安寧共同照護介入對非安寧病房之癌症末期病人及其家屬之照護成效探討

The Effect of Hospice-Shared Care on Cancer Terminal Patients and Families in Non-Hospice Ward

李英芬(In-Fun Li) ； 李佩怡(Pei-Yi Lee) ； 劉景萍(Ching-Ping Liu) ； 任珮君(Pei-Jun Ren) ； 謝瑞坤(Ruey-Kuen Hsieh) ； 蔡麗雲(Li-Yun Tsai)

《馬偕護理雜誌》 6卷2期 (2012/07) Pp. 14-27

https://doi.org/10.29415/JMKN.201207_6(2).0002

摘要

Hospice-shared care is a method which has been promoting hospice palliative care in non-hospice ward. The government has been promoting palliative care for cancer terminal patients and families in general ward. The study explored the effectiveness of Hospice-shared care on improving patient' symptom distress, the level of anxiety and depression, and the level of anxiety and depression of family. 36 dyads cancer terminal patients and families in non-hospice ward of medical center in north Taiwan were recruited in the quasi-experimental study. Demographic data, Self-perceived symptom distress scale and Hospital Anxiety and Depression Scale were used for data collection and analysis. The interval between two collections is two weeks. There were significant reduction in Patients' symptom distress, anxiety, and depression but the experimental group's depression level was lower than control group's(p＜.05) and families' anxiety of experimental group also decreased(p=.019). Depression levels increased in both groups but control group's depression level was significantly higher than experimental group's (p=.002). The major finding revealed the positive effect of hospice-shared care can improve patients' physical distress, anxiety and depression degree, also in families' anxiety. Hospice-shared care team can help terminal cancer patients and their families in non-hospice ward.

關鍵字

安寧共同照護 ； 自覺身體症狀困擾 ； 焦慮 ； 憂鬱

並列摘要

Hospice-shared care is a method which has been promoting hospice palliative care in non-hospice ward. The government has been promoting palliative care for cancer terminal patients and families in general ward. The study explored the effectiveness of Hospice-shared care on improving patient' symptom distress, the level of anxiety and depression, and the level of anxiety and depression of family. 36 dyads cancer terminal patients and families in non-hospice ward of medical center in north Taiwan were recruited in the quasi-experimental study. Demographic data, Self-perceived symptom distress scale and Hospital Anxiety and Depression Scale were used for data collection and analysis. The interval between two collections is two weeks. There were significant reduction in Patients' symptom distress, anxiety, and depression but the experimental group's depression level was lower than control group's(p＜.05) and families' anxiety of experimental group also decreased(p=.019). Depression levels increased in both groups but control group's depression level was significantly higher than experimental group's (p=.002). The major finding revealed the positive effect of hospice-shared care can improve patients' physical distress, anxiety and depression degree, also in families' anxiety. Hospice-shared care team can help terminal cancer patients and their families in non-hospice ward.

並列關鍵字

Hospice-shared care ； self-perceived physical symptom distress ； anxiety ； depression