J Korean Acad Nurs.  2009 Aug;39(4):528-538. 10.4040/jkan.2009.39.4.528.

Effects of a Palliative Care Program based on Home Care Nursing

• Hwang MS
• Ryu HS

• KMID: 820230
• DOI: http://doi.org/10.4040/jkan.2009.39.4.528

Abstract

PURPOSE: This study was done to develop and test a palliative care program based on home care nursing.
METHODS
A quasi-experimental design was employed. Changes in the variables were evaluated to test effects of the developed program. Participants were patients with terminal cancer and their families receiving home care nursing from six hospitals (experimental group: 24 and control group: 22). Data collection was conducted from February to October, 2006. Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test and repeated measures ANOVA were used to analyse the data.
RESULTS
Hypothesis 1, the experimental group receiving this program will experience less pain (severe, average, weak pain) than the control group, was supported. Hypothesis 2, the experimental group will have less symptom experience than the control group, was supported. Hypothesis 3, the experimental group will have higher QOL than the control group, was supported and the last hypothesis 4, family burden in the experimental group will be less than the control group, was supported.
CONCLUSION
The home care nursing based palliative program developed in this study was found to be an effective program to reduce patient pain and symptom experience, to improve patient QOL and to decrease family burden.

Keyword

Home nursing; Palliative care; Pain; Symptom; Quality of life

MeSH Terms

Aged
Demography
Family/psychology
Female
Home Care Services, Hospital-Based
Humans
Male
Middle Aged
Neoplasms/*nursing/psychology/therapy
Pain/therapy
Palliative Care/*methods
Patient Satisfaction
Program Evaluation
Quality of Life
Terminal Care

Figure

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  Figure 1 Conceptual framework.

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  Figure 2 Change of symptom experience, quality of life and family burden by time. Exp.=experimental group; Cont.=control group.

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