Effects of organization-related variables on evaluation of palliative care by informal caregivers
10.2512/jspm.9.101
- VernacularTitle:緩和ケア病棟で死亡したがん患者の遺族による緩和ケアの質の評価と施設要因の関連
- Author:
Maho Takeuchi
;
Megumi Shimizu
;
Tatsuya Morita
;
Kazuki Sato
;
Serika Miura
;
Misaki Konnno
;
Kaori Sato
;
Misato Uchiyama
;
Natsuki Takahashi
;
Kana Izumi
;
Satoru Tsuneto
;
Yasuo Shima
;
Mitsunori Miyashita
- Publication Type:Journal Article
- Keywords:
evaluation of palliative care;
organization-related variables;
informal caregiver evaluation
- From:Palliative Care Research
2014;9(4):101-111
- CountryJapan
- Language:Japanese
-
Abstract:
Purpose: The aim of this study was to clarify the factors contributing to the evaluation of perceived care in inpatient palliative care services from the aspect of informal caregiver after their loss of the patient to cancer. Method: A questionnaire was mailed to 9,684 bereaved subjects who had lost family members at one of 103 palliative care units in Japan to evaluate their sociodemographic characteristics and the evaluation of perceived care. An institution survey was performed to collect organization-related variables. The evaluation of perceived care was rated by the Care Evalutaion Scale (CES), the Good Death Inventory (GDI) and single item of overall satisfation. Result: A total of 5,810 responses were analyzed (response rate＝60％). Uni-variate and multivariate analysis was performed to clarify the determinants of each scale. Significant determinants of the score in the evaluation of care identified were: the rate of private room (100％), independent facility, palliative care physician being night-time duty, the number of nurses at night (＞0.1 per bed), sending a letter to every bereaved family, holding a memorial services for every bereaved family and having a religious background. Conclusion: In conclusion, the evaluation of palliative care from the aspect of informal caregiver was influenced by various organization-related variables.
