首页 > 最新文献

Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care最新文献

英文 中文
Reliability and Validity of an Instrument Assessing Spiritual Needs of Families of Terminal Cancer Patients 晚期癌症患者家属精神需求评估工具的信度与效度
Kyung-Ah Kang, Youngsim Choi, and Yejean Kim
Purpose: The purpose of this study was to test the reliability and validity of an instrument that measures spiritual needs of families of terminal cancer patients. Methods: This methodological study was processed as follows: 1) The preliminary 26 items were developed based a conceptual framework of spiritual needs of families of patients with cancer. 2) The content was validated by an expert panel (Three nursing professors and five hospice nursing specialists). 3) The instrument was validated by a survey (n=111). 4) Twenty-six items were selected and used for the final version of the scale. Results: Three factors were extracted through factor analysis: ‘relationship with God/Acceptance of dying’, ‘recovery of relationship/hope and peace’, and ‘meaning and purpose of life’. These factors explained 61.088% of the total variance. Cronbach’s alpha and Guttman split-half coefficient of the 26 items were 0.944 and 0.826 respectively. Conclusion: This scale was identified as a valid and reliable tool. Therefore, the scale is useful in assessing spiritual needs of families of terminal cancer patients in the field of hospice and palliative care.
目的:本研究的目的是检验一种测量晚期癌症患者家属精神需求的工具的信度和效度。方法:本方法学研究的处理方法如下:1)基于癌症患者家属精神需求的概念框架,编制初步的26个项目。2)内容由专家小组(3名护理学教授和5名安宁疗护专家)验证。3)通过问卷调查(n=111)对仪器进行了验证。4)选择了26个项目用于最终版本的量表。结果:通过因子分析提取出“与上帝的关系/接受死亡”、“关系的恢复/希望与安宁”、“生命的意义与目的”三个因素。这些因素解释了总方差的61.088%。26个条目的Cronbach’s alpha和Guttman劈裂系数分别为0.944和0.826。结论:该量表是一种有效、可靠的工具。因此,本量表可用于评估癌症末期病人家属在安宁疗护及缓和疗护方面的精神需求。
{"title":"Reliability and Validity of an Instrument Assessing Spiritual Needs of Families of Terminal Cancer Patients","authors":"Kyung-Ah Kang, Youngsim Choi, and Yejean Kim","doi":"10.14475/KJHPC.2018.21.4.144","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.4.144","url":null,"abstract":"Purpose: The purpose of this study was to test the reliability and validity of an instrument that measures spiritual needs of families of terminal cancer patients. Methods: This methodological study was processed as follows: 1) The preliminary 26 items were developed based a conceptual framework of spiritual needs of families of patients with cancer. 2) The content was validated by an expert panel (Three nursing professors and five hospice nursing specialists). 3) The instrument was validated by a survey (n=111). 4) Twenty-six items were selected and used for the final version of the scale. Results: Three factors were extracted through factor analysis: ‘relationship with God/Acceptance of dying’, ‘recovery of relationship/hope and peace’, and ‘meaning and purpose of life’. These factors explained 61.088% of the total variance. Cronbach’s alpha and Guttman split-half coefficient of the 26 items were 0.944 and 0.826 respectively. Conclusion: This scale was identified as a valid and reliable tool. Therefore, the scale is useful in assessing spiritual needs of families of terminal cancer patients in the field of hospice and palliative care.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"77 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87892450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Factors Influencing Withdrawal of Life-Sustaining Treatment in Tertiary General Hospital Workers -Knowledge and Attitude of Organ Donation and Transplantation, Awareness of Death, Knowledge and Perception of Hospice Palliative Care- 影响三级综合医院职工退出维持生命治疗的因素——器官捐献与移植知识与态度、死亡意识、安宁疗护知识与认知
N. Je, J. Hwa
Purpose: This descriptive study was conducted to examine factors that affect hospital workers in their decision to withdraw from life-sustaining treatment, such as knowledge, attitude, and perception of organ donation, transplantation, death and hospice palliative care. Methods: A questionnaire was completed by 228 workers of a tertiary general hospital, and data were analyzed using t-test, ANOVA, and Pearson’s correlation by using SPSS 21.0. Results: The subjects’ knowledge of biomedical ethics awareness differed by age, education level, occupation, affiliated department, and biomedical ethics education. Their knowledge of brain death, organ donation and transplantation was positively correlated with attitudes toward tissue donation and transplantation, knowledge of hospice palliative care, and perception of hospice palliative care. Their attitudes toward tissue donation and transplantation were significantly correlated with knowledge of hospice palliative care, perception of hospice palliative care, and withdrawal of life-sustaining treatment. Their awareness of death was significantly correlated with knowledge of hospice palliative care, perception of hospice palliative care and withdrawal of life-sustaining treatment. The perception of hospice palliative care was significantly correlated with withdrawal of life-sustaining treatment. Factors associated with their withdrawal of life-sustaining treatment were work at the hospice ward (32.5%), attitudes toward tissue donation and transplantation and perception of hospice palliative care. Conclusion: This study has shown that work at the hospice ward, attitudes toward tissue donation and transplantation and perception of hospice palliative care were related to attitudes toward withdrawal of life-sustaining treatment. More research is needed to further develop various curriculums based on biomedical methods.
