The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Structural Analysis on Quality of Life for Terminal Cancer Patients provided Hospice and Palliative Care Services in Community Health Centers

보건소 호스피스완화케어 서비스를 제공받는 재가 말기암 환자의 삶의 질 구조분석

  • Kim, Sook-Nam (Department of Nursing, Catholic University of Pusan) ;
  • Choi, Soon-Ock (Department of Nursing, Catholic University of Pusan) ;
  • Ryu, Ji-Seon (BK21+ Dept. of Social Welfare, Pusan National University) ;
  • Kim, Jung-Rim (Hospice Palliative Care Center of Busan Metropolitan City)
  • 김숙남 (부산가톨릭대학교 간호학과) ;
  • 최순옥 (부산가톨릭대학교 간호학과) ;
  • 류지선 (부산대학교 사회복지학과 BK21플러스) ;
  • 김정림 (부산광역시 호스피스완화케어센터)
  • Received : 2019.10.01
  • Accepted : 2019.12.24
  • Published : 2019.12.31
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Abstract

Objectives: The purpose of this study was to identify the predictors of quality of life (QOL) for terminal cancer patients admitted into the community health center, and to establish a hypothetical model to explain and verify causative relationships among the variables. Methods: Data were collected from January 2015 to June 2016. Participants were 237 registered patients in Busan Metropolitan City hospice & palliative care center. The descriptive and correlation statistics were analyzed using the SPSS/WIN 24.0, and the structural equation modeling procedure was performed using the AMOS 24.0 program. Results: The results of this study showed that the physical symptoms of terminal cancer patients were the most direct factors affecting the QOL, and satisfaction with health care services has a direct effect on the QOL. Conclusions: The study contributes to drawing up measures to improve QOL for terminally ill cancer patients who are living in the end-of-life section of the community by revealing the causal relationship to the QOL for terminal cancer patients.

