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

Characteristics Associated with Survival in Patients Receiving Continuous Deep Sedation in a Hospice Care Unit. 在安宁疗护病房接受持续深度镇静的病人与生存相关的特征。

Journal of hospice and palliative care Pub Date : 2021-12-01 DOI: 10.14475/jhpc.2021.24.4.254

Hee Kyung Ahn, Hong Yup Ahn, So Jung Park, In Cheol Hwang

{"title":"Characteristics Associated with Survival in Patients Receiving Continuous Deep Sedation in a Hospice Care Unit.","authors":"Hee Kyung Ahn, Hong Yup Ahn, So Jung Park, In Cheol Hwang","doi":"10.14475/jhpc.2021.24.4.254","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.4.254","url":null,"abstract":"Continuous deep sedation (CDS) is an extreme form of palliative sedation to relieve refractory symptoms at the end of life. In this study, we shared our experiences with CDS and examined the clinical characteristics associated with survival in patients with terminal cancer who received CDS. We conducted a chart audit of 106 consecutive patients with terminal cancer who received CDS at a single hospice care unit between January 2014 and December 2016. Survival was defined as the first day of admission to the date of death. The associations between clinical characteristics and survival were presented as hazard ratios and 95% confidence intervals using a Cox proportional hazard model. The mean age of participants was 65.2 years, and 33.0% (n=35) were women. Diazepam was the most commonly administered drug, and haloperidol or lorazepam were also used if needed. One sedative was enough for a majority of the patients. Stepwise multivariate analysis identified poor functioning, a high Palliative Prognostic Index score, hyperbilirubinemia, high serum ferritin levels, and a low number of sedatives as independent poor prognostic factors. Our experiences and findings are expected to be helpful for shared decision-making and further research on palliative sedation.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 4","pages":"254-260"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5f/f2/jhpc-24-4-254.PMC10180067.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10669365","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

Awareness of Doctors' Shared Decision-Making in Life-Sustaining Care Decisions. 医生在维持生命护理决策中的共同决策意识

Journal of hospice and palliative care Pub Date : 2021-12-01 DOI: 10.14475/jhpc.2021.24.4.204

Dalyong Kim, Hyun Jung Lee, Soo-Young Yu, Jung Hye Kwon, Hee Kyung Ahn, Jee Hyun Kim, Seyoung Seo, Chi Hoon Maeng, Seungtaek Lim, Do Yeun Kim, Sung Joon Shin

{"title":"Awareness of Doctors' Shared Decision-Making in Life-Sustaining Care Decisions.","authors":"Dalyong Kim, Hyun Jung Lee, Soo-Young Yu, Jung Hye Kwon, Hee Kyung Ahn, Jee Hyun Kim, Seyoung Seo, Chi Hoon Maeng, Seungtaek Lim, Do Yeun Kim, Sung Joon Shin","doi":"10.14475/jhpc.2021.24.4.204","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.4.204","url":null,"abstract":"Purpose: At the end of life, communication is a key factor for good care. However, in clinical practice, it is difficult to adequately discuss end-of-life care. In order to understand and analyze how decision-making related to life-sustaining treatment (LST) is performed, the shared decision-making (SDM) behaviors of physicians were investigated.Methods: A questionnaire was designed after reviewing the literature on attitudes toward SDM or decision-making related to LST. A final item was added after consulting experts. The survey was completed by internal medicine residents and hematologists/medical oncologists who treat terminal cancer patients.Results: In total, 202 respondents completed the questionnaire, and 88.6% said that the decision to continue or end LST is usually a result of SDM since they believed that sufficient explanation is provided to patients and caregivers, patients and caregivers make their own decisions according to their values, and there is sufficient time for patients and caregivers to make a decision. Expected satisfaction with the decision-making process was the highest for caregivers (57.4%), followed by physicians (49.5%) and patients (41.1%). In total, 38.1% of respondents said that SDM was adequately practiced when making decisions related to LST. The most common reason for inadequate SDM was time pressure (89.6%).Conclusion: Although most physicians answered that they practiced SDM when making decisions regarding LST, satisfactory SDM is rarely practiced in the clinical field. A model for the proper implementation of SDM is needed, and additional studies must be conducted to develop an SDM model in collaboration with other academic organizations.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 4","pages":"204-213"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/0e/jhpc-24-4-204.PMC10180072.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10236728","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

