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A Discussion of the Requirement of Patient Satisfaction of the Palliative and Hospice Care

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Objectives: The objectives of this discussion were to analyze the symptoms that the terminal patients and the families most worry about, and to study the relationship between the medical team support and the need of the patients' families on the symptom management. This discussion also analyzed the relative critical factors and elements of the satisfaction of the palliative and hospice care. Material and Method: Subjects recruited were the families of the Hospice and Palliative Care patients who had died more than one month of a central Taiwan teaching hospital. Base on the purposive sampling from January, 2012 to October, 2012, use a questionnaire survey, FAMILY EVALUATION OF HOSPICE CARE, of the National Hospice and Palliative Care Organization (NHPCO). Out of 42 subjects, 33 completed the survey (78.57%). Results: The caregivers thought that the most in need of the terminal patients is the pain control, and secondly the physical care, and thirdly the breathing relief, and then supporting of the anxious mood. The caregivers score 9 at the sections of Patient Autonomy, Doctor-Patient Communication, and Good Ending. But the sections of Symptom Control and Mental support need to put more effort into. The relation between primary caregivers and patients made a big difference in the sections of Patient Autonomy and Good Ending. And the physical care made a difference in the section Patient Autonomy too (p≦0.05). The relation between primary caregivers and patients, and the quality of the hospital team physical care exert an influence of the satisfaction on the sections of Patient Autonomy and Good Ending. Conclusion: The patient's satisfaction depends on the care quality of the primary caregiver providing. The relation between the primary caregiver and the patient has an influence on the satisfaction and good ending.

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