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Park, Yoo, Choi, Park, and Kim: Development and Evaluation of 「Hospice Smart Patient」 Service Program
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2011; 41(1): 9-17.

Published online: 28 February 2011

DOI: https://doi.org/10.4040/jkan.2011.41.1.9

Development and Evaluation of 「Hospice Smart Patient」 Service Program

Chai-Soon Park1, Yang-Sook Yoo1, Dong-Won Choi2, Hyun-Jeong Park3, Ji-In Kim4

1Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

2Assistant Professor, Red Cross College of Nursing, Seoul, Korea.

3Full-time Instructor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

4Research Assistant, Institute for Hospice/Palliative Care, The Catholic University of Korea, Seoul, Korea.

Address reprint requests to: Choi, Dong-Won. Red Cross College of Nursing, 98 Saemunan-gil, Jongno-gu, Seoul 110-102, Korea. Tel: +82-2-3700-3684, Fax: +82-2-3700-3400, dionia21@redcross.ac.kr

Received 14 June 2010       Accepted 25 February 2011

© 2011 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to develop and implement the Hospice Smart Patient Program and to evaluate its effectiveness.

Methods

It was quasi-experimental non-equivalent pre-post study. Breast cancer patients who underwent surgery, chemotherapy or radiotherapy, or who needed palliative care, participated in the study. Participants were divided into two groups, experimental and control groups based on their preferences. The program was developed after literature review and discussion among experts on hospice and palliative care. Participants who were in the experimental group received either face-to-face or phone 「Hospice Smart Patient」 Service at least once a week for 5 months.

Results

There was a significant difference in quality of life and communication skill between the two groups after the service was provided. In addition, participants in experimental group showed improved decision making skills, mastery sense, and understanding of hospice and palliative care, which would be beneficial in improving their quality of life.

Conclusion

We have concluded that the 「Hospice Smart Patient」 Program is useful for cancer patients in decision making, improving self-control and choosing hospice care to improve their quality of life.

Keywords: Hospices, Breast neoplasms, Quality of life, Communication

Figures and Tables

Table 1
The Contents for Smart Patients Service Program
jkan-41-9-i001
Table 2
Contents of Guidebook, Handbook and Communication Guidelines
jkan-41-9-i002
Table 3
Individual Characteristics and Homogeneity Test
jkan-41-9-i003

*Fisher's exact test.

Table 4
Differences between Experimental and Control Groups
jkan-41-9-i004

Exp.=Experimental group (n=20); Cont.=Control group (n=20); QOL=Quality of life.

Table 5
Service Evaluation
jkan-41-9-i005

Notes

This study was supported by a grant from the National R&D Program for Cancer Control, Ministry for Health, Welfare and Family affairs, Republic of Korea (0720360).

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