The Effect of Caring for End-Stage Cancer Patients from Phonsai Hospital to Community networks.

Abstract

Purpose :  The  purpose  of this study  was evaluate the outcomes   of  a palliative  care for end-Stage  Cancer  patients at Phonsai  Hospital to Community networks.

Design : Cross-sectional  study.

Materials and Methods : Samples were purposively selected. Including  20 hospitalized  patients  with  End-Stage cancer .Tools used  in this  study were  tools  for evaluating the outcome. These  tools  were  validated by 3 experts  working  in palliative care and tested for reliability, The  study was  conducted  from October 2018  to  March 2019. The study instrument  composed  of  the  demographic  questionnaire and 1)Palliative  Performance  Scale(PPS) 2) Edmonton  Symptom  Assessment  System(ESAS) 3) Good  death 4) Satisfaction  questionnaire. Analyze quantitative  data  by  descriptive  statistics.

Main findings: The result of this study majority of  the samples  are  male (60%) ,50%older than 70 years ,Symptomatic  treatment (65%) ,Chemotherapy (25%)and Radiotherapy (10%) the patients  were treated  with Edmonton  Symptom Assessment  System(ESAS) relieve  disturbances 100% : Pain,Fatigue,Dyspnea. Their End-Stage cancer patients  Good death 100%. Humanized care evaluation the overall satisfaction  of  family was 96 %,the  health care providers' satisfaction was also 88% ,Clinical  results Pain  management 95%,Economic results save money no need to come to the  hospital 100%, by multidisciplinary team care patients for end-stage cancer and the referral system from  hospital to community networks.

Conclusion and recommendations: This result of  study  indicated  that developed  palliative  care   for End-Stage  Cancer Patients  from  Phonsai  Hospital to Community networks  increase  positive  outcome of End-Stage  Cancer Patients.Therefore, this  system  should  be  generalized to all  other  settings  in  other  groups.