{"title":"Factors Influencing Withdrawal of Life-Sustaining Treatment in Tertiary General Hospital Workers -Knowledge and Attitude of Organ Donation and Transplantation, Awareness of Death, Knowledge and Perception of Hospice Palliative Care-","authors":"N. Je, J. Hwa","doi":"10.14475/KJHPC.2018.21.3.92","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.3.92","url":null,"abstract":"Purpose: This descriptive study was conducted to examine factors that affect hospital workers in their decision to withdraw from life-sustaining treatment, such as knowledge, attitude, and perception of organ donation, transplantation, death and hospice palliative care. Methods: A questionnaire was completed by 228 workers of a tertiary general hospital, and data were analyzed using t-test, ANOVA, and Pearson’s correlation by using SPSS 21.0. Results: The subjects’ knowledge of biomedical ethics awareness differed by age, education level, occupation, affiliated department, and biomedical ethics education. Their knowledge of brain death, organ donation and transplantation was positively correlated with attitudes toward tissue donation and transplantation, knowledge of hospice palliative care, and perception of hospice palliative care. Their attitudes toward tissue donation and transplantation were significantly correlated with knowledge of hospice palliative care, perception of hospice palliative care, and withdrawal of life-sustaining treatment. Their awareness of death was significantly correlated with knowledge of hospice palliative care, perception of hospice palliative care and withdrawal of life-sustaining treatment. The perception of hospice palliative care was significantly correlated with withdrawal of life-sustaining treatment. Factors associated with their withdrawal of life-sustaining treatment were work at the hospice ward (32.5%), attitudes toward tissue donation and transplantation and perception of hospice palliative care. Conclusion: This study has shown that work at the hospice ward, attitudes toward tissue donation and transplantation and perception of hospice palliative care were related to attitudes toward withdrawal of life-sustaining treatment. More research is needed to further develop various curriculums based on biomedical methods.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"63 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79276625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Treatment of Patients with Cancer in a Secondary Hospital in Korea 韩国某二级医院癌症患者的治疗
M. Son
Purpose: This study aims to investigate treatment of cancer patients at a secondary hospital. Methods: A retrospective analysis was performed with electronic medical records of cancer patients admitted to a secondary hospital from January 1, 2009 through September 31, 2017. Results: A total of 223 patients were studied. Sixty-nine patients were hospitalized for supportive care after receiving a surgery, chemotherapy, and radiotherapy at a tertiary hospital, 58 patients for other supportive care, 53 patients for symptom control, 16 patients with a decision not to take active cancer treatment, and 27 patients for treatment of cancer that was diagnosed during their hospital stay. Among 75 patients who were discharged to other institutions, 50 were transferred to tertiary hospitals, 10 to long-term care hospitals, eight to hospice hospitals, four to nursing homes and two to secondary hospitals. Comorbidities were found in 120 patients (53.8%). For patients who consulted with more than one department, more consultations were for non-cancer diseases than cancer. Seventy-three patients had a do-not-resuscitate order. Conclusion: For treatment of cancer patients, it is needed to establish a cooperation system among medical institutions and provide comprehensive management including treatment of comorbidities.
