A Comparison of Nursing Interventions with Terminal Cancer Patients in a Hospice Unit and General Units.
- Author:
You Ja RO
1
;
Sung Sook HAN
;
Jin Sun YONG
;
Min Sun SONG
;
Jin Ui HONG
Author Information
1. College of Nursing, The Catholic University of Korea.
- Publication Type:Original Article
- Keywords:
Terminal Cancer Patient;
Hospice;
Nursing Intervention Classification (NIC)
- MeSH:
Constipation;
Dysuria;
Hospice Care;
Hospices*;
Humans;
Medical Records;
Nursing*;
Pain Management;
Pruritus;
Resuscitation;
Sensation;
Seoul
- From:Journal of Korean Academy of Adult Nursing
2002;14(4):543-553
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of the study was to compare symptoms, medical therapies, and nursing interventions with terminal cancer patients during the last four weeks of their lives in a hospice unit and general units. METHOD: For the descriptive survey study, data were collected by reviewing the medical records of 243 patients who died of terminal cancer at K hospital in Seoul. The data was analyzed by using Chi-square test and t-test. RESULT: The study findings are summarized as follows: There were higher frequencies in physical symptoms of constipation, itching sensation, pain, sleeping disturbance, soreness and dysuria for those patients in the hospice unit than those patient in general units. All emotional symptoms were recorded significantly higher for those patients in the hospice unit than those in general units. Regarding the major medical interventions, pain management was used more significantly for those patients in the hospice unit, but antibiotic therapy and resuscitation were used more significantly for those patients in general units. CONCLUSION: The hospice unit provided more comprehensive nursing interventions including psychological, spiritual, and family cares as well as physiological care for terminal cancer patients. The facts showed that those patients who would need hospice care in general units should be referred to the hospice unit at an appropriate time.
