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KMID : 0856920120150030155
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Journal of Hospice and Palliative Care
2012 Volume.15 No. 3 p.155 ~ p.161
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The Changes of Confidence, Accuracy and Knowledge of Medical Professionals after the Education for Survival Prediction in Terminally Ill Cancer Patients
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Park Jun-Seok
Baek Na-Young
Suh Sang-Yeon
Kim Yu-Il
Jeong Hwee-Soo
Oh Sang-Woo
Sung Nak-Jin
Ahn Hong-Yup
Seo Ah-Ram
Lee Yong-Joo
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Abstract
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Purpose: In this study, we evaluated the effects of training for survival prediction of terminally ill patients in terms of medical professionals’ confidence, accuracy and knowledge of survival prediction.
Methods: Twenty-nine participants completed a self-administered questionnaire where they scored their confidence, accuracy and knowledge of survival prediction before and after the training session. The training was provided in July 2009 at a university hospital located in Gyeonggi province, Republic of Korea. The participants were instructed by a professor of family medicine specialized in hospice palliative medicine to predict survival of a case using the palliative prognostic score and objective prognostic score. The training was provided in the form of a PowerPoint presentation for 40 minutes.
Results: Participants’ confidence in survival prediction significantly increased from () (0~10, visual analogue scale) to after the training (P<0.001). Before training, participant’s level of confidence significantly correlated with their age (P=0.04). The training significantly improved the correlation between the confidence level and the number of terminal cancer patients whom they have experienced (P=0.005 before training, P=0.017 after training). Participant’s accuracy in survival prediction also significantly improved from 14 of 29 (48%) to 27 of 29 (93.1%) (P<0.001). The change in knowledge of survival prediction was too small to be statistically analyzed.
Conclusion: After training, the confidence and accuracy scores significantly improved. Further study with a greater number of participants is needed to generalize this finding.
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KEYWORD
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Prognosis, Education, Attitude
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