Communicating with Persons Who Express Spiritual Struggle at the End of Life. 与生命末期表达精神挣扎的人交流。

Journal of hospice and palliative care Pub Date : 2021-12-01 DOI: 10.14475/jhpc.2021.24.4.199

Elizabeth Johnston Taylor

{"title":"Communicating with Persons Who Express Spiritual Struggle at the End of Life.","authors":"Elizabeth Johnston Taylor","doi":"10.14475/jhpc.2021.24.4.199","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.4.199","url":null,"abstract":"This paper provides practical suggestions for how palliative care clinicians can address the expressions of spiritual struggle voiced by patients and their loved ones. In addition to practical tips for listening and responding, ethical guidance and opportunities for self-reflection related to spiritual care are briefly discussed. Principles to guide practice when the clinician is listening and responding to a patient expressing spiritual struggle include being non-directive, honoring (vs. judging) the patient's spiritual or religious experience, keeping the conversation patient-centered, focusing on the core theme of what the patient is expressing presently, using the patient's terminology and framing, and responding \"heart to heart\" or \"head to head\" to align with the patient. Ultimately, the goal of a healing response from a spiritual care generalist is to allow the patient to \"hear\" or \"see\" themselves, to gain self-awareness. To converse with patients about spirituality in an ethical manner, the clinician must first assess the patient's spiritual needs and preferences and then honor these.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 4","pages":"199-203"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/67/jhpc-24-4-199.PMC10180071.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533279","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: 1

Community Care for Cancer Patients in Rural Areas: An Integrated Regional Cancer Center and Public Health Center Partnership Model. 农村地区癌症患者的社区护理:区域癌症中心与公共卫生中心的综合合作模式。

Journal of hospice and palliative care Pub Date : 2021-12-01 DOI: 10.14475/jhpc.2021.24.4.226

Jung Hun Kang, Chang Yoon Jung, Ki-Soo Park, Jung Sik Huh, Sung Yong Oh, Jung Hye Kwon

{"title":"Community Care for Cancer Patients in Rural Areas: An Integrated Regional Cancer Center and Public Health Center Partnership Model.","authors":"Jung Hun Kang, Chang Yoon Jung, Ki-Soo Park, Jung Sik Huh, Sung Yong Oh, Jung Hye Kwon","doi":"10.14475/jhpc.2021.24.4.226","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.4.226","url":null,"abstract":"Purpose: The accessibility of medical facilities for cancer patients affects both their comfort and survival. Patients in rural areas have a higher socioeconomic burden and are more vulnerable to emergency situations than urban dwellers. This study examined the feasibility and effectiveness of a cancer care model integrating a regional cancer center (RCC) and public health center (PHC).Methods: This study analyzed the construction of a safety care network for cancer patients that integrated an RCC and PHC. Two public health institutions (an RCC in Gyeongnam and a PHC in Geochang County) collaborated on the development of the community care model. The study lasted 13 months beginning in February 2019 to February 2020.Results: The RCC developed the protocol for evaluating and measuring 27 cancer-related symptoms, conducted education for PHC nurses, and administered case counseling. The staff at the PHC registered, evaluated, and routinely monitored patients through home visits. A smartphone application and regular video conferences were incorporated to facilitate mutual communication. In total, 177 patients (mean age 70.9 years; men 59%) were enrolled from February 2019 to February 2020. Patients' greatest unmet need was the presence of a nearby cancer treatment hospital (83%). In total, 28 (33%) and 44 (52%) participants answered that the care model was very helpful or helpful, respectively.Conclusion: We confirmed that a combined RCC-PHC program for cancer patients in rural areas is feasible and can bring satisfaction to patients as a safety care network. This program could mitigate health inequalities caused by accessibility issues.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 4","pages":"226-234"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/78/e7/jhpc-24-4-226.PMC10180073.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10236228","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: 1

