The Korean Journal of Rehabilitation Nursing (재활간호학회지)
- Volume 8 Issue 1
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- Pages.50-58
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- 2005
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- 1229-294X(pISSN)
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- 2288-3002(eISSN)
Content Analysis with Counseling Cancer Patients and Their Relatives in Outpatient Hospice Office
일 호스피스실 이용 환자와 가족의 상담내용 분석
- Choi, Eun-Sook (Social Work.Hospice, National Cancer Center) ;
- Kim, Keum-Soon (Colleage of Nursing, Seoul National University)
- Received : 2005.05.25
- Accepted : 2005.06.18
- Published : 2005.06.30
Abstract
Purpose: The purpose of this study was to increase our understanding of the terminal cancer patients and their families concerns. I analyzed the counseling contents of terminal cancer patients and their relatives who referred to hospice office. Method: Data was collected from January 2004 to November 2004. During the counseling, I took notes the key points and contents. 109 patients and/or their families's counseling records were analyzed with the descriptive statistics and content analysis. Result: 73.4% of patients knew their current terminally ill status. The mobility of 86.2% of the patients was worse than ECOG 3 level. Patients have uncontrolled pain(28.4%), emotional distress(55.0%), and physical distress(49.5%). Caregivers of the patients were spouse(46.8%), sons and daughters(24.8%). Family members had problems to tell the bad news to their family cancer patient. 95.4% of the patient and family members was informed about the hospice and palliative care services, and 35.8% of them was referred to the hospice and palliative organizations. Frequently asked questions were 'what is hospice?', 'how much is the cost of hospice services?' etc. Conclusion: Care planning for terminal cancer patients must include patient. Also, professionals should consider and offer accessible, effective and empathetic counseling services to patients and families.