입원한 말기 암환자 가족의 호스피스 요구

Needs of Hospice Care in Families of the Hospitalized Terminal Patients with Cancer

  • 투고 : 2008.12.16
  • 심사 : 2009.02.09
  • 발행 : 2009.02.28

초록

Purpose: The purpose of this study was to identify the needs of hospice care in families of the hospitalized patients with terminal cancer. Method: The data were collected from April to July, 2008. The participants were 100 family caregivers of hospitalized terminal patients with cancer recruited from two general hospitals in 2 cities in Korea. Needs of hospice care were measured using the 'Needs Assessment Instrument for Hospice Care in Families of the Patients with Cancer'. Results: The mean of needs score was 76.6, which meant degree of the needs was very high. Among the categories of the needs, the mean of category 'emotional care' was the highest. There were significant differences in the needs of hospice care according to sex and type of present therapy. Conclusion: Health care providers in hospital and hospice facilities must assess the needs of families as well as the patients in order to meet their specific needs. Additionally, they need to have deeper understanding of the need of emotional care and to apply emotional care to hopice patients and their families.

키워드

참고문헌

  1. Noh YJ, Han SS, Ahn SH, Kim CG. Hospice and Death. Seoul: Hyunmoonsa;1994.
  2. Cho KM. Analysis of hospice care needs of patients with terminal lung cancer and their families [dissertatoin]. Seoul:Yonsei Univ.;2006.
  3. Powazki RD, Walsh D. Family distress in palliative medicine: a pilot study of the Family APGAR scale. Am J Hosp Palliat Care 2002;19:392-6. https://doi.org/10.1177/104990910201900609
  4. Decker SD, Young E. Self-perceived needs of primary caregivers of home-hospice clients. J Community Health Nurs 1993;8:147-54.
  5. Kang KA, Kim SJ. Development of needs assessment instrument for hospice care in families of the patients with cancer. J Korean Biol Nurs Sci 2005;7:57-68.
  6. Kim CK. The needs for hospice care in families of hospitalized patients. J Res Inst Hosp Palliat Care 1988;8:32-43.
  7. Lee SW, Lee EO, Huh DS, Noh KH, Kim HS, Kim SR, et al. The study on the medical and nursing service needs of the terminal cancer patients and their caregivers. J Korean Acad Nurs 1998;28:958-67. https://doi.org/10.4040/jkan.1998.28.4.958
  8. Yong JS, Han SS, Hong HJ. Care needs of hospice patients from the family caregivers perspectives: Q methodology. J Res Inst Hosp Palliat Care 2003;7:47-70.
  9. Kang KA, Kim SJ, Kim YS. The need for child hospice care in families of children with cancer. J Res Inst Hosp Palliat Care 2004;8:32-43.
  10. Harrington V, Lackey NR, Gates MF. Needs of caregivers of clinic and hospice cancer patients. Cancer Nurs 1996;19:118-25. https://doi.org/10.1097/00002820-199604000-00006
  11. Sohn SK. Hopelessness of the patients with lung cancer [dissertation]. Daegu: Kyungpook National Univ.;1996.
  12. Newton M, Bell D, Lambert S, Fearing A. Concern of hospice patient caregivers. ABNF J 2002;13:140-4.
  13. Ervin NE, Spencer GA. Assessing community hospice needs and preferences. J Hosp Palliat Nurs 2005;7:164-73.
  14. Kim SH. A study on the changing process of quality of life of terminal cancer patients: based on the grounded theory approach [dissertation]. Seoul:The Catholic Univ.;2003.
  15. Kim SJ, Choi HS, Oh SJ. Hospice: care of love. Seoul:Sumunsa; 1997.