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KMID : 0123520130200030214
Journal of muscle and joint health
2013 Volume.20 No. 3 p.214 ~ p.224
Comparing the Preference for Terminal Care in Nurses and Patients
Kim Dong-Soon

So Ae-Young
Lee Kyung-Sook
Choi Jung-Sook
Abstract
Purpose: The purpose of this study was to identify the differences in preference for terminal care between hospitalized patients and nurses.

Methods: A cross-sectional descriptive design was used in 79 patients and 107 nurses. The data were collected from August to October 2011, using the Preference for Care near the End of life Scale - Korean Version (PCEOL-K) with 5-point scale of 26 items. The reliability of the tool was Cronbach"s ¥á=.74.

Results: The mean score (SD) of PCEOL-K¡¯s sub-dimensions in nurses¡¯ priority was: (a) pain 3.70¡¾0.63, (b) spirituality 3.63¡¾0.61, (c) family 3.40¡¾0.70, (d) autonomous decision making 2.30¡¾0.66, and (e) decision making by healthcare professionals 2.14¡¾0.64. In patients¡¯ priority, the M¡¾SD score of each sub-dimension was: (a) pain 3.86¡¾0.65, (b) family 3.83¡¾0.57, (c) decision making by healthcare professionals 3.37¡¾0.85, (d) spirituality 3.01¡¾0.80, and (e) autonomous decision making 2.43¡¾0.63. Results indicated significant differences between nurses and patients regarding decision making by healthcare professionals (t=-11.28, p<.001), family (t=-4.66, p<.001), and spirituality (t=5.71, p<.001).

Conclusion: The PCEOL-K of patients was higher than nurses¡¯. A terminal care program for hospitalized patients at the end of life should be planned according to the results of PCEOL-K in nurses and patients.
KEYWORD
Terminal care, Nurse preference, Patient preference
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