Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care最新文献_第6页

Reliability and Validity of an Instrument Assessing Spiritual Needs of Families of Terminal Cancer Patients 晚期癌症患者家属精神需求评估工具的信度与效度

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-12-01 DOI: 10.14475/KJHPC.2018.21.4.144

Kyung-Ah Kang, Youngsim Choi, and Yejean Kim

{"title":"Reliability and Validity of an Instrument Assessing Spiritual Needs of Families of Terminal Cancer Patients","authors":"Kyung-Ah Kang, Youngsim Choi, and Yejean Kim","doi":"10.14475/KJHPC.2018.21.4.144","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.4.144","url":null,"abstract":"Purpose: The purpose of this study was to test the reliability and validity of an instrument that measures spiritual needs of families of terminal cancer patients. Methods: This methodological study was processed as follows: 1) The preliminary 26 items were developed based a conceptual framework of spiritual needs of families of patients with cancer. 2) The content was validated by an expert panel (Three nursing professors and five hospice nursing specialists). 3) The instrument was validated by a survey (n=111). 4) Twenty-six items were selected and used for the final version of the scale. Results: Three factors were extracted through factor analysis: ‘relationship with God/Acceptance of dying’, ‘recovery of relationship/hope and peace’, and ‘meaning and purpose of life’. These factors explained 61.088% of the total variance. Cronbach’s alpha and Guttman split-half coefficient of the 26 items were 0.944 and 0.826 respectively. Conclusion: This scale was identified as a valid and reliable tool. Therefore, the scale is useful in assessing spiritual needs of families of terminal cancer patients in the field of hospice and palliative care.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"77 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87892450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Factors Influencing Withdrawal of Life-Sustaining Treatment in Tertiary General Hospital Workers -Knowledge and Attitude of Organ Donation and Transplantation, Awareness of Death, Knowledge and Perception of Hospice Palliative Care- 影响三级综合医院职工退出维持生命治疗的因素——器官捐献与移植知识与态度、死亡意识、安宁疗护知识与认知

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-09-01 DOI: 10.14475/KJHPC.2018.21.3.92

N. Je, J. Hwa

{"title":"Factors Influencing Withdrawal of Life-Sustaining Treatment in Tertiary General Hospital Workers -Knowledge and Attitude of Organ Donation and Transplantation, Awareness of Death, Knowledge and Perception of Hospice Palliative Care-","authors":"N. Je, J. Hwa","doi":"10.14475/KJHPC.2018.21.3.92","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.3.92","url":null,"abstract":"Purpose: This descriptive study was conducted to examine factors that affect hospital workers in their decision to withdraw from life-sustaining treatment, such as knowledge, attitude, and perception of organ donation, transplantation, death and hospice palliative care. Methods: A questionnaire was completed by 228 workers of a tertiary general hospital, and data were analyzed using t-test, ANOVA, and Pearson’s correlation by using SPSS 21.0. Results: The subjects’ knowledge of biomedical ethics awareness differed by age, education level, occupation, affiliated department, and biomedical ethics education. Their knowledge of brain death, organ donation and transplantation was positively correlated with attitudes toward tissue donation and transplantation, knowledge of hospice palliative care, and perception of hospice palliative care. Their attitudes toward tissue donation and transplantation were significantly correlated with knowledge of hospice palliative care, perception of hospice palliative care, and withdrawal of life-sustaining treatment. Their awareness of death was significantly correlated with knowledge of hospice palliative care, perception of hospice palliative care and withdrawal of life-sustaining treatment. The perception of hospice palliative care was significantly correlated with withdrawal of life-sustaining treatment. Factors associated with their withdrawal of life-sustaining treatment were work at the hospice ward (32.5%), attitudes toward tissue donation and transplantation and perception of hospice palliative care. Conclusion: This study has shown that work at the hospice ward, attitudes toward tissue donation and transplantation and perception of hospice palliative care were related to attitudes toward withdrawal of life-sustaining treatment. More research is needed to further develop various curriculums based on biomedical methods.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"63 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79276625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Treatment of Patients with Cancer in a Secondary Hospital in Korea 韩国某二级医院癌症患者的治疗

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-09-01 DOI: 10.14475/kjhpc.2018.21.3.84

M. Son

{"title":"Treatment of Patients with Cancer in a Secondary Hospital in Korea","authors":"M. Son","doi":"10.14475/kjhpc.2018.21.3.84","DOIUrl":"https://doi.org/10.14475/kjhpc.2018.21.3.84","url":null,"abstract":"Purpose: This study aims to investigate treatment of cancer patients at a secondary hospital. Methods: A retrospective analysis was performed with electronic medical records of cancer patients admitted to a secondary hospital from January 1, 2009 through September 31, 2017. Results: A total of 223 patients were studied. Sixty-nine patients were hospitalized for supportive care after receiving a surgery, chemotherapy, and radiotherapy at a tertiary hospital, 58 patients for other supportive care, 53 patients for symptom control, 16 patients with a decision not to take active cancer treatment, and 27 patients for treatment of cancer that was diagnosed during their hospital stay. Among 75 patients who were discharged to other institutions, 50 were transferred to tertiary hospitals, 10 to long-term care hospitals, eight to hospice hospitals, four to nursing homes and two to secondary hospitals. Comorbidities were found in 120 patients (53.8%). For patients who consulted with more than one department, more consultations were for non-cancer diseases than cancer. Seventy-three patients had a do-not-resuscitate order. Conclusion: For treatment of cancer patients, it is needed to establish a cooperation system among medical institutions and provide comprehensive management including treatment of comorbidities.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"1990 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82317743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of Lung Cancer-Related Intractable Hiccups Using Pulsed Radiofrequency: Clinical Experience 脉冲射频治疗肺癌相关顽固性呃逆:临床经验

