Journal of hospice and palliative care最新文献_第3页

Factors that Influence Attitudes toward Advance Directives among Hemodialysis Patients. 影响血液透析患者对预先医疗指示态度的因素。

Journal of hospice and palliative care Pub Date : 2024-03-01 DOI: 10.14475/jhpc.2024.27.1.11

Minhee Cho, Hyunjoo Na

{"title":"Factors that Influence Attitudes toward Advance Directives among Hemodialysis Patients.","authors":"Minhee Cho, Hyunjoo Na","doi":"10.14475/jhpc.2024.27.1.11","DOIUrl":"10.14475/jhpc.2024.27.1.11","url":null,"abstract":"Purpose: Advance directives (ADs) are legal documents that outline a person's preferences or decisions regarding end-of-life care ahead of time. In Korea, there is insufficient awareness and knowledge about ADs among patients undergoing hemodialysis. This study explored the relationship between perceptions of a good death, knowledge about ADs, and attitudes toward ADs in this patient population.Methods: This cross-sectional survey enrolled 119 hemodialysis patients from a secondary hospital in 2021. The participants completed a self-administered questionnaire, and the data were analyzed using the t-test, analysis of variance, Pearson correlation coefficients, Spearman rank correlation coefficients, and multiple regression analysis.Results: The average score for perceptions of a good death among hemodialysis patients was 2.80 out of 4, with clinical symptoms identified as the most critical factor. The average scores for knowledge about ADs and attitudes toward ADs were 5.69 out of 9 and 2.79 out of 4, respectively. There was a positive correlation between perceptions of a good death and attitudes toward ADs (r=0.34, P<0.001), as well as between knowledge about Ads and attitudes toward ADs (r=0.19, P=0.037). Factors influencing attitudes toward Ads included employment status (β=0.22, P=0.011), education level (β=0.22, P=0.013), and perceptions of a good death (β=0.29, P=0.001), which accounted for 24.8% of the variance in attitudes toward ADs.Conclusion: A positive perception of a good death among patients undergoing hemodialysis was associated with a positive attitude toward ADs. Educational programs are needed to improve individuals' understanding of a good death and encourage the development of end-of-life care plans.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"27 1","pages":"11-20"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Experience of Nurses in a Consultative Hospice Palliative Care Service. 临终关怀姑息治疗咨询服务中护士的临床经验。

Journal of hospice and palliative care Pub Date : 2024-03-01 DOI: 10.14475/jhpc.2024.27.1.31

Sinyoung Kwon, Jinyee Byun

{"title":"Clinical Experience of Nurses in a Consultative Hospice Palliative Care Service.","authors":"Sinyoung Kwon, Jinyee Byun","doi":"10.14475/jhpc.2024.27.1.31","DOIUrl":"10.14475/jhpc.2024.27.1.31","url":null,"abstract":"Purpose: The purpose of this qualitative study was to employ Colaizzi's phenomenological research method to elucidate and understand the essence of practical experiences among consultative hospice palliative care nurses working in hospice institutions.Methods: The participants in the study were 15 consultative hospice palliative care nurses with over 1 year of work experience in institutions located in S City, I City, and K Province in South Korea. Data were collected from 23 in-depth interviews and analyzed using Colaizzi's phenomenological qualitative method.Results: The practical experiences of consultative hospice palliative nurses were categorized into five categories, 10 theme clusters, and 25 themes. The five categories included \"being aware of patients' situations at the time of transition to hospice palliative care,\" \"empathizing with patients and their families by putting oneself in the other's shoes,\" \"providing patient and family-centered end-of-life care,\" \"experiencing difficulties in practical tasks,\" and \"striving to improve hospice service quality.\"Conclusion: This study is significant in that it provides practical data for understanding the experiences of consultative hospice palliative care nurses caring for terminally ill patients. This could enhance our understanding of care solutions that effectively tackle the challenges consultative hospice palliative care nurses encounter while fulfilling their roles.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"27 1","pages":"31-44"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Palliative Care for Adult Patients Undergoing Hemodialysis in Asia: Challenges and Opportunities. 亚洲血液透析成人患者的姑息治疗：挑战与机遇。

