Outcome evaluation of introducing the Japanese version of the Liverpool Care Pathway for patients with cancer in a general ward
10.2512/jspm.10.315
- VernacularTitle:Liverpool Care Pathway 日本語版による一般病棟でのがん患者の看取りのケアの質の向上に関する検討
- Author:
Takaaki Hasegawa
;
Mio Taguchi
;
Nanori Kuzuya
;
Yasuyuki Sugiyama
- Publication Type:Journal Article
- Keywords:
Liverpool Care Pathway;
general ward;
care of dying;
palliative care
- From:Palliative Care Research
2015;10(4):315-320
- CountryJapan
- Language:Japanese
-
Abstract:
This study sought to determine whether the Japanese version of the Liverpool Care Pathway （LCP-J） could improve nurses’ practice in dying-phase and difficulties with palliative care in a general ward. Between July 2014 and June 2015, LCP-J intervention and educational program for nurse were introduced in a general ward. The primary aims of this study were to clarify the changes in self-reported practice and difficulties of nurse before and after the interventions. Self-reported practice and difficulties were measured using Palliative Care Self-Reported Practice Scale （PCPS） and Palliative Care Difficulty Scale （PCDS）, respectively. The secondary aim was to clarify the defference in treatment, care and examination within last 48 hours between LCP-J patients and non-LCP-J patients. We obtained 21 responses in pre-intervention and 22 responses in post-intervention surveys from eligible nurses. Significant improvements were noted on domain of dying-phase care in PCPS and domain of alleviation of symptom in PCDS （3.00±1.16 versus 3.52±0.61 [p=0.042], 3.56±0.78 versus 3.10±0.63 [p=0.015], respectively）. LCP-J was used for 9 dying cancer patients （40%）, and no significant difference in treatment and examination within last 48 hours between LCP-J patients and non-LCP-J patients. LCP-J in general ward may improve nurses’ practice in dying-phase and difficulties with alleviation of symptom. In addition, considering the burden of LCP-J, to develop a useful checklist and educational interventions for dying patients is promising.
