A component analysis of palliative care for stroke patient
Keywords:palliative care, stroke patients, factor analysis
The objective of this research was to describe factors and specific items identifying palliative care for Thai stroke patients. The sample consisted of 378 Thai nurses caring stroke patients for at least 2 years. They were asked to respond to the questionnaire representing palliative care domains. The questionnaire was developed by the researchers based on an integrative literature review and interviewing 18 experts who were specialized in caring for stroke patients and palliative care using Delphi technique. Reliability of the questionnaire tested by Cronbach alpha was 0.95. Data were analyzed using a Principle Component Factor Analysis with an Orthogonal Varimax Rotation. The result was that factors of palliative care for stroke patients consisted of 11 components, identified by 81 items, with 64.28 percent of total variance: 1) End of life care consisted of 10 items, explained the variance best, 9.58% 2) Participation and determination of care objective consisted of 12 items, explained the variance 8.88% 3) Coping with pain and spasticity symptom consisted of 11 items,
explained the variance 8.55% 4) Referring and palliative care system also consisted of 11 items with 7.69% of variance 5) Psychological and emotional care consisted of 9 items, with 7.39% of variance 6) Spiritual care consisted of 7 items, with 5.74% variance 7) Physical change after stroke consisted of 6 items with 5.26% of variance 8) Effective information consisted of 5 items, with 3.96% of variance 9) Facility and service consisted of 4 items, with 3.68% of variance 10) Preventing from pressure sore consisted of 3 items, with 3.35% of variance and 11) Care of stroke patients with communication disability consisted of 3 items, with 2.32% of variance. Research results also show the important factor and items in palliative care for stroke patients. Which can be used as data for the care management, developing health service systems and research development such as to create quality guidelines and service system for stroke patient’s care.
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