Experiences of Hospice and Palliative Nurses in Response to the COVID-19 Pandemic: A Qualitative Study. 应对COVID-19大流行的安宁疗护和姑息护理经验:一项定性研究。

Journal of hospice and palliative care Pub Date : 2021-12-01 DOI: 10.14475/jhpc.2021.24.4.245

Sinyoung Kwon, Sujin Choi

{"title":"Experiences of Hospice and Palliative Nurses in Response to the COVID-19 Pandemic: A Qualitative Study.","authors":"Sinyoung Kwon, Sujin Choi","doi":"10.14475/jhpc.2021.24.4.245","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.4.245","url":null,"abstract":"Purpose: This study aimed to explore the experiences of hospice and palliative care (HPC) nurses at inpatient hospice centers in South Korea during the coronavirus disease 2019 pandemic.Methods: Data collection was conducted through individual interviews with 15 HPC nurses using face-to-face interviews, telephone calls, or Zoom videoconferencing. Data were analyzed using the thematic analysis method.Results: This study found that HPC nurses experienced practical and ethical dilemmas that reinforced the essential meaning and value of hospice and palliative care. The participants emphasized their practical roles related to compliance with infection prevention measures and their roles as rebuilders of hospice and palliative care.Conclusion: The findings of this study indicate that inpatient hospice centers must mitigate the practical and ethical dilemmas experienced by nurses, consider establishing explanation nursing units, and provide education to support nurses' highlighted roles during the pandemic. This study can be used to prepare inpatient hospice centers and the nurses that work there for future infectious disease outbreaks.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 4","pages":"245-253"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/6a/jhpc-24-4-245.PMC10180068.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533281","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

Decision Tree Model for Predicting Hospice Palliative Care Use in Terminal Cancer Patients. 预测晚期癌症病人安宁疗护使用之决策树模型。

Journal of hospice and palliative care Pub Date : 2021-09-01 DOI: 10.14475/jhpc.2021.24.3.184

Hee-Ja Lee, Im-Il Na, Kyung-Ah Kang

{"title":"Decision Tree Model for Predicting Hospice Palliative Care Use in Terminal Cancer Patients.","authors":"Hee-Ja Lee, Im-Il Na, Kyung-Ah Kang","doi":"10.14475/jhpc.2021.24.3.184","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.3.184","url":null,"abstract":"Purpose: This study attempted to develop clinical guidelines to help patients use hospice and palliative care (HPC) at an appropriate time after writing physician orders for life-sustaining treatment (POLST) by identifying the characteristics of HPC use of patients with terminal cancer.Methods: This retrospective study was conducted to understand the characteristics of HPC use of patients with terminal cancer through decision tree analysis. The participants were 394 terminal cancer patients who were hospitalized at a cancer-specialized hospital in Seoul, South Korea and wrote POLST from January 1, 2019 to March 31, 2021.Results: The predictive model for the characteristics of HPC use showed three main nodes (living together, pain control, and period to death after writing POLST). The decision tree analysis of HPC use by terminal cancer patients showed that the most likely group to use HPC use was terminal cancer patients who had a cohabitant, received pain control, and died 2 months or more after writing a POLST. The probability of HPC usage rate in this group was 87.5%. The next most likely group to use HPC had a cohabitant and received pain control; 64.8% of this group used HPC. Finally, 55.1% of participants who had a cohabitant used HPC, which was a significantly higher proportion than that of participants who did not have a cohabitant (1.7%).Conclusion: This study provides meaningful clinical evidence to help make decisions on HPC use more easily at an appropriate time.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 3","pages":"184-193"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/85/d1/jhpc-24-3-184.PMC10180062.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181345","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 the Nursing Practice Environment and Self-leadership on Person-centered Care Provided by Oncology Nurses. 护理实践环境与自我领导对肿瘤护士以人为本护理的影响。

