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"호스피스 스마트 환자" 서비스 프로그램 개발 및 평가

Development and Evaluation of "Hospice Smart Patient" Service Program

  • 투고 : 2010.06.14
  • 심사 : 2011.02.25
  • 발행 : 2011.02.28

초록

Purpose: The purpose of this study was to develop and implement the Hospice Smart Patient Program and to evaluate its effectiveness. Methods: It was quasi-experimental non-equivalent pre-post study. Breast cancer patients who underwent surgery, chemotherapy or radiotherapy, or who needed palliative care, participated in the study. Participants were divided into two groups, experimental and control groups based on their preferences. The program was developed after literature review and discussion among experts on hospice and palliative care. Participants who were in the experimental group received either face-to-face or phone "Hospice Smart Patient" Service at least once a week for 5 months. Results: There was a significant difference in quality of life and communication skill between the two groups after the service was provided. In addition, participants in experimental group showed improved decision making skills, mastery sense, and understanding of hospice and palliative care, which would be beneficial in improving their quality of life. Conclusion: We have concluded that the "Hospice Smart Patient" Program is useful for cancer patients in decision making, improving self-control and choosing hospice care to improve their quality of life.

키워드

참고문헌

  1. American Academy of Family Physicians. (2009). Family doctor: Health information for the whole family. Retrieved March 5, 2010, from http://familydoctor.org/online/famdocen/home.html
  2. Bienvenu, M. J. (1971). An interpersonal communication inventory. The Journal of Communication, 21, 381-388. https://doi.org/10.1111/j.1460-2466.1971.tb02937.x
  3. Boström, B., Hinic, H., Lundberg, D., & Fridlund, B. (2003). Pain and healthrelated quality of life among cancer patients in final stage of life: A comparison between two palliative care teams. Journal of Nursing Management, 11, 189-196. https://doi.org/10.1046/j.1365-2834.2003.00360.x
  4. Cegala, D. J., McClure, L., Marinelli, T. M., & Post, D. M. (2000). The effects of communication skills training on patients' participation during medical interviews. Patient Education and Counseling, 41, 209-222. https://doi.org/10.1016/S0738-3991(00)00093-8
  5. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
  6. Discovery Communications. (2009). Disease, treatment, pregnancy, fitness, weight loss: Discovery health. Retrieved March 5, 2010, from http://health.discovery.com
  7. Ferrell, B. R., & Coyle, N. (2006). Textbook of palliative nursing (2nd ed.). Oxford: Oxford University Press.
  8. Gill, K. M., Mishel, M., Belyea, M., Germino, B., Germino, L. S., Porter, L., et al. (2004). Triggers of uncertainty about recurrence and long-term treatment side effects in older African American and Caucasian breast cancer survivors. Oncology Nursing Forum, 31, 633-639. https://doi.org/10.1188/04.ONF.633-639
  9. Healy, B. (2004). Find a mentor. U.S. News & World Report, 137, 54-55.
  10. Hwang, M. S., & Ryu, H. S. (2009). Effects of a palliative care program based on home care nursing. Journal of Korean Academy of Nursing, 39, 528-538. https://doi.org/10.4040/jkan.2009.39.4.528
  11. Jang, S. Y. (2008). Effects of aroma hand massage on pain, state anxiety and depression in hospice patients with terminal cancer. Journal of Korean Nursing, 38, 493-502. https://doi.org/10.4040/jkan.2008.38.4.493
  12. Jo, K. H., & Son, B. K. (2004). The relationship of uncertainty, hope and quality of life in patients with breast cancer. Journal of Korean Academy of Nursing, 34, 1184-1193.
  13. Kang, K. J. (1996). Effects of the communication training program. Unpublished master's thesis, Changwon National University, Changwon.
  14. Kim, D. H. (2006). Medical communication: Three function approach. Korean Journal of Health Communication, 1, 1-6.
  15. Kim, K. U. (2005). Development and validation of the Korean version of the Mcmaster Quality of Life Scale (K-MQLS): On the hospice and palliative care patients. Unpublished doctoral dissertation, Korea University, Seoul.
  16. Kim, S. H. (2009). Factors affecting communication between cancer patients and nurses. Unpublished master's thesis, Youngnam University, Kyungsan.
  17. Kim, T. S., Yang, B. G., Jeong, E. K., Park, N. R., Lee, Y. S., Lee, Y. S., et al. (1999). Need assessment of home based cancer patients. Korean Journal of Hospice and Palliative Care, 2, 36-45.
  18. Kim, Y. M., Bazant, E., & Storey, J. D. (2006). Smart patient, smart community: lmproving client participation in family planning consultations through a community education and mass-media program in Indonesia. International Quarterly of Community Health Education, 26, 247-270. https://doi.org/10.2190/IQ.26.3.d
  19. Korea National Statistical Office. (2007). 2007 Annual report of causes of deaths. Daejeon: Author.
  20. National Cancer Center. (2003). Korean hospice palliative care standards and regulations. Goyang: Author.
  21. National Cancer Center. (2008). Public attitudes toward dying with dignity. Goyang: Author.
  22. Park, C. S., Yoo, Y. S., Park, H. J., Choi, D. W., Choe, S. O., Kim, S. E., et al. (2009). Development of educational program for hospice smart patient service provider. Journal of Korean Oncology Nursing, 9, 43-51.
  23. Roizen, M. F., & Oz, M. C. (2006). You: The smart patient. New York: Simon & Schuster New York.
  24. Smart Patient. (2007). Smart Patient, L.L.C: Customized medical research and information reports. Retrieved March 5, 2010, from http://www.smartpatientonline.com
  25. The Research Institute for Hospice/Palliative Care, The Catholic University of Korea. (2003). The development of standards of hospice nursing in Korea. Seoul: Author.
  26. Yun, Y. H., Rhee, Y. S., Nam, S. Y., Chae, Y. M., Heo, D. S., Lee, S. W., et al. (2004). Public attitudes toward dying with dignity and hospice/palliative care. The Korean Journal of Hospice and Palliative Care, 7, 17-28.

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