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KMID : 0856920230260020060
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Journal of Hospice and Palliative Care
2023 Volume.26 No. 2 p.60 ~ p.68
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Utilization of End-of-Life Care Rooms by Patients Who Died in a Single Hospice Unit at a National University Hospital in South Korea
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Kim Gyu-Lee
Lee Seung-Hun
Kim Yun-Jin
Lee Jeong-Gyu
Yi Yu-Hyeon
Tak Young-Jin
Ra Young-Jin
Lee Sang-Yeoup
Cho Young-Hye
Park Eun-Ju
Lee Young-In
Choi Jung-In
Lee Sae-Rom
Kwon Ryuk-Jun
Son Soo-Min
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Abstract
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Purpose: For the dignity of patients nearing the end of their lives, it is essential to provide end-of-life (EoL) care in a separate, dedicated space. This study investigated the utilization of specialized rooms for dying patients within a hospice unit.
Methods: This retrospective study examined patients who died in a single hospice unit between January 1, 2017, and December 31, 2021. Utilizing medical records, we analyzed the circumstances surrounding death, the employment of specialized rooms for terminally ill patients, and the characteristics of those who received EoL care in a shared room.
Results: During the 1,825-day survey period, deaths occurred on 632 days, and 799 patients died. Of these patients, 496 (62.1%) received EoL care in a dedicated room. The average duration of using this dedicated space was 1.08 days. Meanwhile, 188 patients (23.5%) died in a shared room. Logistic regression analysis revealed that a longer stay in the hospice unit was associated with a lower risk of receiving EoL care in a shared room (odds ratio [OR]=0.98, 95% confidence interval [CI] 0.97~0.99; P=0.002). Furthermore, a higher number of deaths on the day a patient died was associated with a greater risk of receiving EoL care in a shared room (OR=1.66, 95% CI 1.33~2.08; P＜0.001).
Conclusion: To ensure that more patients receive EoL care for an adequate duration in a private setting, additional research is necessary to increase the number of dedicated rooms and incorporate them into the hospice unit at an early stage.
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KEYWORD
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Death, Terminal care, Hospice care, Palliative care, Neoplasms, Bereavement
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