Evaluation of Home Nursing Care for Patients with Terminal Cancer from Perspective of Bereaved Families and Nurses

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  • Ogawa Keiko
    Department of Visiting Nursing Station, Ebina General Hospital
  • Shimanouchi Setsu
    School of Allied Health Sciences, Tokyo Medical and Dental University
  • Kouno Ayumi
    School of Allied Health Sciences, Tokyo Medical and Dental University

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  • 在宅ターミナル期における癌患者の死別後の家族と看護職による訪問看護の評価
  • ザイタク ターミナルキ ニ オケル ガン カンジャ ノ シベツ ゴ ノ カゾク ト カンゴショク ニ ヨル ホウモン カンゴ ノ ヒョウカ

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Abstract

The purpose of this study was to examine home nursing care services related to satisfaction of family and nurse, differences of results between families and nurses, and factors contributing to these differences. Questionnaires were given to 48 bereaved families of patients with terminal cancer and 21 nurses at visiting nursing stations. The subjects of analysis were 47 families (response rate: 97.9%) and 21 nurses. (1) The following home nursing care services were related to family satisfaction: informed consent, relationship of mutual trust, peace at the time of death, acceptance of death, bereavement support, maintain comfort, pain management, medication, emotional family support, and family support for relief of physical fatigue. Nurses reported other services including nutritional assessment, excretion care, and hygiene support in terms of nurse satisfaction. (2) The results of evaluation were different between families and nurses (p<.001). Emergency measure, acceptance of death, and collaboration with health care institutions were the top-three services in consistency between families and nurses while family support for relief of physical fatigue was the lowest. (3) Several factors significantly contributed higher consistency in the results between families and nurses: longer nursing career on acceptance of death, older age of patients on acceptance of death and collaboration with health care institutions, and older age of family members on family support for relief of physical fatigue. This study suggests important care services that we need to pay attention in evaluation of home nursing care for patients with terminal cancer.

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