KMID : 0856920140170040216
|
|
Journal of Hospice and Palliative Care 2014 Volume.17 No. 4 p.216 ~ p.222
|
|
Physical Symptoms and Psychiatric, Social, Spiritual and Economical Care Needs of Patients under Home-based Cancer Service
|
|
Kang Myung-Hee
Moon Yeong-Sil Lee Young-Joon Kang Yoon-Sik Kim Hoon-Gu Lee Gyeong-Won Lee Won-Sup Kang Jung-Hun
|
|
Abstract
|
|
|
Purpose: This study was performed to identify the symptoms and care needs of home-based cancer patients in Korea and to add to the scarce literature on this topic.
Methods: Data were collected from patients who subscribed to home-based cancer care services in Jinju. Assessments were performed by nurses at the local public health center. The Edmonton Symptom Assessment System with a numeric rating scale (NRS) was used to identify symptoms, and a four-point Likert scale was used to assess psychological, social, and spiritual needs.
Results: Cross-sectional data were collected in October 2013. A total of 209 patients participated and their median age was 65 years (range, 17~89 years). Most patients were diagnosed in the early stage of cancer (n=188); only 19 patients were diagnosed in the advanced stage. More than half the patients lived alone (n=115, 55.0%) and took care of themselves (n=128, 61.2%). Anorexia and fatigue were the most common symptoms (median NRS, 5 and 4, respectively). Patients needed economic support the most, whereas spiritual care was least needed (n=138 [67.3%] vs. n=128 [62.1%], respectively).
Conclusion: Patients who signed up for home-based cancer care services in Jinju are struggling with a financial issue and physical symptoms. A customized approach is needed to improve the quality of the home-based care services.
|
|
KEYWORD
|
|
Home care services, Symptom assessment, Needs assessment
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|