目的:了解某二级医院肿瘤患者的治疗情况。方法:对2009年1月1日至2017年9月31日在某二级医院住院的癌症患者电子病历进行回顾性分析。结果:共纳入223例患者。69例患者在三级医院接受手术、化疗和放疗后住院接受支持性治疗,58例患者接受其他支持性治疗,53例患者接受症状控制,16例患者决定不采取积极的癌症治疗,27例患者接受住院期间诊断出的癌症治疗。在75名出院到其他机构的病人中,有50人转到三级医院,10人转到长期护理医院,8人转到临终关怀医院,4人转到疗养院,2人转到二级医院。合并症120例(53.8%)。在咨询多个科室的患者中,非癌症疾病的咨询多于癌症疾病。73名患者被下达了不进行复苏的命令。结论:对于癌症患者的治疗,需要建立医疗机构间的合作体系,提供包括合并症治疗在内的综合管理。
{"title":"Treatment of Patients with Cancer in a Secondary Hospital in Korea","authors":"M. Son","doi":"10.14475/kjhpc.2018.21.3.84","DOIUrl":"https://doi.org/10.14475/kjhpc.2018.21.3.84","url":null,"abstract":"Purpose: This study aims to investigate treatment of cancer patients at a secondary hospital. Methods: A retrospective analysis was performed with electronic medical records of cancer patients admitted to a secondary hospital from January 1, 2009 through September 31, 2017. Results: A total of 223 patients were studied. Sixty-nine patients were hospitalized for supportive care after receiving a surgery, chemotherapy, and radiotherapy at a tertiary hospital, 58 patients for other supportive care, 53 patients for symptom control, 16 patients with a decision not to take active cancer treatment, and 27 patients for treatment of cancer that was diagnosed during their hospital stay. Among 75 patients who were discharged to other institutions, 50 were transferred to tertiary hospitals, 10 to long-term care hospitals, eight to hospice hospitals, four to nursing homes and two to secondary hospitals. Comorbidities were found in 120 patients (53.8%). For patients who consulted with more than one department, more consultations were for non-cancer diseases than cancer. Seventy-three patients had a do-not-resuscitate order. Conclusion: For treatment of cancer patients, it is needed to establish a cooperation system among medical institutions and provide comprehensive management including treatment of comorbidities.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"1990 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82317743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of Lung Cancer-Related Intractable Hiccups Using Pulsed Radiofrequency: Clinical Experience 脉冲射频治疗肺癌相关顽固性呃逆:临床经验
S. Cho
{"title":"Treatment of Lung Cancer-Related Intractable Hiccups Using Pulsed Radiofrequency: Clinical Experience","authors":"S. Cho","doi":"10.14475/KJHPC.2018.21.3.104","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.3.104","url":null,"abstract":"","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83819666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prediction of Patient Discharge Status Based on Indicators on Admission 基于入院指标的患者出院状态预测
S. Chung, Seunghun Lee, Y. Kim, S. Y. Lee, Jeong-Gyu Lee, Y. Yi, Y. Cho, Y. Tak, H. Hwang, E. Park, and Kyung-Mi Kim
