Journal of hospice and palliative care最新文献_第8页

Current Status of Complementary Therapies Provided by Hospice Palliative Care in South Korea. 韩国临终关怀姑息治疗提供的补充疗法现状。

Journal of hospice and palliative care Pub Date : 2021-06-01 DOI: 10.14475/jhpc.2021.24.2.85

Sinyoung Kwon, Jihye Bak, So-Hi Kwon

{"title":"Current Status of Complementary Therapies Provided by Hospice Palliative Care in South Korea.","authors":"Sinyoung Kwon, Jihye Bak, So-Hi Kwon","doi":"10.14475/jhpc.2021.24.2.85","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.2.85","url":null,"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.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 2","pages":"85-96"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/d9/jhpc-24-2-85.PMC10180044.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178369","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 and Attitudes toward Advance Directives among Middle-Aged Women. 中年妇女对事前指示的认识与态度。

Journal of hospice and palliative care Pub Date : 2021-06-01 DOI: 10.14475/jhpc.2021.24.2.74

Ji Won Choi, Yong Joo Rhee

{"title":"Knowledge and Attitudes toward Advance Directives among Middle-Aged Women.","authors":"Ji Won Choi, Yong Joo Rhee","doi":"10.14475/jhpc.2021.24.2.74","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.2.74","url":null,"abstract":"Purpose: This study investigated knowledge of and attitudes toward advance directives (ADs) among middle-aged women in South Korea, their willingness to write ADs in the future, and the factors related to knowledge of and attitudes toward ADs.Methods: Data were collected using a self-administrated questionnaire completed by 154 middle-aged women aged 50 to 64 from February to March 2020. The questionnaire asked about participants' knowledge of and attitude toward ADs, willingness to write ADs in the future, experiences with life-sustaining treatment within their families, experience making decisions about life-sustaining treatment, and demographic characteristics.Results: Scores for both knowledge of and attitude toward ADs were relatively high. About 60% of participants gave wrong answers when asked if attorneys were required for writing ADs. A higher knowledge score was significantly associated with a higher attitude score (r=0.227, P<0.01). The women were more likely to be willing to write ADs in the future when they reported a middle income level rather than a lower income level (odds ratio [OR]=5.952, P<0.01), considered themselves unhealthy (OR=5.873, P<0.01), and graduated college or higher (OR=4.096, P<0.05). Furthermore, women who thought that ADs would have an impact on treatment (OR=1.869, P<0.05) and on their families (OR=1.447, P<0.05) were more likely to be willing to write an AD.Conclusion: This study shows that wrong information about ADs persists among middle-aged women, and significant factors associated with knowledge of and attitude toward ADs were identified. Targeted education programs about ADs need to be developed for middle-aged women.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 2","pages":"74-84"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/20/jhpc-24-2-74.PMC10180045.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183845","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

How to Deal with the Past Memories of Patients in Palliative Care: A Suggested New Approach. 如何处理姑息治疗病人的过去记忆:一个建议的新途径。

Journal of hospice and palliative care Pub Date : 2021-06-01 DOI: 10.14475/jhpc.2021.24.2.69

Eun-Seung Yu

引用次数: 0

Education, Role, and Prospects of Advanced Practice Nurses in Hospice and Palliative Care in South Korea. 韩国临终关怀和姑息治疗高级执业护士的教育、角色和前景。

Journal of hospice and palliative care Pub Date : 2021-03-01 DOI: 10.14475/jhpc.2021.24.1.1

So-Hi Kwon, Myung-Hee Park, Hyun Sook Kim

引用次数: 2

Factors Influencing Compassion Fatigue among Hospice and Palliative Care Unit Nurses. 影响安宁疗护及缓和疗护病房护士同情疲劳的因素。

Journal of hospice and palliative care Pub Date : 2021-03-01 DOI: 10.14475/jhpc.2021.24.1.13

