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Nursing Need and Satisfaction of Patients in Hospice Ward

호스피스병동 입원 환자의 간호요구도와 간호만족도

  • Kim, Jung Ah (Department of Nursing, Graduate School of Chung-Ang University) ;
  • Kim, Kyunghee (Red Cross College of Nursing, Chung-Ang University) ;
  • Kang, Hee Sun (Red Cross College of Nursing, Chung-Ang University) ;
  • Kim, Ji-Su (Red Cross College of Nursing, Chung-Ang University)
  • 김정아 (중앙대학교 대학원 간호학과) ;
  • 김경희 (중앙대학교 적십자간호대학) ;
  • 강희선 (중앙대학교 적십자간호대학) ;
  • 김지수 (중앙대학교 적십자간호대학)
  • Received : 2014.08.11
  • Accepted : 2014.11.19
  • Published : 2014.12.01

Abstract

Purpose: This study was conducted to explore the nursing needs and satisfaction of patients who are hospitalized at hospice palliative care institutions. Methods: This study included 80 hospice patients who were in-patients of the hospice department of two general hospitals in S city. The collected data were analyzed by descriptive statistics, t-test, one-way ANOVA, and Pearson's correlation coefficients using the IBM SPSS 20.0 program. Results: The mean score of nursing needs and satisfaction were 3.58 (${\pm}0.31$) and 3.25 (${\pm}0.20$) respectively. Significant differences in hospice nursing needs and satisfaction were observed in terms of general characteristics including gender, education level, occupation, religion, support for medical expense and functional status. Significant positive correlation was found between the overall nursing needs and nursing satisfaction. Conclusion: Based on the results of this study, in order to improve the quality of hospice service, further study is necessary in a comprehensive manner to develop nursing intervention to meet physical, psychological/social, spiritual, and educational/referral nursing needs of hospice in-patients.

목적: 본 연구는 호스피스병동 입원 환자의 간호요구도와 간호만족도를 확인하여 궁극적으로는 호스피스 서비스의 질을 향상시키기 위한 기초자료를 제시하기 위해 실시되었다. 방법: 연구대상자는 S시에 소재한 2개 호스피스병동에 입원한 말기암환자 80명이다. 수집된 자료는 IBM SPSS 20.0을 이용하여서 기술통계, t-검정, ANOVA 및 Pearson correlation coefficient 등을 실시하였다. 결과: 호스피스병동 입원 환자의 간호요구도는 $3.58{\pm}0.31$점, 간호만족도는 $3.25{\pm}0.20$으로 간호요구도에 비해 간호만족도는 낮은 수준이었다. 대상자의 일반적 특성중 교육상태, 직업, 종교 및 기능 상태에 따라 호스피스 간호요구도에 유의한 차이가 있었으며, 성별과 치료비 부담자와 기능 상태에 따라 호스피스 간호만족도에 유의한 차이가 있었다. 대상자의 간호요구도와 간호만족도는 양의 상관관계가 나타났다. 결론: 호스피스병동 입원 환자의 간호만족도는 간호요구도에 비해 낮은 수준으로 호스피스 서비스를 받는 환자의 서비스의 질을 높이기 위해서는 신체적, 심리/사회적, 영적 및 교육/의뢰 영역별로 구체적인 간호중재 방안이 마련되어야 한다.

