J Korean Acad Community Health Nurs.  2012 Jun;23(2):127-133. 10.12799/jkachn.2012.23.2.127.

Physical and Psychospiritual Care Need by End-of-life Stages among Non-cancer Patient at Home: Based on the Importance and Difficulty of Care Need

• Lee JE
• Kim SL

• KMID: 2292802
• DOI: http://doi.org/10.12799/jkachn.2012.23.2.127

Abstract

PURPOSE
This study was conducted to assess needs at each end-of-life care stage and to analyze importance and difficulty of care needs for home care nursing among non-cancer patients.
METHODS
We used a retrospective design. Total eligible patients were 117 at the ages of 40 and over, who continuously received home care nursing throughout beginning, stable, and near death stages, and finally died at home from January 1, 2006 to December 31, 2006. Descriptive statistics, Cochran's Q test, Friedman's test were used for data analysis.
RESULTS
In the area of physical care, the care need for 'assistance for activities in daily life' was significantly highest in the beginning stage. The care need for 'aggravation or adverse changes in physical symptoms' was significantly increased in the near death stage. In the area of psychospiritual care, 'family's psychological burden' was revealed as having the highest rate of care needs in the every stage.
CONCLUSION
Future intervention should consider assessing care needs in end-of-life care for non-cancer patients who are provided with home care nursing.

Keyword

End of life care; Home care; Needs assessment

MeSH Terms

Home Care Services
Humans
Needs Assessment
Retrospective Studies
Terminal Care

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