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-09-01 DOI: 10.14475/KJHPC.2018.21.3.104

S. Cho

引用次数: 0

Prediction of Patient Discharge Status Based on Indicators on Admission 基于入院指标的患者出院状态预测

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-09-01 DOI: 10.14475/KJHPC.2018.21.3.75

S. Chung, Seunghun Lee, Y. Kim, S. Y. Lee, Jeong-Gyu Lee, Y. Yi, Y. Cho, Y. Tak, H. Hwang, E. Park, and Kyung-Mi Kim

引用次数: 1

Impact of a Palliative Care Education Program on Korean Hospice Volunteers: Motivation, Death Anxiety, and Communication with the Dying 缓和疗护教育计划对韩国安宁疗护志工的影响:动机、死亡焦虑及与临终者的沟通

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-06-01 DOI: 10.14475/KJHPC.2018.21.2.58

H. Woo, Young-Ran Yeun

引用次数: 1

Models for Spiritual Care in Hospice and Palliative Care 临终关怀和姑息治疗中的精神关怀模式

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-06-01 DOI: 10.14475/KJHPC.2018.21.2.41

Kyung-Ah Kang

引用次数: 2

End-of-Life Care Practice in Dying Patients with Do-Not-Resuscitate Order: A Single Center Experience 临终关怀实践在垂死病人不复苏的命令:单一中心的经验

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-06-01 DOI: 10.14475/KJHPC.2018.21.2.51

S. Yoon, Eun Mi Nam, A. Lee

{"title":"End-of-Life Care Practice in Dying Patients with Do-Not-Resuscitate Order: A Single Center Experience","authors":"S. Yoon, Eun Mi Nam, A. Lee","doi":"10.14475/KJHPC.2018.21.2.51","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.2.51","url":null,"abstract":"Purpose: End-of-life (EoL) decisions are challenging and multifaceted for patients and physicians. This study was aimed to explore how EoL care is practiced for patients with a do-not-resuscitate (DNR) order. Methods: We retrospectively analyzed medical records of patients who died after agreeing to a DNR order in 2016 at a university hospital. Characteristics including cause of death, intensity of EoL care, and other factors were reviewed and statistically analyzed. Results: Of total 375 patients, 170 patients (45.3%) died with malig-nancies, and 205 patients (54.6%) with other causes involving the central nervous system (19.2%), pulmonary (14.7%), cardiologic (6.7%) and infectious (6.4%) conditions. Both the cancer and non-cancer patient groups showed a short duration from DNR to death (me-dian 3 days vs 2 days, P=0.629). An intensive care group comprising patients who received one or more intensive treatments such as ventilator (n=205) showed a higher number of non-cancer patients and a shorter duration from DNR to death than a group that withheld treatment before DNR (P < 0.05). Conclusion: EoL decisions were made very late by both cancer and non-cancer patients. About half of the patients did not have cancer, and two-thirds of them decided DNR during intensive treatment. To make a good EoL decision, a shared decision making with patients should be done at an earlier stage.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89310194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Hospice-Palliative Care Nurses’ Knowledge of Delirium, Self-Efficacy and Nursing Performance on Delirium 安宁疗护护士谵妄知识、自我效能感与谵妄护理绩效

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Pub Date : 2018-06-01 DOI: 10.14475/KJHPC.2018.21.2.65

B. Jang, H. Yeom

{"title":"Hospice-Palliative Care Nurses’ Knowledge of Delirium, Self-Efficacy and Nursing Performance on Delirium","authors":"B. Jang, H. Yeom","doi":"10.14475/KJHPC.2018.21.2.65","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.2.65","url":null,"abstract":"Purpose: The aim of this study is to examine the relationships among hospice-palliative care (HPC) nurses’ knowledge of delirium, self-efficacy and nursing performance. Meth-ods: This study was participated by 174 nurses working in the HPC unit. The nurses were asked to fill out a questionnaire that was structured to measure their knowledge of delirium, a self-efficacy in clinical performance scale (SECPS) and nursing performance. Results: The mean score for knowledge was 32.83 out of 45, with correction rate of 73%. The mean score for self-efficacy was 7.08 out of 10. The mean score of nursing performance was 2.95 out of 4. Significant correlation was observed among the variables of knowledge (r=0.28, P ＜ 0.001), self-efficacy (r=0.51, P＜0.001) and nursing performance. Conclusion: Nurses with high level of knowledge of delirium showed high level of self-efficacy, and consequently better HPC nursing performance. It is necessary to develop a training program on delirium considering nurses’ needs of knowledge of the condition. The effectiveness of the training program should be also examined in future. Self efficacy, Nursing performance","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74031665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5