Paper: Comparison of Needs by End-of-Life Care Stage in Home Care Cancer Patients (20th International Nursing Research Congress Focusing on Evidence-Based Practice)

Tuesday, 14 July 2009

Soon-Lae Kim, RN, MPH, PhD¹
Setsu Shimanouchi, RN, PhD²
Junko Minai, RN, PhD³
Yang-Sook Yoo, RN, PhD¹
Soo-Jin Yoon, RN, MN⁴
Masako Tomita, RN, PhD²
Yuki Yamao, RN, PhD⁵
Sachiyo Yoshida, MA²
1School of Nursing, The Catholic University of Korea, Seoul, South Korea
2School of Nursing, International University of Health and Welfare, Odawara, Japan
3Department of Older People Nursing, International University of Health and Welfare, Odawara, Japan
4Palliative Care Center, Mohyun Hospice, Pocheon-si, South Korea
5Department of Home Care nursing, International University of Health and Welfare, Odawara, Japan

Learning Objective 1: The learner will be able to compare the need by end-of-life care stage in homecare patients between korea and Japan

Learning Objective 2: The learner will be able to identify priority areas of care by end-of-life care stage in homecare patients between korea and Japan

Purpose:

To compare patient background and need by end-of-life care stage in home care patients between Korea and Japan, and to identify priority areas of care.

Methods:

Subjects of this study were adults/elder persons over 40 who received home care services by visiting nurses of home care centers/stations and died at home during a period of January to December, 2006. Visiting nurses completed the questionnaire on needs by care stage. Care period was classified into 1) Introductory stage (7days) and 2) near death stage (7days) as 3) stable stage. Subjects for analysis were those who received home care services over all these stages and died at home: 120cases in Korea and 119 cases in Japan.

Results:

1) Mean age: 67.6 years old in Korea, and 75.3 years old in Japan (P<0.0001). 2) Rate of telling diagnosis was 84% in Korea and 71% in Japan (P<0.0001). 3) Cognitive disorder: 14% in Korea, 32% in Japan. 4. Median of home care period: 66 days in Korea, and 44 days in Japan (P<.0001). ¥±. Mean Need Rate: There were 77% in introductory stage, 78.5% in stable and 70.6% in near death in Korea, and 67.5%, 64.2%, 64.7% in Japan in large category. In Korea, pain control was the highest in every stage in middle category. The second was family caregiving capacity/health problem, coordination among relatives (81%-93%) and psychological burden of patient and family in introductory and stable stages (92%-93%). In Japan, caregiving capacity/health problem in every stage (80%-93%), pain control (80%-86%), and psychological burden of patient and family (76%-80%) were high.

Conclusion:

1.Telling diagnosis and prognosis rate and needs rate were high in Korea. 2. In two countries, high rate of needs in each stage were pain control, family caregiving capacity/health problem, and psychological burden. These needs are especially important.

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