1.Hospice care for a patient with pancreatic cancer in the end-of-life stage:a case study
Chinese Journal of Nursing 2017;52(6):672-674
This article reported hospice care for a patient with pancreatic cancer in the end-of-life stage. We relieved the patient's pain and other painful symptoms,provided psy-chological counseling and support,respected the patient's wishes and autonomy,and guided family members to ef-fectively participate in end-of-life care. Through the above interventions,we attained the goal that the patient passed away peacefully and their caregivers lived without regrets.
2.Hospice care practice in a patient with terminal colon cancer
Chinese Journal of Modern Nursing 2018;24(31):3746-3748
Objective To summarize the clinical experience of hospice care by providing hospice care to a patient with terminal colon cancer and his family member. Methods Hospice care was provided to a patient with terminal colon cancer based on the concept, knowledge and skills of hospice care to ameliorate pain, constipation and other symptoms in the patient. Spiritual care was provided to the patient by evaluating his spiritual needs, enabling the patient to walk through the last stage of life calmly, comfortably and peacefully. Meanwhile, the patient's family member was guided to deal with loss and sorrow. Results The comprehensive hospice care enabled the patient to die a natural death and say a goodbye peacefully to his family member and helped his family member to get over loss and sorrow. Conclusions The nurses properly used the concept of hospice care in clinical practice, provided physical, psychological, spiritual and social care to the patient and his family member, enabling the patient to work through the last stage of life with comfort, calm and dignity and providing reference for hospice care to be used in clinical practice.
3.Investigation on good death status of terminally ill cancer patients and the influence factor
Hong YANG ; Yuhan LU ; Xiaoting HOU ; Renxiu GUO ; Yun WANG ; Li LIU ; Yirong GU ; Hongyu SUN
Chinese Journal of Modern Nursing 2018;24(31):3731-3736
Objective To explore the good death status of terminally ill cancer patients from the nurses' perspective and identify associated factors. Methods A cross-sectional survey was conducted among the nurses in charge of the patients within 3 months after their death to evaluate the status quo of patients with end-stage cancer from the perspective of nurses, using anonymous questionnaire. Using convenient sampling method, 101 competent nurses from 209 patients with end-stage tumors who died in a hospital from October 2017 to January 2018 were selected. The nurses were investigated with nurses' general information questionnaire, patient information questionnaire and Good Death Inventory (GDI). Single factor analysis, Pearson correlation and multivariate linear regression analysis were used to analyze the influencing factors of good death in patients with end-stage cancer. Results The total score of GDI was (243.00±39.21). Among GDI, the three lowest scores were independence (7.43±4.25), physical and psychological comfort (8.17±4.82), and religious and spiritual comfort (8.53±4.72);while the three highest scores were being respected as an individual (18.32±2.76), good relationship with medical staff (18.23±2.59), and natural death (17.97±3.42). There were significant differences in patients' death status among different departments, medical payment methods, professional training experience of competent nurses and treatment methods within 3 months before death (t=17.351, 2.158, -2.679, -2.993;P<0.05). Pearson correlation analysis showed that nurse working life was positively correlated with the total score of GDI (r=0.953, P<0.01). Regression analysis showed that the factors influencing the good death of patients with end-stage cancer were the department of oncology medicine, the way of treatment and the professional training experience of nurses (P<0.05). Conclusions The overall status of good death of terminally ill cancer patients is poor. To strengthen the palliative care training about the knowledge and skills helps to improve the nursing quality of end-of-life care and achieve the goal of good death.
4.Construction of core theoretical curriculum of hospice care for professional nursing postgraduates
Yiyuan ZHAO ; Yuhan LU ; Yun WANG ; Renxiu GUO ; Hong YANG
Chinese Journal of Modern Nursing 2020;26(19):2631-2635
Objective:To construct the core theoretical curriculum of hospice care for professional nursing postgraduates.Methods:From May to October 2019, totally 24 experts in clinical care, academic associations, clinical medicine and nursing education from 15 affiliations in 7 provinces and cities were selected for correspondence consultation by convenient sampling. After literature review, the consultation questionnaire was designed by according to the opinions of the expert coordination group. Two rounds of Delphi expert consultations with were conducted.Results:The established core theoretical curriculum of hospice care for professional nursing postgraduates included basic courses of nursing, compulsory courses of hospice care and elective courses of hospice care, with a total of 24 courses in 3 modules.Conclusions:The curriculum framework of hospice care for professional nursing postgraduatesprovides a basis for the future development of advanced nursing education for senior nursing care providers.