Effectiveness of Home Visiting Program on Care Outcomes and Satisfaction of Palliative Care Patients at At Samart Hospital, Roi Et Province

Abstract

Purposes: This study aims to compare the levels of symptom-related suffering and care outcomes among end-of-life patients receiving palliative care, and to assess caregiver satisfaction with the provided care.

Study Design: Quasi-experimental research with one group, Pre and Post-test.

Materials and Methods: The research was conducted in a group of palliative care patients who were referred to receive home palliative care services in the Aj Samart Hospital network, totaling 34 patients and 34 primary caregivers, both female and male, aged 20 years and over, residing in At Samart District, Roi Et Province. Data were collected between November 2024 and March 2025. Data were collected using questionnaires, data recording forms, and home palliative care programs. Data were analyzed using descriptive statistics, including frequency distribution, percentage, mean, and standard deviation, and Paired t-test.

Main finding: After participating in the home visiting program, patients receiving palliative care had a statistically significant difference in the mean score of overall distress from disturbing symptoms and the mean score of overall care outcomes (p < .001), and the satisfaction was at the highest level (Mean = 4.87, SD. = 0.14).

Conclusion and recommendations: The use of the home visiting program among palliative care patients and caregivers reduced distress from disturbing symptoms of patients, increased care outcomes, and satisfaction of caregivers. The quality of life of palliative care patients and caregivers' stress levels should be assessed.