Sung-In Chung, M.D.*, Seung Hun Lee, M.D.*, Yun-Jin Kim, M.D.*, Sang-Yeoup Lee, M.D., Jeong-Gyu Lee, M.D.*, Yu-Hyeon Yi, M.D.*, Young-Hye Cho, M.D., Young-Jin Tak, M.D.*, Hye-Rim Hwang, M.D.*, Eun-Ju Park, M.D. and Kyung-Mi Kim, M.D.* *Department of Family Medicine, Pusan National University Hospital, Busan, Departments of Family Medicine, Medical Education, Pusan National University School of Medicine, Department of Family Medicine, Obesity, Nutrition and Metabolism Clinic, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
郑成仁医学博士*、李承勋医学博士*、金允珍医学博士*、李尚烨医学博士、李正奎医学博士*、李宇贤医学博士*、赵永惠医学博士、德永镇医学博士*、黄惠琳医学博士*、朴恩珠医学博士、金景美医学博士* *釜山釜山国立大学医院家庭医学科、釜山国立大学医学院医学教育家庭医学科、肥胖营养代谢科、釜山国立大学梁山医院生物医学科学技术融合研究所,韩国梁山
{"title":"Prediction of Patient Discharge Status Based on Indicators on Admission","authors":"S. Chung, Seunghun Lee, Y. Kim, S. Y. Lee, Jeong-Gyu Lee, Y. Yi, Y. Cho, Y. Tak, H. Hwang, E. Park, and Kyung-Mi Kim","doi":"10.14475/KJHPC.2018.21.3.75","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.3.75","url":null,"abstract":"Sung-In Chung, M.D.*, Seung Hun Lee, M.D.*, Yun-Jin Kim, M.D.*, Sang-Yeoup Lee, M.D., Jeong-Gyu Lee, M.D.*, Yu-Hyeon Yi, M.D.*, Young-Hye Cho, M.D., Young-Jin Tak, M.D.*, Hye-Rim Hwang, M.D.*, Eun-Ju Park, M.D. and Kyung-Mi Kim, M.D.* *Department of Family Medicine, Pusan National University Hospital, Busan, Departments of Family Medicine, Medical Education, Pusan National University School of Medicine, Department of Family Medicine, Obesity, Nutrition and Metabolism Clinic, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91173253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Impact of a Palliative Care Education Program on Korean Hospice Volunteers: Motivation, Death Anxiety, and Communication with the Dying 缓和疗护教育计划对韩国安宁疗护志工的影响:动机、死亡焦虑及与临终者的沟通
H. Woo, Young-Ran Yeun
목적: 본 연구는 일개 종합병원의 호스피스 자원봉사자들을 대상으로 완화 돌봄 교육 프로그램을 실시하여 호스피스 자원봉사자의 동기, 죽음 불안 및 말기 환자와의 의사소통 불안에 미치는 효과를 파악하고 궁극적으로 호스피스 완화돌봄 서비스의 질 향상을 위한 기초 자료를 제시하고자 시도되었다. 방법: 본 연구의 설...
目的:本研究是一个综合医院临终关怀志愿者为对象实施缓解照顾教育节目,临终关怀志愿者的动机、死亡与不安及晚期患者的沟通对不安的效果最终把握缓解临终关怀照顾,为提高服务质量提供基础资料,尝试了。方法:本研究的春节…
{"title":"Impact of a Palliative Care Education Program on Korean Hospice Volunteers: Motivation, Death Anxiety, and Communication with the Dying","authors":"H. Woo, Young-Ran Yeun","doi":"10.14475/KJHPC.2018.21.2.58","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.2.58","url":null,"abstract":"목적: 본 연구는 일개 종합병원의 호스피스 자원봉사자들을 대상으로 완화 돌봄 교육 프로그램을 실시하여 호스피스 자원봉사자의 동기, 죽음 불안 및 말기 환자와의 의사소통 불안에 미치는 효과를 파악하고 궁극적으로 호스피스 완화돌봄 서비스의 질 향상을 위한 기초 자료를 제시하고자 시도되었다. 방법: 본 연구의 설...","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84479959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Models for Spiritual Care in Hospice and Palliative Care 临终关怀和姑息治疗中的精神关怀模式
Kyung-Ah Kang
영성은 인간의 본질적인 부분으로 말기 환자와 가족의 실제적인 영적요구 충족을 위한 영적돌봄은 HPC에서 가장 중요한 영역이다. 말기환자와 가족의 실제적인 영적요구에 부응하는 돌봄모형을 확인하기 위해 최근 보건의료계에서 가장 많이 사용하는 국 내외 database를 검색하여 분석한 결과, 영성은 전인적 존재인 인간...