Journal of hospice and palliative care Pub Date : 2024-03-01 DOI: 10.14475/jhpc.2024.27.1.1

Wei-Min Chu, Hung-Bin Tsai, Yu-Chi Chen, Kuan-Yu Hung, Shao-Yi Cheng, Cheng-Pei Lin

{"title":"Palliative Care for Adult Patients Undergoing Hemodialysis in Asia: Challenges and Opportunities.","authors":"Wei-Min Chu, Hung-Bin Tsai, Yu-Chi Chen, Kuan-Yu Hung, Shao-Yi Cheng, Cheng-Pei Lin","doi":"10.14475/jhpc.2024.27.1.1","DOIUrl":"10.14475/jhpc.2024.27.1.1","url":null,"abstract":"This article underscores the importance of integrating comprehensive palliative care for noncancer patients who are undergoing hemodialysis, with an emphasis on the aging populations in Asian nations such as Taiwan, Japan, the Republic of Korea, and China. As the global demographic landscape shifts towards an aging society and healthcare continues to advance, a marked increase has been observed in patients undergoing hemodialysis who require palliative care. This necessitates an immediate paradigm shift to incorporate this care, addressing the intricate physical, psychosocial, and spiritual challenges faced by these individuals and their families. Numerous challenges impede the provision of effective palliative care, including difficulties in prognosis, delayed referrals, cultural misconceptions, lack of clinician confidence, and insufficient collaboration among healthcare professionals. The article proposes potential solutions, such as targeted training for clinicians, the use of telemedicine to facilitate shared decision-making, and the introduction of time-limited trials for dialysis to overcome these obstacles. The integration of palliative care into routine renal treatment and the promotion of transparent communication among healthcare professionals represent key strategies to enhance the quality of life and end-of-life care for people on hemodialysis. By embracing innovative strategies and fostering collaboration, healthcare providers can deliver more patient-centered, holistic care that meets the complex needs of seriously ill patients within an aging population undergoing hemodialysis.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"27 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

End-of-Life Planning and the Influence of Socioeconomic Status among Black Americans: A Systematic Review. 美国黑人的临终规划和社会经济地位的影响：系统回顾

Journal of hospice and palliative care Pub Date : 2024-03-01 DOI: 10.14475/jhpc.2024.27.1.21

Chesney Ward, Katherine Montgomery

{"title":"End-of-Life Planning and the Influence of Socioeconomic Status among Black Americans: A Systematic Review.","authors":"Chesney Ward, Katherine Montgomery","doi":"10.14475/jhpc.2024.27.1.21","DOIUrl":"10.14475/jhpc.2024.27.1.21","url":null,"abstract":"Purpose: The purpose of this systematic review is to explore end-of-life (EOL) care planning and the impact of socioeconomic status (SES) among people who identify as Black or African American.Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) were used to guide and inform this systematic review process. The following academic electronic databases with publications that reflected the interdisciplinary fields related to the research objective were searched APA PsycINFO, CINHAL, PubMed, Scopus, and Social Work Abstracts.Results: After the authors conducted the search, 14 articles (from 13 studies) ultimately met the criteria for inclusion. The results substantiated significant concerns highlighted in previous literature regarding SES and its relation to EOL planning, but also revealed an absence of original work and interventions to increase engagement in EOL planning among Black and African American populations.Conclusion: Black individuals deserve an equitable EOL experience. Researchers, practitioners, and policymakers need to move towards advocacy and action to meet this important need.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"27 1","pages":"21-30"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Death Anxiety and Perceived End-of-Life Care Competencies on Fear of Terminal Care among Clinical Nurses 死亡焦虑和临终关怀能力对临床护士临终关怀恐惧的影响

Journal of hospice and palliative care Pub Date : 2023-12-01 DOI: 10.14475/jhpc.2023.26.4.160