Journal of hospice and palliative care Pub Date : 2021-09-01 DOI: 10.14475/jhpc.2021.24.3.174

Sun-Ui Shin, Hyun-E Yeom

{"title":"The Effects of the Nursing Practice Environment and Self-leadership on Person-centered Care Provided by Oncology Nurses.","authors":"Sun-Ui Shin, Hyun-E Yeom","doi":"10.14475/jhpc.2021.24.3.174","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.3.174","url":null,"abstract":"Purpose: This study aimed to investigate the effects of the nursing practice environment and self-leadership on person-centered care provided by oncology nurses.Methods: This cross-sectional study included 145 nurses who worked in oncology wards at eight university hospitals in Seoul, Daejeon, and Chungcheong Province with at least six months of experience. Data were collected using a self-administered survey and analyzed using descriptive statistics, Pearson correlation coefficients, the t-test, analysis of variance, and hierarchical multiple regression analysis in SPSS version 26.0.Results: Person-centered care was significantly correlated with the nursing practice environment (r=0.27, P<0.001) and self-leadership (r=0.40, P<0.001), and the nursing practice environment was correlated with self-leadership (r=0.380, P<0.001). Hierarchical multiple regression analysis showed that the nursing practice environment was a significant predictor of person-centered care (β=0.31, P<0.001), after adjusting for covariates including monthly salary, total clinical career, and the position of oncology nurses. Self-leadership was a significant predictor of person-centered care (β=0.34, P<0.001) after controlling for the nursing practice environment, along with covariates. The final model explained 18.7% of the variance in person-centered care.Conclusion: Our findings emphasize the importance of the nursing practice environment and nurses' self-leadership for providing person-centered care in oncology care units. Educational programs to reinforce nurses' self-leadership and administrative support for nursing practice are necessary to improve oncology nurses' capability to provide person-centered care.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 3","pages":"174-183"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f0/c5/jhpc-24-3-174.PMC10180058.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10236220","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

The Effects of Advance Care Planning on Decision Conflict and Psychological Distress: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. 预先护理计划对决策冲突和心理困扰的影响:随机对照试验的系统回顾和荟萃分析。

Journal of hospice and palliative care Pub Date : 2021-09-01 DOI: 10.14475/jhpc.2021.24.3.144

Young-Ran Yeun

{"title":"The Effects of Advance Care Planning on Decision Conflict and Psychological Distress: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Young-Ran Yeun","doi":"10.14475/jhpc.2021.24.3.144","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.3.144","url":null,"abstract":"Purpose: Advance care planning (ACP) is widely understood to improve end-of-life care. This systematic review and meta-analysis aimed to examine the effects of ACP interventions on decision conflict and psychological distress.Methods: A search of PubMed, CINAHL, CENTRAL, EMBASE, KISS, KoreaMed, and RISS was conducted in November 2020. The study included randomized controlled trials. Data were pooled using fixed- and random-effects models.Results: Fourteen studies were identified that cumulatively included 1,548 participants. ACP interventions were effective in alleviating decision conflict (d=-0.53; 95% CI -0.83 to -0.23), depression (d=-1.22; 95% CI -1.71 to -0.74) and anxiety (d=-0.76; 95% CI -1.12 to -0.39).Conclusion: ACP interventions have significant positive effects on reducing decision conflict and psychological distress. A high level of bias was shown related to allocation concealment and blinding. The results of this study are expected to be useful for end-of-life care providers to improve the effectiveness of ACP interventions.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 3","pages":"144-153"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/34/64/jhpc-24-3-144.PMC10180057.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10236224","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

Comparison of the Attitudes of Nurses and Physicians toward Palliative Care in Neonatal Intensive Care Units. 新生儿重症监护病房护士与医师对姑息治疗态度的比较。

