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KMID : 0856920060090020000
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Journal of Hospice and Palliative Care
2006 Volume.9 No. 2 p.0 ~ p.0
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Analysis of the Perception of Hospice and Narcotic Analgesics by Family Caregivers of Terminal Cancer Patient
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Kwak Kyung-Sook
Hah Jeong-Ok
Lee Kyoung-Hee
Chun Sung-Ho
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Abstract
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Purpose: In terminal cancer patients, pain control with narcotic analgesics and supportive care by hospice are very useful treatment modality. However, many patients and their caregivers are poorly compliant in using narcotic analgesics for fear of addiction and tolerance. And also many patients and family caregivers are reluctant to accept hospice, presuming that hospice means patient’s condition is no longer reversible and progressively deteriorating. The purpose of this study was to evaluate and analyze the perception of using narcotic analgesics and hospice by family caregivers of terminal cancer patients who play a critical role in health care in Korean culture.
Methods: A total of 54 terminal cancer patient’s family caregivers participated in this study. Questionnaire consisted of 15 questions about narcotic analgesics and hospice.
Results: The study revealed following results. 1) family caregivers who are not aware of hospice are more than half (56.7%). 2) 81.8% of family caregivers agreed that hospice care is beneficial to terminal cancer patients. 3) 85.1% of family caregivers were under financial burden. 4) 83.2% of patient complained pain in 24 hours. 5) while 88.5% of family caregivers believed that narcotic analgesics can control pain, 79.1% and 79.6% of them also believed that use of narcotic analgesics would result in addiction and tolerance, respectively.
Conclusion: There still exist barriers to family caregivers in using narcotic analgesics for pain control. And also, terminal cancer patient’s family caregivers have poor information about hospice. Therefore, educational intervention about narcotic analgesics by pharmacist and doctors are needed for proper pain control for terminal cancer patients. In addition, more precise information about hospice care should be provided for terminal cancer patients and their family caregivers. (Korean J Hosp Palliat Care 2006;9: 106-111)
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KEYWORD
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Narcotic analgesics, Hospice care, Educational intervention
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