Effects of a Palliative Care Program based on Home Care Nursing

가정간호기반 완화케어프로그램의 효과

  • Hwang, Moon-Sook (Graduate School of Clinical Nursing Science, Sungkyunkwan University, Research Institute for Clinical Nursing Science, Samsung Medical Center) ;
  • Ryu, Ho-Sihn (College of Nursing, Korea University)
  • 황문숙 (성균관대학교 임상간호대학원.삼성서울병원 임상간호학연구소) ;
  • 유호신 (고려대학교 간호대학)
  • Published : 2009.08.28

Abstract

Purpose: This study was done to develop and test a palliative care program based on home care nursing. Methods: A quasi-experimental design was employed. Changes in the variables were evaluated to test effects of the developed program. Participants were patients with terminal cancer and their families receiving home care nursing from six hospitals (experimental group: 24 and control group: 22). Data collection was conducted from February to October, 2006. Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test and repeated measures ANOVA were used to analyse the data. Results: Hypothesis 1, the experimental group receiving this program will experience less pain (severe, average, weak pain) than the control group, was supported. Hypothesis 2, the experimental group will have less symptom experience than the control group, was supported. Hypothesis 3, the experimental group will have higher QOL than the control group, was supported and the last hypothesis 4, family burden in the experimental group will be less than the control group, was supported. Conclusion: The home care nursing based palliative program developed in this study was found to be an effective program to reduce patient pain and symptom experience, to improve patient QOL and to decrease family burden.

Keywords

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