Heewon Kim, So-Hi Kwon

{"title":"Effects of Death Anxiety and Perceived End-of-Life Care Competencies on Fear of Terminal Care among Clinical Nurses","authors":"Heewon Kim, So-Hi Kwon","doi":"10.14475/jhpc.2023.26.4.160","DOIUrl":"https://doi.org/10.14475/jhpc.2023.26.4.160","url":null,"abstract":"Purpose The aim of this study was to examine the effects of death anxiety and perceived end-of-life care competencies on the fear of terminal care among clinical nurses. Methods This correlational study was conducted from June to July 2021. The study included 149 clinical nurses employed at a tertiary hospital and seven other hospitals. The measurement tools used in this study were the Thanatophobia Scale (Cronbach’s α=0.87), the Death Anxiety Scale (Cronbach’s α=0.80), and the Scale of End-of-life Care Competencies (Cronbach’s α=0.94). These instruments were chosen to assess the levels of fear of terminal care, death-related anxiety, and competencies in end-of-life care. Results The mean score for fear of terminal care was 3.32±1.32. Differences in fear of terminal care were observed based on the working unit, position, number of patients requiring terminal care, and experience with end-of-life care education. Fear of terminal care was significantly positively correlated with death anxiety and significantly negatively correlated with end-of-life care competencies. In multiple regression analysis, the factors influencing fear of terminal care were attitudes toward end-of-life care competencies (β=-0.39, P<0.001), death anxiety (β=0.24, P<0.001), knowledge of end-of-life care competencies (β=-0.22, P=0.005), and behaviors related to end-of-life care competencies (β=-0.16, P=0.021). These factors explained 64.6% of the total variance (F=25.54, P<0.001). Conclusion This study suggests that developing nurses’ end-of-life care competencies and reducing death anxiety are crucial for managing the fear of terminal care. Therefore, providing end-of-life care education and psychological support programs is important.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"182 ","pages":"160 - 170"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138615003","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

Art Therapy in Patients with Terminal Cancer and Their Families: A Multiple Case Study 癌症晚期患者及其家属的艺术疗法：多案例研究

Journal of hospice and palliative care Pub Date : 2023-12-01 DOI: 10.14475/jhpc.2023.26.4.171

Nahyun Park, Im-Il Na, Sinyoung Kwon

{"title":"Art Therapy in Patients with Terminal Cancer and Their Families: A Multiple Case Study","authors":"Nahyun Park, Im-Il Na, Sinyoung Kwon","doi":"10.14475/jhpc.2023.26.4.171","DOIUrl":"https://doi.org/10.14475/jhpc.2023.26.4.171","url":null,"abstract":"Purpose The study explored the meaning of experiences within a family art therapy process among terminal cancer patients and their families. Methods Ten participants, including four terminal cancer patients currently admitted to the hospice ward at an inpatient hospice facility in S City and four caregiving family members, engaged in four cycles of family art therapy sessions. The sessions were conducted weekly or bi-weekly, and each lasted approximately 50 minutes. Results Nine cross-case themes emerged “feeling unfamiliar and intimidated by the idea of expressing my thoughts through art,” “trying to accept the present and positively overcome sadness,” “expressing hope through emotional bonds during the process of parting,” “conveying and preserving personal and family beliefs,” “feeling upset about family imbalances caused by deteriorating health,” “valuing togetherness and striving for stability amidst the current challenges,” “art as a medium of empowerment for patients and facilitator of family conversations, even amidst difficulties,” “sharing a range of emotions—not just joy, but concerns and sorrow—through art,” and “gratitude for art’s role in improving family communication and connection through artwork. Conclusion The findings of this study lead to several conclusions. First, patients and their families faced psychological challenges when confronted with impending death, yet they strove to remain optimistic by seeking meaning in their struggles. Second, families practiced open and expressive communication, sharing a spectrum of complex emotions with one another. Third, even as the patient’s condition worsened, resulting in family fatigue, their support and cohesion strengthened.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"2 7","pages":"171 - 184"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138621371","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

Spiritual Care Guide in Hospice∙Palliative Care. 安宁疗护-姑息关怀中的精神关怀指南

Journal of hospice and palliative care Pub Date : 2023-12-01 DOI: 10.14475/jhpc.2023.26.4.149

Kyung-Ah Kang, Do-Bong Kim, Su-Jin Koh, Myung-Hee Park, Hye Yoon Park, Deuk Hyoung Yoon, Soo-Jin Yoon, Su-Jeong Lee, Ji-Eun Choi, Hyoung-Suk Han, Jiyoung Chun