Eun-Ju Cho, Hun Ha Cho

{"title":"Factors Influencing Compassion Fatigue among Hospice and Palliative Care Unit Nurses.","authors":"Eun-Ju Cho, Hun Ha Cho","doi":"10.14475/jhpc.2021.24.1.13","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.13","url":null,"abstract":"Purpose: This descriptive study aimed to explore nursing workplace spirituality, end-of-life care stress, and resilience as factors influencing compassion fatigue among nurses working in hospice and palliative care units.Methods: Data were collected using a self-report questionnaire completed by 146 nurses at 14 hospice and palliative care institutions across South Korea who had worked in a hospice and palliative care institution for at least 6 months and had experience providing end-of-life care. Data were collected from February 25, 2019 to April 12, 2019, and analyzed using SPSS for Windows version 18.0. As appropriate, descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and stepwise multiple regression were used.Results: The survey results showed that factors influencing compassion fatigue were resilience, subjective health status, current satisfaction with the hospice ward, and end-of-life care stress. Higher levels of resilience, a subjective health status of \"healthy\", high levels of current satisfaction with the hospice ward, and lower levels of end-of-life care stress were associated with lower levels of compassion fatigue, explaining 42.9% of the total variance.Conclusion: The results of this study suggest that resilience is an important factor mitigating compassion fatigue among nurses at hospice and palliative care institutions. Therefore, intervention programs should be developed to reduce compassion fatigue.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"13-25"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/62/d7/jhpc-24-1-13.PMC10179998.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533753","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: 3

The Process of Accepting Patient Deaths among Korean Nurses: Grieving over Dying. 韩国护士接受病人死亡的过程:对死亡的悲痛。

Journal of hospice and palliative care Pub Date : 2021-03-01 DOI: 10.14475/jhpc.2021.24.1.56

Mi Joung Yi

{"title":"The Process of Accepting Patient Deaths among Korean Nurses: Grieving over Dying.","authors":"Mi Joung Yi","doi":"10.14475/jhpc.2021.24.1.56","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.56","url":null,"abstract":"Purpose: Nurses' acceptance of patient deaths enables them to practice holistic end-of-life care and pursue positive living. The place where most deaths occur in Korea has changed from home to medical institutions, making it necessary to understand the process through which nurses who practice end-of-life care accept patient deaths. This study aimed to obtain insight into nurses' experiences of accepting patient deaths and to develop a practical theory regarding the context of this process.Methods: This qualitative study investigated nurses' process of acceptance of patient deaths based on grounded theory.Results: A core category of this process was found to be \"grieving over dying\", which consisted of the following steps \"being close by\", \"being attentive\", \"acknowledging together\", and \"accompanying.\"Conclusion: This study established that nurses' attentiveness toward dying people is due to their grief over patient deaths, and clarified Korean nurses' process of accepting patient deaths and its related factors.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"56-65"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/58/jhpc-24-1-56.PMC10180003.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10551157","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

COVID-19 and Cancer: Questions to Be Answered. COVID-19和癌症:需要回答的问题。

Journal of hospice and palliative care Pub Date : 2021-03-01 DOI: 10.14475/jhpc.2021.24.1.66

Young Seon Hong

{"title":"COVID-19 and Cancer: Questions to Be Answered.","authors":"Young Seon Hong","doi":"10.14475/jhpc.2021.24.1.66","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.66","url":null,"abstract":"The World Health Organization (WHO) declared the coronavirus disease 2019 (COVID-19) outbreak to be a pandemic on March 12, 2020. In Korea, there have been 24,027 confirmed cases of COVID-19 and 420 deaths as of October 3, 2020. The clinical spectrum of COVID-19 ranges from asymptomatic infection to death. Cancer care in this pandemic has radically changed. The literature was reviewed. The COVID-19 pandemic has made it urgently necessary to profoundly re-organize cancer patients' care without compromising cancer outcomes. Several important questions in regard to COVID-19 infection in cancer patients have emerged. Are patients with cancer at a higher risk of COVID-19 infection? Are they at an increased risk of mortality and severe illness when infected with COVID-19? Does anticancer treatment affect the course of COVID-19? Based on the existing research, cancer patients with immunosuppression are vulnerable to COVID-19 infection, and cancer patients are more likely to experience severe COVID-19. However, chemotherapy and major surgery do not seem to be predictors of hospitalization or severe disease. Korean background data on patients with cancer and COVID-19 are lacking. Prospective multicenter studies on the outcomes of patients with cancer and COVID-19 should be conducted.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"66-68"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/b5/jhpc-24-1-66.PMC10180002.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10551159","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

Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students. 护理大学生维持生命治疗角色知觉在维持生命治疗方案知识与戒断态度关系中的中介作用

Journal of hospice and palliative care Pub Date : 2021-03-01 DOI: 10.14475/jhpc.2021.24.1.36