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References

  1. I.K. Kwon, M.S. Hwang, K.M. Kwon(2008), Quality of Life of The Terminal Cancer Patients receiving Home Care Nursing, Journal of Korean Clinical Nursing Research, Vol.14(2);103-114.
  2. S.H. Kim, B.Y. Chung, Y. Xu(2009), Evaluation of A Home-based Hospice and Palliative Care Program in A Community Health Center in Korea, Asian Nursing Research, Vol.3(1);24-30. https://doi.org/10.1016/s1976-1317(09)60013-x
  3. H.S. Kim, Y.S. Hong(2016), Hospice Palliative Care in South Korea: Past, Present, and Future, Korean Journal of Hospital Palliative Care, Vol.19;99-108. https://doi.org/10.14475/kjhpc.2016.19.2.99
  4. S.N. Kim, S.O. Choi, S.H. Shin, J.S. Ryu, J.W. Baik(2017), Development of A Community-Based Palliative Care Model for Advance Cancer Patients in Public Health Centers in Busan, Korea. Cancer Research Treatment, Vol.49(3);559-568. https://doi.org/10.4143/crt.2016.276
  5. S.O. Choi, S.N. Kim(2015), Analysis of Characteristics and Symptoms in Home-based Hospice Palliative Care Patients Registered at Local Public Health Centers, Korean Journal of Hospice and Palliative Care, Vol.18;329-334. https://doi.org/10.14475/kjhpc.2015.18.4.329
  6. J.H. Lee, E.H. Lee(2017), A Study on The Factors Affecting the Quality of Life of Centered on Low-income: Verification of The Mediating Effect of Psychological Well-being. Journal of Comparative Government of Korea, Vol.21(2);85-109.
  7. M.G. Nayak, A. George, V.M. Sidyasagar, S. Mathew, S. Nayak, Y.N. Shashidhara, B.S. Nayak, A. Kamath(2017), Quality of life among cancer patients, Indian Journal of Palliative Care, Vol.23(4):445-450. https://doi.org/10.4103/IJPC.IJPC_82_17
  8. M.H. Kang, Y.S. Moon, Y.J. Lee, Y.S. Kang, H.G. Kim, G.W. Lee, W.S. Lee, J.H. Kang(2014), Physical Symptoms and Psychiatric, Social, Spiritual and Economic Care Needs of Patients under Home-based Cancer Service, Korean Journal of Hospice and Palliative Care, Vol.17(4);216-22. https://doi.org/10.14475/kjhpc.2014.17.4.216
  9. Y.S. Choi(2015), The Impacts of Socio-economic Characteristics on The Services User's Perception by The Change of Social Condition in Health Care Service, Journal of the Korea Academia-Industrial cooperation Society, Vol.16(5);3276-3283. https://doi.org/10.5762/KAIS.2015.16.5.3276
  10. M.S. Lee(2005), Health Inequalities among Adults-Socioeconomic Status and Residential Area Difference, Korean Sociological Association, Vol.39(6);188-209.
  11. I.B. Wilson, P.D. Cleary(1995), Linking Clinical Variables with Health -related Quality of Life, A Conceptual Model of patient Outcomes. Journal of the American Medical Association, Vol.273(1);59-65. https://doi.org/10.1001/jama.1995.03520250075037
  12. D.W. Shin, M.J. Choi, M. Miyashita, J.Y. Choi, J. Kang, Y.J. Baik, H.N. Mo, J.S. Choi, Y.S. Son, H.S. Lee(2011), Measuring Comprehensive Outcomes in Palliative Care: Validation of the Korean Version of the Good Death Inventory, Journal of Pain and Symptom Management, Vol.32;632-642.
  13. M.J. Calvert, N. Freemantle(2003), Use of Health-related Quality of Life in Prescribing Research. Part 1: Why Evaluate Health Related Quality of Life?, Journal of Clinical Pharmacy and Therapeutics, Vol.28;513-521. https://doi.org/10.1046/j.0269-4727.2003.00521.x
  14. H.S. Lee, J.H. Lim(2012), Structural Equation Modeling with AMOS, JypHyunJee Publishing Co. p.18.
  15. D. Hui, E. Bruera(2017), The Edmonton Symptom Assessment System 25 Years Later: Past, Present, and Future Developments, Journal of Pain and Symptom Management, Vol.53(3);630-643. https://doi.org/10.1016/j.jpainsymman.2016.10.370
  16. Y.S. Shin, C.G. Son, Y. H. Lee, W.S. Im, J.W. Im, J.Y. Jung(2011), Polish Report, Korea Institute for Health and Social Affairs, pp. 188-190.
  17. K.S. Kim(2001) Analysis Structural Equation Modeling, SPSS Academy, pp.310-317.
  18. H.J. Kim, J.H. Cho(2017), Understanding Quality of Life among Adult Patients with Terminal cancer in South Korea: An Integrative Review, Korean Journal of Adult Nursing, Vol.29(4);419-431. https://doi.org/10.7475/kjan.2017.29.4.419
  19. J.O. Ko, M.H. Lee(2017), Structural Equation Modeling on Health-Related Quality of Life in Adults with Epilepsy, Journal of Korean Academy Nursing, Vol.47(5);624-637. https://doi.org/10.4040/jkan.2017.47.5.624
  20. S.W. Hwang(2013), Symptom Clusters in advanced cancer patients, Korean Journal of Hospice and Palliative Care, Vol.16(3);139-144. https://doi.org/10.14475/kjhpc.2013.16.3.139
  21. M.K. Kim, Y.J. Tak, G.W. Kang, J.Y. Hong(2017), Related Factors of Individual and Community Levels Affecting Health-related Quality of Life, Journal of the Korean Data Analysis Society, Vol.19(2);1025-1037. https://doi.org/10.37727/jkdas.2017.19.2.1025
  22. S.H. Kwon, S.N. Kim, S.O. Choi, J.R. Kim, J.S. Rhu, J.W. Baik(2016), A Need Analysis for Medical Supporting Service as a Part of Community-based Hospice Palliative Care, The Korean Journal of Health Service Management, Vol.10(4);109-121. https://doi.org/10.12811/kshsm.2016.10.4.109
  23. J.H. Kim(2016), The Impact of Health Care Coverage on Changes in Self-Rated Health: Comparison between the Near Poor and the Upper Middle Class, Health Policy and Management, Vol.26(4);390-398. https://doi.org/10.4332/KJHPA.2016.26.4.390
  24. T.H. Kim(2014), The challenges of social welfare education in the health and medical service sector : Focusing on Relationship between unmet health services needs and social isolation, Korean Journal of Social Welfare Education, Vol.25;123-146.
  25. J.A. Park, J.Y. Hong(2017), Factors Influencing Quality of life in Adult Cancer Patients: The Sixth Korea National Health and Nutrition Examination Survey(KNHANES VI-2), Journal of the Korea Academia-Industrial cooperation Society, Vol.18(5);382-390. https://doi.org/10.5762/KAIS.2017.18.5.382