灵性是人类本质的部分,为满足晚期患者及其家属的实际精神要求的精神照顾是HPC最重要的领域。为了确认符合晚期患者及其家属实际精神要求的照顾模型,最近搜索保健医疗界最常用的国内外数据库进行了分析,结果发现,灵性是全人类的存在…
{"title":"Models for Spiritual Care in Hospice and Palliative Care","authors":"Kyung-Ah Kang","doi":"10.14475/KJHPC.2018.21.2.41","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.2.41","url":null,"abstract":"영성은 인간의 본질적인 부분으로 말기 환자와 가족의 실제적인 영적요구 충족을 위한 영적돌봄은 HPC에서 가장 중요한 영역이다. 말기환자와 가족의 실제적인 영적요구에 부응하는 돌봄모형을 확인하기 위해 최근 보건의료계에서 가장 많이 사용하는 국 내외 database를 검색하여 분석한 결과, 영성은 전인적 존재인 인간...","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80692709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
End-of-Life Care Practice in Dying Patients with Do-Not-Resuscitate Order: A Single Center Experience 临终关怀实践在垂死病人不复苏的命令:单一中心的经验
S. Yoon, Eun Mi Nam, A. Lee
Purpose: End-of-life (EoL) decisions are challenging and multifaceted for patients and physicians. This study was aimed to explore how EoL care is practiced for patients with a do-not-resuscitate (DNR) order. Methods: We retrospectively analyzed medical records of patients who died after agreeing to a DNR order in 2016 at a university hospital. Characteristics including cause of death, intensity of EoL care, and other factors were reviewed and statistically analyzed. Results: Of total 375 patients, 170 patients (45.3%) died with malig-nancies, and 205 patients (54.6%) with other causes involving the central nervous system (19.2%), pulmonary (14.7%), cardiologic (6.7%) and infectious (6.4%) conditions. Both the cancer and non-cancer patient groups showed a short duration from DNR to death (me-dian 3 days vs 2 days, P=0.629). An intensive care group comprising patients who received one or more intensive treatments such as ventilator (n=205) showed a higher number of non-cancer patients and a shorter duration from DNR to death than a group that withheld treatment before DNR (P < 0.05). Conclusion: EoL decisions were made very late by both cancer and non-cancer patients. About half of the patients did not have cancer, and two-thirds of them decided DNR during intensive treatment. To make a good EoL decision, a shared decision making with patients should be done at an earlier stage.
目的:临终(EoL)的决定是具有挑战性和多方面的病人和医生。本研究旨在探讨如何实施EoL护理的病人不复苏(DNR)命令。方法:回顾性分析2016年某大学医院同意DNR命令后死亡的患者病历。包括死亡原因、EoL护理强度和其他因素的特征进行回顾和统计分析。结果:375例患者中,170例(45.3%)死于恶性肿瘤,205例(54.6%)死于其他原因,包括中枢神经系统(19.2%)、肺部(14.7%)、心脏(6.7%)和感染性疾病(6.4%)。癌症组和非癌症组从DNR到死亡的时间都很短(中位数为3天vs 2天,P=0.629)。在重症监护组中,接受一种或多种强化治疗(如呼吸机)的患者(n=205),非癌症患者的数量和从DNR到死亡的持续时间均高于DNR前停止治疗的患者(P < 0.05)。结论:肿瘤患者和非肿瘤患者的EoL决定都很晚。大约一半的患者没有癌症,其中三分之二的患者在强化治疗期间决定放弃治疗。为了做出一个好的EoL决策,应该在早期与患者共同决策。
{"title":"End-of-Life Care Practice in Dying Patients with Do-Not-Resuscitate Order: A Single Center Experience","authors":"S. Yoon, Eun Mi Nam, A. Lee","doi":"10.14475/KJHPC.2018.21.2.51","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.2.51","url":null,"abstract":"Purpose: End-of-life (EoL) decisions are challenging and multifaceted for patients and physicians. This study was aimed to explore how EoL care is practiced for patients with a do-not-resuscitate (DNR) order. Methods: We retrospectively analyzed medical records of patients who died after agreeing to a DNR order in 2016 at a university hospital. Characteristics including cause of death, intensity of EoL care, and other factors were reviewed and statistically analyzed. Results: Of total 375 patients, 170 patients (45.3%) died with malig-nancies, and 205 patients (54.6%) with other causes involving the central nervous system (19.2%), pulmonary (14.7%), cardiologic (6.7%) and infectious (6.4%) conditions. Both the cancer and non-cancer patient groups showed a short duration from DNR to death (me-dian 3 days vs 2 days, P=0.629). An intensive care group comprising patients who received one or more intensive treatments such as ventilator (n=205) showed a higher number of non-cancer patients and a shorter duration from DNR to death than a group that withheld treatment before DNR (P < 0.05). Conclusion: EoL decisions were made very late by both cancer and non-cancer patients. About half of the patients did not have cancer, and two-thirds of them decided DNR during intensive treatment. To make a good EoL decision, a shared decision making with patients should be done at an earlier stage.","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89310194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Hospice-Palliative Care Nurses’ Knowledge of Delirium, Self-Efficacy and Nursing Performance on Delirium 安宁疗护护士谵妄知识、自我效能感与谵妄护理绩效
B. Jang, H. Yeom
Purpose: The aim of this study is to examine the relationships among hospice-palliative care (HPC) nurses’ knowledge of delirium, self-efficacy and nursing performance. Meth-ods: This study was participated by 174 nurses working in the HPC unit. The nurses were asked to fill out a questionnaire that was structured to measure their knowledge of delirium, a self-efficacy in clinical performance scale (SECPS) and nursing performance. Results: The mean score for knowledge was 32.83 out of 45, with correction rate of 73%. The mean score for self-efficacy was 7.08 out of 10. The mean score of nursing performance was 2.95 out of 4. Significant correlation was observed among the variables of knowledge (r=0.28, P < 0.001), self-efficacy (r=0.51, P<0.001) and nursing performance. Conclusion: Nurses with high level of knowledge of delirium showed high level of self-efficacy, and consequently better HPC nursing performance. It is necessary to develop a training program on delirium considering nurses’ needs of knowledge of the condition. The effectiveness of the training program should be also examined in future. Self efficacy, Nursing performance
摘要目的:本研究旨在探讨安宁疗护护士谵妄知识、自我效能感与护理绩效的关系。方法:对174名在HPC病房工作的护士进行调查。护士被要求填写一份调查问卷,以测量他们的谵妄知识,临床表现自我效能量表(SECPS)和护理表现。结果:知识平均得分为32.83分(总分45分),正确率为73%。自我效能的平均得分为7.08分(满分为10分)。护理表现平均得分2.95分(满分4分)。知识(r=0.28, P<0.001)、自我效能感(r=0.51, P<0.001)与护理绩效之间存在显著相关。结论:谵妄知识水平越高的护士自我效能感越高,其HPC护理绩效越好。考虑到护士对谵妄的知识需求,有必要制定谵妄的培训计划。培训计划的有效性也应在未来进行审查。自我效能,护理表现
{"title":"Hospice-Palliative Care Nurses’ Knowledge of Delirium, Self-Efficacy and Nursing Performance on Delirium","authors":"B. Jang, H. Yeom","doi":"10.14475/KJHPC.2018.21.2.65","DOIUrl":"https://doi.org/10.14475/KJHPC.2018.21.2.65","url":null,"abstract":"Purpose: The aim of this study is to examine the relationships among hospice-palliative care (HPC) nurses’ knowledge of delirium, self-efficacy and nursing performance. Meth-ods: This study was participated by 174 nurses working in the HPC unit. The nurses were asked to fill out a questionnaire that was structured to measure their knowledge of delirium, a self-efficacy in clinical performance scale (SECPS) and nursing performance. Results: The mean score for knowledge was 32.83 out of 45, with correction rate of 73%. The mean score for self-efficacy was 7.08 out of 10. The mean score of nursing performance was 2.95 out of 4. Significant correlation was observed among the variables of knowledge (r=0.28, P < 0.001), self-efficacy (r=0.51, P<0.001) and nursing performance. Conclusion: Nurses with high level of knowledge of delirium showed high level of self-efficacy, and consequently better HPC nursing performance. It is necessary to develop a training program on delirium considering nurses’ needs of knowledge of the condition. The effectiveness of the training program should be also examined in future. Self efficacy, Nursing performance","PeriodicalId":73194,"journal":{"name":"Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74031665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
期刊
Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1