Journal of hospice and palliative care Pub Date : 2021-09-01 DOI: 10.14475/jhpc.2021.24.3.165

Ha Na Jung, Hyeon Ok Ju

{"title":"Comparison of the Attitudes of Nurses and Physicians toward Palliative Care in Neonatal Intensive Care Units.","authors":"Ha Na Jung, Hyeon Ok Ju","doi":"10.14475/jhpc.2021.24.3.165","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.3.165","url":null,"abstract":"Purpose: This study aimed to compare the attitudes of nurses and physicians toward neonatal palliative care and identify the barriers to and facilitators of neonatal palliative care, with the goal of improving palliative care for infants in neonatal intensive care units (NICUs).Methods: This cross-sectional study analyzed data from the NICUs of seven general hospitals with 112 nurses and 52 physicians participating. Data were collected using the Neonatal Palliative Care Attitude Scale questionnaire.Results: Only 12.5% of nurses and 11.5% of physicians reported that they had sufficient education in neonatal palliative care. In contrast, 89.3% of the nurses and 84.6% of the physicians reported that they needed further education. The common facilitators for both nurses and physicians were 1) agreement by all members of the department regarding the provision of palliative care and 2) informing parents about palliative care options. The common barriers for both nurses and physicians were 1) policies or guidelines supporting palliative care were not available, 2) counseling was not available, 3) technological imperatives, and 4) parental demands for continuing life support. Insufficient resources, staff, and time were also identified as barriers for nurses, whereas these were not identified as barriers for physicians.Conclusion: It is necessary to develop hospital or national guidelines and educational programs on neonatal palliative care, and it is equally necessary to spread social awareness of the importance of neonatal palliative care.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 3","pages":"165-173"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5c/80/jhpc-24-3-165.PMC10180060.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183289","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 a Death Preparation Education Program on Death Anxiety, Death Attitudes, and Attitudes toward End-of-Life Care among Nurses in Convalescent Hospitals. 死亡准备教育计划对康复医院护士死亡焦虑、死亡态度和临终关怀态度的影响。

Journal of hospice and palliative care Pub Date : 2021-09-01 DOI: 10.14475/jhpc.2021.24.3.154

Eun-Yeong Chu, Sun-Hee Jang

{"title":"The Effects of a Death Preparation Education Program on Death Anxiety, Death Attitudes, and Attitudes toward End-of-Life Care among Nurses in Convalescent Hospitals.","authors":"Eun-Yeong Chu, Sun-Hee Jang","doi":"10.14475/jhpc.2021.24.3.154","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.3.154","url":null,"abstract":"Purpose: The purpose of this study was to examine the effects of a death preparation education program for nurses working in convalescent hospitals on death anxiety, death attitudes, and attitudes toward end-of-life care.Methods: This was a quasi-experimental study with a non-equivalent control group, pre-test and post-test design. Among 53 participants, 26 were assigned to the non-equivalent experimental group and 27 to the control group. The program was performed in the formats of lectures, video-watching, group discussions, and sharing, and consisted of 10 sessions held twice a week, for 5 weeks (90 minutes per session). Data were analyzed using descriptive statistics, the t-test, and the chi-square test in SPSS version 21.0.Results: Significant differences between the experimental and control groups were observed in death anxiety (t=7.62, P<0.001), death attitudes (t=-7.58, P<0.001), and attitudes to end-of-life care (t=-10.30, P<0.001).Conclusion: It was confirmed that the death preparation education program reduced death anxiety and had a positive effect on death attitudes and attitudes toward end-of-life care. Based on the results of this study, it is expected that specialized and systematic education that can increase the implementation and stability of death preparation education in various fields, including nursing, will have a positive effect on both hospice patients and members of society more broadly.","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 3","pages":"154-164"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/c7/jhpc-24-3-154.PMC10180056.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10236222","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: 1