The Factors Associated with a Support for Their Understanding of Prognosis by Visiting Nurses of Patients with End-stage Cancer

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  • 訪問看護師が終末期がん患者へ予後理解を促す支援をすることの関連要因

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<p>Purpose: We aimed to clarify the factors associated with the support for their understanding of prognosis by visiting nurses of patients with end-stage cancer likely involves a patient’s wish to die in a desired place. Methods: A cross-sectional nationwide anonymous questionnaire survey was conducted among visiting nurses at 1000 randomly selected home care agencies. Results: Three hundred seventy-four surveys were analyzed. An explanation of the prognosis with regard to daily life was provided to 27.8% of patients. Factors associated with the support given by nurses included notifying patients of a limited prognosis (odds ratio [OR], 3.22; 95% confidence interval [95%CI], 1.81-5.73), recognition of the support by the nurse (OR, 2.12; 95%CI, 1.02-4.43), nurses’ recognition of the patients’ need for a support (OR, 1.54; 95%CI, 1.08-2.21), and having experience in providing home care for at least five patients with end-stage cancer per year (OR, 1.78; 95%CI, 1.04-3.05). Conclusions: The findings suggested that promoting the aforementioned four items is necessary to allow patients their wish to die in a desired place and for visiting nurses to support for their understanding of prognosis.</p>

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