average of 3.67 different types of therapies, ranging from 1 to 7 different types. The most common types of therapies were horticultural therapy (81.4%), music therapy (79.7%), art therapy (76.3%), and aromatherapy (57.6%). The average frequency of sessions was once a week, the median duration was 60 minutes. Most therapists (96.3%) had qualifications, but the certification-issuing organizations and training intensiveness varied greatly. None of the therapists were employed on a full-time basis, and their average monthly income was KRW 270,000. Therapists and managers gave average scores of 8.90 and 8.38 out of 10, respectively, regarding the positive impact of complementary therapies on patients.

Conclusion: In order for patients and their families to benefit from complementary therapiesat hospice care facilities, in addition tobetter terms of employment for therapists, evidence-based guidelines for different types of therapies are needed so that therapy sessions can be conducted according to the theoretical underpinnings and characteristics of the type of therapy. It is expected that the results of this study will be used for policy-making in support of therapy as an essential hospice service.

韩国临终关怀姑息治疗提供的补充疗法现状。
目的:本研究的目的是调查韩国卫生和福利部指定的临终关怀姑息治疗机构提供的补充疗法。方法:于2020年9月2日至9月23日通过电子邮件进行调查,共有来自55家不同临终关怀机构的109名治疗师和59名管理人员回复。结果:安宁疗护机构平均提供3.67种不同的治疗方式,从1种到7种不等。最常见的治疗类型是园艺疗法(81.4%)、音乐疗法(79.7%)、艺术疗法(76.3%)和芳香疗法(57.6%)。疗程的平均频率为每周一次,平均持续时间为60分钟。大多数治疗师(96.3%)具有执业资格,但其发证机构和培训强度差异较大。没有一名治疗师是全职工作,他们的平均月收入为27万韩元。在补充疗法对患者的积极影响方面,治疗师和管理者的平均得分分别为8.90分和8.38分(满分为10分)。结论:为了使患者及其家属受益于临终关怀机构的辅助治疗,除了更好地为治疗师提供就业条件外,还需要针对不同类型治疗的循证指南,以便根据治疗类型的理论基础和特点进行治疗。本研究结果可望为政策制定提供参考,以支持治疗作为一项重要的安宁疗护服务。
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