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KMID : 1022320200140040257
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Asian Nursing Research
2020 Volume.14 No. 4 p.257 ~ p.266
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Effects of a Death Education Intervention for Older People with Chronic Disease and Family Caregivers: A Quasi-Experimental Study
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Chen Weilin
Ma Hongmei
Wang Xiao
Chen Jiaojiao
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Abstract
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Purpose: To investigate the effectiveness of a structured death education program for older adults withchronic illness and their family caregivers.
Methods: This study adopted two-group, nonrandomized quasi-experimental design. Patientecaregiverdyads in the intervention group (N ¼ 40 dyads) engaged in the death education program at the bedsideonce a week for 5 weeks, and were compared with participants (N ¼ 40 dyads) in the control group whoreceived usual health education. The program consisted of five sessions based on the Interaction Modelof Client Health Behavior. Death attitude, death competence, well-being, family function, and satisfactionwere measured at baseline (T0), immediately after the intervention (T1), and 1 month later (T2). Datacollection was conducted from July 30, 2019, to December 30, 2019.
Results: The intention-to-treat analysis The intention-to-treat analysis of between groups at 1-monthfollow-up revealed that the intervention group had greater decreases in the fear of death (p=.002, 95% CI-2.53, -0.47; p<.001, 95% CI -3.61, -1.65) and death avoidance (p<.001, 95% CI -3.46, -1.84; p<.001, 95% CI-3.89, -2.43), had greater increases in the neutral acceptance (p=.032, 95% CI 0.05, 1.38; p<.001, 95% CI0.99, 2.56) and death competence (p<.001, 95% CI 4.10, 8.01; p<.001, 95% CI 7.80, 12.11) in patients andcaregivers, respectively. There were significant intergroup differences over time for patient well-being of(p<.001, 95% CI 3.06, 9.74) and satisfaction of (p<.001, 95% CI 2.01, 4.59). Results were consistent with theresults from the sensitivity analysis.
Conclusion: This study demonstrated the feasibility and benefits of death education in hospitals andprovided an implementation plan for nursing professionals. Nurses should consider providing deatheducation for older adults with chronic diseases and their families to promote the development ofpalliative care and the quality of end-of-life.
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KEYWORD
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aged, caregivers, chronic disease, death, education
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