{"title":"Spiritual Care Guide in Hospice∙Palliative Care.","authors":"Kyung-Ah Kang, Do-Bong Kim, Su-Jin Koh, Myung-Hee Park, Hye Yoon Park, Deuk Hyoung Yoon, Soo-Jin Yoon, Su-Jeong Lee, Ji-Eun Choi, Hyoung-Suk Han, Jiyoung Chun","doi":"10.14475/jhpc.2023.26.4.149","DOIUrl":"https://doi.org/10.14475/jhpc.2023.26.4.149","url":null,"abstract":"The Spiritual Care Guide in Hospice∙Palliative Care is evidence-based and focuses on the universal and integral aspects of human spirituality-such as meaning and purpose, interconnectedness, and transcendence-which go beyond any specific religion. This guide was crafted to improve the spiritual well-being of adult patients aged 19 and older, as well as their families, who are receiving end-of-life care. The provision of spiritual care in hospice and palliative settings aims to assist patients and their families in finding life's meaning and purpose, restoring love and relationships, and helping them come to terms with death while maintaining hope. It is recommended that spiritual needs and the interventions provided are periodically reassessed and evaluated, with the findings recorded. Additionally, hospice and palliative care teams are encouraged to pursue ongoing education and training in spiritual care. Although challenges exist in universally applying this guide across all hospice and palliative care organizations in Korea-due to varying resources and the specific environments of medical institutions-it is significant that the Korean Society for Hospice and Palliative Care has introduced a spiritual care guide poised to enhance the spiritual well-being and quality of care for hospice and palliative care patients.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"26 4","pages":"149-159"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10703561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138806257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Proportion of Non-Medical Opioid Use of Prescription Opioids among Cancer Patients in Korea 韩国癌症患者非医疗使用阿片类处方药的比例

Journal of hospice and palliative care Pub Date : 2023-12-01 DOI: 10.14475/jhpc.2023.26.4.185

S. Go, Jung Hye Kwon, Sung Woo Park, Gyeong-Won Lee, Jung Hun Kang, Eduardo Bruera

{"title":"Proportion of Non-Medical Opioid Use of Prescription Opioids among Cancer Patients in Korea","authors":"S. Go, Jung Hye Kwon, Sung Woo Park, Gyeong-Won Lee, Jung Hun Kang, Eduardo Bruera","doi":"10.14475/jhpc.2023.26.4.185","DOIUrl":"https://doi.org/10.14475/jhpc.2023.26.4.185","url":null,"abstract":"Purpose Limited research has been conducted on the prevalence of non-medical opioid use (NMOU) in Korean cancer patients who have received prescription opioids (PO). This study aimed to identify the potential proportion of NMOU in cancer patients who had been prescribed opioids in Korea. Methods A retrospective cohort analysis was conducted on 14,728 patients who underwent cancer-related treatment between January 2009 and December 2019, using electronically collected data from a tertiary hospital in Korea. Information regarding the type and duration of opioid use was gathered. A detailed review of medical charts was carried out, focusing on patients who had been prescribed opioids for over 60 days beyond a 12-month period following the completion of their cancer treatment (long-term PO users). Results Out of the 5,587 patients who were prescribed PO and followed up for at least 12 months, 13 cases of NMOU were identified, representing 0.23% of the patient population. Among the 204 long-term PO users, the rate was 6.37% (13/204). The most commonly misused opioids were oxycodone and fentanyl. For the group confirmed to have NMOU, the median duration of prescription was 1,327 days in total. Of the 13 patients diagnosed with NMOU, 9 reported withdrawal symptoms, 3 exhibited craving behavior for opioids, and 1 experienced both symptoms. Conclusion This study found that 0.23% of cancer patients who had been prescribed opioids in Korea demonstrated NMOU. Despite this relatively low rate, careful monitoring is necessary to minimize the risk of NMOU in this population, especially among long-term PO users.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":" 23","pages":"185 - 189"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138614269","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

Trends and Meta-Analysis of Research on the Operation of Programs for Bereaved Families in South Korea. 韩国丧亲家庭项目运作研究的趋势和荟萃分析。

Journal of hospice and palliative care Pub Date : 2023-09-01 DOI: 10.14475/jhpc.2023.26.3.126

