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KMID : 1039620180080040634
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Korean Journal of Family Practice
2018 Volume.8 No. 4 p.634 ~ p.638
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Clinical Characteristics of Ward Hospice Patients and Home Hospice Patients
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Choi Deag-Yoon
Lee Seock-Hwan
Bae Hyun-Sug
Park Cheol-Woo
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Abstract
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Background: Korea has been conducting a family hospice pilot project since 2016. The present study compared the characteristics of home hospice and ward hospice patients from the clinical aspect of pain and daily life performance, and from the familial, social, and economic aspects.
Methods: From March 2016 to December 2016, a total of 117 cancer patients in a metropolitan city hospital, whose treatment was terminated (died), was included in a ward hospice and a home hospice group. Initial Coordination ability, measured by the Eastern Cooperative Oncology Group scale, and the initial pain intensity and that 7 days from pain control, measured by the Numeric Rating Scale, were recorded. Familial assessment and economic assessment were also conducted.
Results: The initial pain intensity was higher in the home hospice group, whereas the pain intensity 7 days from pain control was higher in the ward hospice group. There was no significant difference between the two groups in the family assessment and the economic assessment. Most patients in both groups were not insured and did not have economic support.
Conclusion: The pain intensity in terminal cancer patients was not adequately controlled at home. All home hospice patients were finially enter to the ward hospice program. Initial home hospice patients pain intensity were high due to inadequate pain control. Furthermore, patients with terminal cancer and their families should be willing to attempt social rehabilitation of the patient and to bear the economic burden of improving the patient’s quality of life.
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KEYWORD
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Hospice, Hospital-Based, Neoplasm, Pain Management, Family Care, Family Medicine
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