Effect of a Peaceful End-of-Life Care Program on Perceived Good Death in People With Advanced Cancer and Their Family Caregivers.

IF 1.2 4区 医学 Q3 NURSING
Benchamart Trakoolngamden, Supreeda Monkong, Suchira Chaiviboontham, Pratana Satitvipawee, Yotsawaj Runglodvatana
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Abstract

Early integration of palliative care benefits both people with advanced cancer and their family caregivers, yet research on holistic end-of-life care and advance care planning remains limited. The primary objective of this study was to examine the effect of a peaceful end-of-life care program on perceived good death outcomes in people with advanced cancer and their family caregivers. Secondary objectives included exploring the program's effect on the quality relationship and end-of-life care knowledge among family caregivers. In this quasi-experimental design with repeated measures, 122 participants were enrolled. On the basis of the Theory of the Peaceful End of Life, the experimental group received a 4-week program comprising health education, self-care for symptom management, advance care planning, psychosocial support, and family involvement plus standard care, whereas the control group received standard care alone. The Good Death Inventory was the primary measurement tool. The results showed a significant improvement in perceived good death, quality relationships, and end-of-life care knowledge in the experimental group, with no such improvements observed in the control group. The program improved good death outcomes, caregiver relationships, and end-of-life care knowledge. Therefore, early initiation of this program is recommended to optimize its benefits.

和平临终关怀计划对晚期癌症患者及其家庭照顾者感知良好死亡的影响。
姑息治疗的早期整合对晚期癌症患者和他们的家庭照顾者都有好处,但对整体临终关怀和预先护理计划的研究仍然有限。本研究的主要目的是检验和平临终关怀计划对晚期癌症患者及其家庭照顾者感知到的良好死亡结果的影响。次要目标包括探索该计划对家庭照顾者之间的质量关系和临终关怀知识的影响。在重复测量的准实验设计中,122名参与者入组。在和平结束生命理论的基础上,实验组接受了为期4周的计划,包括健康教育、自我护理症状管理、预先护理计划、社会心理支持和家庭参与以及标准护理,而对照组只接受标准护理。“善终清单”是主要的衡量工具。结果显示,实验组在感知美好死亡、高质量关系和临终关怀知识方面有显著改善,而对照组没有观察到这些改善。该项目改善了良好的死亡结果、护理者关系和临终关怀知识。因此,建议尽早启动该计划,以优化其效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
11.10%
发文量
203
审稿时长
6-12 weeks
期刊介绍: Journal of Hospice & Palliative Nursing (JHPN) is the official journal of the Hospice & Palliative Nurses Association and is the professional, peer-reviewed journal for nurses in hospice and palliative care settings. Focusing on the clinical, educational and research aspects of care, JHPN offers current and reliable information on end of life nursing. Feature articles in areas such as symptom management, ethics, and futility of care address holistic care across the continuum. Book and article reviews, clinical updates and case studies create a journal that meets the didactic and practical needs of the nurse caring for patients with serious illnesses in advanced stages.
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