Myung-Nam Lee, Jung Won Suk, Hyunsook Zin Lee

{"title":"Trends and Meta-Analysis of Research on the Operation of Programs for Bereaved Families in South Korea.","authors":"Myung-Nam Lee, Jung Won Suk, Hyunsook Zin Lee","doi":"10.14475/jhpc.2023.26.3.126","DOIUrl":"https://doi.org/10.14475/jhpc.2023.26.3.126","url":null,"abstract":"Purpose: This study aimed to analyze interventions for bereaved families and evaluate their effectiveness, with the ultimate goal of supporting evidence-based nursing for bereaved families.Methods: Research trends were identified based on a search of domestic databases from January 2000 to December 2022, and a meta-analysis was conducted on interventions for bereaved families. Forty-five papers were selected, and information was extracted on participants, research design, and interventions. A meta-analysis of seven papers was performed, and the effect size was calculated.Results: Fourteen papers dealt with interventions for middle-aged women who had lost their spouses, 20 used qualitative research methods, and 20 were on art therapy programs. Thirty studies had fewer than 10 participants, and most interventions had 60~120 minutes per session and 9~16 sessions in total. There were seven randomized controlled trials, and all studies included in the quality evaluation showed a low risk of bias. Four papers measured grief as an outcome, and the effect size was -1.9577 (95% CI -2.9206 to -0.9947), indicating that the treatment significantly decreased grief (P<0.001). Six papers measured depression as an outcome, and the effect size was -1.6775 (95% CI -2.1835 to -1.1716), showing that the treatment significantly decreased depression (P<0.001).Conclusion: Intervention programs for bereaved families were shown to be effective in relieving grief and depression. However, programs should be developed that target middle-aged men who have lost their spouses and children who have lost their parents. Randomized controlled trials should also be conducted on interventions to reduce grief and depression.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"26 3","pages":"126-139"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/40/3f/jhpc-26-3-126.PMC10542993.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41124810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge, Attitudes and Nursing Stress Related to Life-Sustaining Treatment among Oncology Nurses. 肿瘤科护士对维持生命治疗的认识、态度和护理压力。

Journal of hospice and palliative care Pub Date : 2023-09-01 DOI: 10.14475/jhpc.2023.26.3.112

Seul Lee, Suyoun Hong, Sojung Park, Soojung Lim

{"title":"Knowledge, Attitudes and Nursing Stress Related to Life-Sustaining Treatment among Oncology Nurses.","authors":"Seul Lee, Suyoun Hong, Sojung Park, Soojung Lim","doi":"10.14475/jhpc.2023.26.3.112","DOIUrl":"https://doi.org/10.14475/jhpc.2023.26.3.112","url":null,"abstract":"Purpose: This study investigated knowledge, attitudes, and nursing stress related to life-sustaining treatment among oncology nurses.Methods: A descriptive study design was used. Data were collected through a survey from April 1 to May 31, 2022. The participants were 132 nurses working in the oncology ward of a tertiary hospital in Seoul. Data were analyzed using the SPSS 25.0 program with descriptive statics, the independent t-test, analysis of variance, and Pearson correlation coefficients.Results: The average scores for knowledge, attitudes, and nursing stress related to life-sustaining treatment were 14.42, 3.29, and 3.96, respectively. Significant differences in knowledge about life-sustaining treatment were observed based on clinical experience (P=0.029) and education about life-sustaining treatment (P=0.044). Attitudes toward life-sustaining treatment varied significantly with education about life-sustaining treatment (P=0.014), while stress levels differed significantly across working units (P=0.004). A positive correlation was found between the dilemma of extending or stopping life-sustaining treatment (a subdomain of nursing stress) and attitudes toward life-sustaining treatment (r=0.260, P=0.003).Conclusion: There was no significant correlation between the nursing stress experienced by oncology nurses and their knowledge and attitudes toward life-sustaining treatment. However, a more positive experience with life-sustaining treatment education was associated with higher stress levels related to the dilemma of extending or stopping life-sustaining treatment. Therefore, it is crucial to develop strategies to manage this dilemma and reduce stress in the field.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"26 3","pages":"112-125"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/a3/jhpc-26-3-112.PMC10542995.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41107707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0