Physical and Psychospiritual Care Need by End-of-life Stages among Non-cancer Patient at Home: Based on the Importance and Difficulty of Care Need

Jong-Eun Lee; Soon-Lae Kim

doi:10.12799/jkachn.2012.23.2.127

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Lee and Kim: Physical and Psychospiritual Care Need by End-of-life Stages among Non-cancer Patient at Home: Based on the Importance and Difficulty of Care Need

Original Article

Journal of Korean Academy of Community Health Nursing

Journal of Korean Academy of Community Health Nursing 2012; 23(2): 127-133.

Published online: 30 June 2012

DOI: https://doi.org/10.12799/jkachn.2012.23.2.127

Physical and Psychospiritual Care Need by End-of-life Stages among Non-cancer Patient at Home: Based on the Importance and Difficulty of Care Need

Jong-Eun Lee¹, Soon-Lae Kim²

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

²Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

Corresponding author: Kim, Soon-Lae. College of Nursing, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-701, Korea. Tel: +82-2-2258-7404, Fax: +82-2-2258-7772, slkim@catholic.ac.kr

Received 27 February 2012 Accepted 14 June 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was conducted to assess needs at each end-of-life care stage and to analyze importance and difficulty of care needs for home care nursing among non-cancer patients.

Methods

We used a retrospective design. Total eligible patients were 117 at the ages of 40 and over, who continuously received home care nursing throughout beginning, stable, and near death stages, and finally died at home from January 1, 2006 to December 31, 2006. Descriptive statistics, Cochran's Q test, Friedman's test were used for data analysis.

Results

In the area of physical care, the care need for 'assistance for activities in daily life' was significantly highest in the beginning stage. The care need for 'aggravation or adverse changes in physical symptoms' was significantly increased in the near death stage. In the area of psychospiritual care, 'family's psychological burden' was revealed as having the highest rate of care needs in the every stage.

Conclusion

Future intervention should consider assessing care needs in end-of-life care for non-cancer patients who are provided with home care nursing.

Keywords: End of life care, Home care, Needs assessment

Figures and Tables

Table 1

Needs for Physical and Psychospiritual Care by Stages (N=117)

Table 2

Importance of Physical and Psychospiritual Care by Stages (N=117)

Table 3

Difficulty of Physical and Psychospiritual Care by Stages (N=117)

Notes

The author (s) wish (es) to acknowledge the financial support of the Catholic Medical Center Research Foundation made in the program year of 2009.

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