The Effects of an End-of-life Care Program on The Palliative Care Outcomes and Perceived Peaceful End of Life Among End-stage Cancer Patients
Keywords:
end-stage cancer patients, end-of-life care program, palliative care outcomes, perceived peaceful end of lifeAbstract
This study aimed to examine the effects of an end-of-life care program on the palliative care outcomes and perceived peaceful end of life among end-stage cancer patients. The participants were selected based on inclusion including 32 end-stage cancer patients and 32 family caregivers. The participants received the 1-week end-of-life care program that was developed by the researcher based on the theory of a peaceful end of life of Ruland and Moore. Data were analyzed using paired t–test.
The results showed that, after the intervention completing, the mean score for the palliative care outcomes as perceived by the end-stage cancer patients and that as perceived by the family caregivers decreased with a statistically-significant difference when compared to those at baseline (t = -5.90, p < .001; t = -7.72, p < .001). The mean score for peaceful end of life as perceived by the end-stage cancer patients and that as perceived by the family caregivers increased with a statistically-significant difference when compared to those at baseline (t = 7.90, p < .001; t = 8.79, p < .001). The results of the study indicated that the 1-week end-of-life care program which was developed based on the theory of peaceful end of life by Ruland and Moore cooperating with family caregivers can enhance positive palliative care outcomes and promote the peaceful end of life of end-stage cancer patients. Healthcare providers can implement this program for end-stage cancer patients in other contexts.
References
2. Torre LA, Bray F, Rebecca L, et al. Global cancer statistics, 2012. CA Cancer J Clin, 2015; 65(2), 87-108.
3. Rebecca LS, Kimberly DM, Ahmedin J. Global cancer statistics, 2017. CA Cancer J Clin, 2017; 67(1), 7-30.
4. Imsamran W, Pattatang A, Supaatagorn P, Chiaviriyabunya I, Namthaisong K, Wongsena M, Puttawibul P, Chitapanarux I, Suwanrungruang K, Sangrajrang S, Buasom R. Cancer in Thailand Vol IX 2013-2015. Bangkok: New Thammada Press; 2018.
5. Artsanthia J. Palliative Care in community with the Buddhism traditions. Journal of The Royal Thai Army Nurses, 2013;14(2):9-16. (in Thai).
6. Maneejumnong S, Suntayakorn C, Wannapornsiri C. The Experiences on Holistic care of Caregiver Among End of Life Cancer Patients. Journal of Nursing Science Naresuan University, 2009;3(2).105-116. (in Thai).
7. Onsri P. Role of Nurses toward Taking Care of Patients with the end of life based on Religious Beliefs. Journal of The Royal Thai Army Nurses. 2014;15(2):39-43. (in Thai).
8. Makaraphirom A, Karawanih A. The Effects of the End of Life Care Program on Nurse’ Self Efficacy and Holistic Care for End of Life Patients. J Prapokklao Hosp Clin Med Educat Center. 2015;32(4),348-363. (in Thai).
9. Dobrina R, Tenze M, Palese A. An overview of hospice and palliative care nursing models and theories. Int J Palliat Nurs. 2014; 20(2): 75-81.
10. Al-Mahrezi A, Al-Mandhari Z. Palliative Care: Time for Action. Oman Medical Journal. 2016; 31(3), 161-163.
11. Milintangkul U. Focus: Palliative care. New Forword Journal. 2015; 8(39), 3-5. (in Thai).
12. Boonchalermvipas S. Before Thammasat Hospice and Palliative Care Center. Phatum Thani: Thammasat University; 2016. (in Thai).
13. Unla T. Guidelines for Social Care in Palliative Children Patient. TUH Journal. 2017; 2(2), 28-34. (in Thai).
14. Ruland CM, Moore SM. Theory Construction Based on Standards of Care: A Proposed Theory of the Peaceful End of Life. Nursing Outlook. 1998; 46(4), 169-175.
15. Konsuwan W. Nursing for Critically Ill Patients at the end Stage of Life with Technology. Songkhla: Chanmeang publishing; 2015. (in Thai). 16. Burns N, Grove SK. The practice of nursing research : conduct, critique, and utilization (5th ed.). Missouri: Elsevier; 2005.
17. Polit DF, Beck CT. Nursing research : Principle and methods (7th ed.): Lippincott Williams & Wilkins; 2004.
18. Polit DF, Beck CT. Nursing research : Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott Williams & Wilkins; 2012.
19. Nilmanut K. The end of life care. Songkhla: Orange media; 2012. (in Thai).
20. Cohen J. Power primer. Psychological bulletine. 1992;112(1),155-159.
21. Polit DF, Sherman RE. Statistical Power Nursing Research: Lippincott-Raven Publisher; 1990.
22. Polit DF, Hungler BP. Nursing research: principle and method (6th ed.): Lippincott Williams & Wilkins; 1999.
23. Lemeshow S, Hosmer Jr DW, Klar J, Lwanga SK. Adequacy of Sample Size in Health Studies. n.p.: John Wiley & Sons; 1990.
24. Polit DF, Beck CT. Nursing research : Principle and methods (7th ed.): Lippincott Williams & Wilkins; 2004.
25. Anderson F, Downing GM, Hill J, Casorso L, Lerch N. Palliative performance scale (PPS): a new tool. J Palliat care. 1996 spring; 12(1), 5-11.
26. Ho F, Lau F, Downing GM, Lesperance M. A reliability and validity study of the Palliative Performance Scale. BMC Palliative Care. 2008;7(1).1-10.
27. Chewaskulyong B, Sapinan L, Downing GM, Intaratat P, Lesperance M, Leautrakul S. et al. Reliability and validity of the Thai translation (Thai PPS Adult Suandok) of the Palliative Performance Scale (PPSv2). Palliative med. 2012;26(8),1038-1041.
28. Hearn J, Higginson IJ. Development and validation of a core outcome measure for palliative care outcome scale. Qual Health Care. 1999;8(4), 219-227.
29. Pukrittayakamee P, Sapinun L, Suwan P, Harding R. Validity, Reliability, and Responsiveness of the Thai Palliative Care Outcome Scale Staff and Patient Versions Among Cancer Patients. J Pain Symptom Manage. 2018;56(3), 414-420.
30. Burns N, Grove, SK. The principle of nursing research: Conduct, critique, & utilization. 4th ed. Philadelphia: W.B.Saunders; 2001.
31. Suwan P, Sapinun L, Chipoh T, Wongpalee T, Sangwattanarat W, Pongsathaporn R, et al. The Palliative Care Outcome of Cancer patients At Maharaj NakornChiang Mai Hospital. Nursing Journal. 2017;44(2): 89-103. (in Thai).
32. Promarat C. The result of Home Palliative Care Model development, Ban Hong Health Network, Ban Hong district, Lamphun province. Lanna Public Health Jaunal. 2017;13(1), 25-36. (in Thai).
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