Youngmi Park, Keumhee Nam, Joohee Bae

{"title":"Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students.","authors":"Youngmi Park, Keumhee Nam, Joohee Bae","doi":"10.14475/jhpc.2021.24.1.36","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.36","url":null,"abstract":"Purpose: This study examined the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among nursing college students, and attempted to identify the mediating effect of Role Perception on Life-sustaining Treatment in that relationship. It is hoped that the findings will ultimately contribute to the development of active nursing strategies.Methods: The participants were 142 nursing college students in the third and fourth years of study who had experienced clinical practice at two universities in cities Y and C. Data were collected from November 1 to 30, 2019. For data analysis, SPSS for Windows version 22.0 was used to calculate descriptive statistics, the t-test, Pearson's correlation coefficients, and multiple regression. To analyze the mediating effect, the Baron and Kenny bootstrapping method was used.Results: Attitudes toward Withdrawal of Life-sustaining Treatment of nursing college students had a significant positive correlation with Knowledge of Life-sustaining Treatment Plans (r=0.34, P<0.001) and Role Perception on Life-sustaining Treatment (r=0.44, P<0.001). Role Perception on Life-sustaining Treatment partially mediated the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment (95% CI, 0.446~1.055).Conclusion: Based on the results of this study, improving nursing college students' Role Perception on Life-sustaining Treatment could be used as a coping strategy to establish positive Attitudes toward Withdrawal of Life-sustaining Treatment.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"36-45"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/b2/jhpc-24-1-36.PMC10180004.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533750","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

The Effects of Counseling about Death and Dying on Perceptions, Preparedness, and Anxiety Regarding Death among Family Caregivers Caring for Hospice Patients: A Pilot Study. 关于死亡和临终的咨询对照顾安宁疗护病人的家庭照护者对死亡的认知、准备和焦虑的影响:一项初步研究。

Journal of hospice and palliative care Pub Date : 2021-03-01 DOI: 10.14475/jhpc.2021.24.1.46

Yeojung Jung, Hyun-E Yeom, Na-Ri Lee

{"title":"The Effects of Counseling about Death and Dying on Perceptions, Preparedness, and Anxiety Regarding Death among Family Caregivers Caring for Hospice Patients: A Pilot Study.","authors":"Yeojung Jung, Hyun-E Yeom, Na-Ri Lee","doi":"10.14475/jhpc.2021.24.1.46","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.46","url":null,"abstract":"Purpose: This pilot study aimed to examine the influence of death counseling on perceptions, preparedness, and anxiety regarding death and dying among family caregivers of hospice patients.Methods: Death counseling developed based on the SPIKES model was provided to 37 family caregivers in a hospice and palliative care unit. Perceptions, preparedness, and anxiety regarding death were assessed with a self-administered structured questionnaire, and participants' scores before and after counseling were compared using the paired t-test.Results: Significant changes were found in perceptions, preparedness, and anxiety regarding death after counseling. Compared to before counseling, the scores for perceptions of death (t=-4.90, P<0.001) and preparedness for death and dying (t=-16.23, P<0.001) improved, while anxiety (t=3.72, P=0.001) decreased after counseling. Some changes were also found in the types of support that family caregivers needed to prepare for the death of their family members in the hospice care unit.Conclusion: The findings demonstrate that death counseling could help family caregivers prepare for the death of their loved ones. Hospice and palliative care providers should play a key role in supporting family caregivers of hospice patients by developing strategies for counseling.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"46-55"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/6a/jhpc-24-1-46.PMC10180000.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533754","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: 2

Effects of Awareness of Good Death and End-of-Life Care Attitudes on End-of-Life Care Performance in Long-Term Care Hospital Nurses. 善死意识和临终关怀态度对长期护理医院护士临终关怀绩效的影响

Journal of hospice and palliative care Pub Date : 2021-03-01 DOI: 10.14475/jhpc.2021.24.1.26

Sun-Hee Kim, Eun-Young Kim

{"title":"Effects of Awareness of Good Death and End-of-Life Care Attitudes on End-of-Life Care Performance in Long-Term Care Hospital Nurses.","authors":"Sun-Hee Kim, Eun-Young Kim","doi":"10.14475/jhpc.2021.24.1.26","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.26","url":null,"abstract":"Purpose: The purpose of this study was to determine the effects of awareness of good death and end-of-life care attitudes on end-of-life care performance in long-term care hospital nurses.Methods: This study used a cross-sectional study design. The participants were 147 nurses working at six long-term care hospitals with more than 200 beds in B city, South Korea. Data were collected using self-reported questionnaires, and analyzed with descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and multiple stepwise regression analysis using IBM/SPSS 26.0 for Windows.Results: The participants' awareness of good death, end-of-life care attitudes, and end-of-life care performance were positively correlated. The factors affecting end-of-life care performance were age, education level, awareness of good death, and end-of-life care attitudes; these variables explained 19.0% of end-of-life care performance.Conclusion: In order to improve long term care hospital nurses' end-of-life care performance, continuing education and training should be provided regarding awareness of good death and end-of-life care attitudes.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"26-35"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/44/jhpc-24-1-26.PMC10180001.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10551161","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: 5