Keywords

References

  1. Park SH. The factors affecting hospice patients' families quality of life [master's thesis]. Seoul: Seoul Women's Univ.; 2007. Korean.
  2. National Hospice and Palliative Care Organization [Internet]. Preamble to NHPCO standards of practice & hospice philosophy statement. Alexandria, Va: National Hospice and Palliative Care Organization; 2014 [cited 2014 July 29]. Available from: http://www.nhpco.org.
  3. Ellington L, Reblin M, Clayton MF, Berry P, Mooney K. Hospice nurse communication with patients with cancer and their family caregivers. J Palliat Care Med 2012;15:262-8.
  4. Lee HG. Hospice care performance and related factors: focused on the hospice nurses [master's thesis]. Deagu: Keimyung Univ.; 2012. Korean.
  5. Jones BW. The need for increased access to pediatric hospice and palliative care. Dimens Crit Care Nurs 2011;30:231-5. https://doi.org/10.1097/DCC.0b013e3182276ded
  6. Hon SI. 12.7 % rate of hospice & palliative care service utilization for cancer decedents. Medical news [Internet]. Seoul: Medical news; c2014 [cited 2014 Oct 14]. Available from: http://www.medicalnews.co.kr.
  7. Ministry of Health & Welfare [Internet]. Seoul: Ministry of Health & Welfare; c2013 [cited 2014 Juln 29]. Available from: http://www.mw.go.kr.
  8. Jang AR. Hospice nursing demand of terminal cancer patient and family between general ward and hospice ward [master's thesis]. Gwangju: Chunnam National Univ.; 2012. Korean.
  9. Kang KA, Kim SJ. Development of needs assessment instrument for hospice care in families of the patients with cancer. J Korean Biol Nurs Sci 2005;7:57-68.
  10. Maurice-Szamburski A, Bruder N, Loundou A, Capdevila X, Auquier P. Development and validation of a perioperative satisfaction questionnaire in regional anesthesia. Anesthesiology 2013;118:78-87. https://doi.org/10.1097/ALN.0b013e31827469f2
  11. Yong JS, Han SS, Hong HJ. Care needs of hospice patients from the family caregivers perspective: Q-methodology. J Hosp Palliat Care 2003;7:47-70.
  12. Kang KA, Kim SJ, Kim YS. The need for hospice care in families of patients with cancer. J Korean Acad Community Nurs 2004;15:639-47.
  13. Koo HY, Choi SH, Park HR. Cognition and needs for hospice care among parents of children with Cancer. J Korean Acad Child Health Nurs 2009;15:325-33. https://doi.org/10.4094/jkachn.2009.15.3.325
  14. Kang KA, Sim SY, Kim SJ. Development of a tool to measure the need for child hospice care in families of children with cancer. J Korean Acad Child Health Nurs 2011;11:72-82.
  15. Sohn SK. Needs of hospice care in families of the hospitalized terminal patients with cancer. J Korean Oncol Nurs 2009;9:1-6.
  16. Lee JM, Kim JS. Study on nursing needs for hospice patients and their families. J Korean Acad Fund Nurs 2000;7:287-300.
  17. Ham HY. Satisfaction of terminal cancer patients' families for hospice and palliative care services toward death [master's thesis]. Seoul: Pusan Catholic Univ.; 2013. Korean.
  18. Cho KM. Analysis of hospice care needs of patients with terminal lung cancer and their families [master's thesis]. Seoul: Yonsei Univ.; 2006. Korean.
  19. Park CS. The analysis on the recognition and nursing need of hospice in the cancer patient and family [master's thesis]. Seoul: Hanyang Univ.; 2008. Korean.
  20. Chung BY, Han JY. Influential factors related to job satisfaction in hospice nurses: focus on emotional labor and burnout. J Korean Acad Nurs Adm 2014;20:323-32. https://doi.org/10.11111/jkana.2014.20.3.322
  21. Pereira SM, Fonseca AM, Carvalho AS. Burnout in palliative care: a systematic review. Nurs Ethics 2011;18:317-26. https://doi.org/10.1177/0969733011398092
  22. Park GJ. Satisfaction for voluntary activity and the meaning of life in hospice volunteers. J Korean Oncol Nurs 2006;6:104-10.
  23. Choi GH, Hong MS. The needs and satisfaction of terminal cancer patient on serviced volunteer's hospice. Chonnam J Nurs Sci 2004;9:51-66.
  24. Kawk SY. Development of hospice nursing service satisfaction scale for hospice units [master's thesis]. Deagu: Keimying Univ.; 2008. Korean.
  25. Kim BH, Park HO. Comparison in spiritual well-being and quality of life between hospital and home hospice patients. J Korean Acad Community Health Nurs 2013;24:292-301. https://doi.org/10.12799/jkachn.2013.24.3.292
  26. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 2009;41:1149-60. https://doi.org/10.3758/BRM.41.4.1149
  27. Suhonen R, Papastavrou E, Efstathiou G, Tsangari H, Jarosova D, Leino-Kilpi H, et al. Patient satisfaction as an outcome of individualised nursing care. Scand J Caring Sci 2012;26:372-80. https://doi.org/10.1111/j.1471-6712.2011.00943.x
  28. Bae MH. A study on nursing needs and satisfaction of inpatients [master's thesis]. Chuncheon: Hallym Univ.; 2007. Korean.
  29. Choi EJ. A study on nursing needs and satisfaction of elderly inpatients [master's thesis]. Seoul: Hanyang Univ.; 2007. Korean.
  30. Kim KB, Lee HK, Sok SH. Activities of daily living and nursing needs of the elderly in nursing home. J Korean Acad Community Health Nurs 2009;20:1-11.
  31. Jo KW, An GJ, Kim GM, Kim YJ. Predictive factors for city dwellers' attitudes toward death with dignity. Korean J Hosp Palliat Care 2012;15:193-204.
  32. Yoon SK. Burden, social support and quality of life of the family caregivers of hemodialysis patients [master's thesis]. Seoul: Hanyang Univ.; 2014. Korean.

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