Analysis of Symptoms and Provided Services in Home-Based Cancer Patients

Woo Jeong Kim; Min Young Kim; Weon Young Chang

doi:10.5388/aon.2013.13.2.67

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Kim, Kim, and Chang: Analysis of Symptoms and Provided Services in Home-Based Cancer Patients

Original Article

Asian Oncology Nursing 2013; 13(2): 67-75.

Published online: 30 June 2013

DOI: https://doi.org/10.5388/aon.2013.13.2.67

Analysis of Symptoms and Provided Services in Home-Based Cancer Patients

Woo Jeong Kim¹, Min Young Kim², Weon Young Chang³

¹Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea.

²College of Nursing, Jeju National University, Jeju, Korea.

³Jeju Regional Cancer Center, Jeju National University Hospital, Jeju, Korea.

Address reprint requests to: Kim, Min Young. College of Nursing, Jeju National University, 102 Jejudaehak-ro, Jeju 690-756, Korea. Tel: +82-64-754-3750, Fax: +82-64-702-2686, musemy2@jejunu.ac.kr

Received 25 February 2013 Accepted 26 June 2013

(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 to identify symptoms and provided services of home-based cancer patients in J province.

Methods

1,350 data poins for 167 home-based cancer patients were analyzed retrospectively. 13 symptoms and 39 service items were measured by tools for home-based cancer patients suggested by the Ministry for Health, Welfare and Family Affairs.

Results

The mean number of provided services was 7.4±9.1. The most common symptoms were fatigue, anorexia, and pain. Patients whose duration after diagnosis was over 6 years, who had metastasis, or who underwent terminal care had more symptoms. Patient education, emotional and spiritual support, and basic assessment and services were provided most often. Frequency of provided services in patients whose duration after diagnosis was over 6 years or who had metastasis was higher. Services such as symptom and pain control, or death of the patient/the bereaved were provided with more support with patients who underwent terminal care.

Conclusion

There were some differences in provided services according to medical characteristics. Patients experienced diverse symptoms, but services regarding these symptoms seemed to be insufficient. For more effective services, cooperation between organizations for home-based cancer patients is needed to form a better management model based on the merit of each facility or patient characteristics.

Keywords: Home Care Services, Neoplasms, Nursing Services, Signs and Symptoms

Figures and Tables

Fig. 1

Symptoms of participants (N=1,350).

Table 1

General and Medical Characteristics of Participants (N=167)

^*AGC=advanced gastric cancer; ^†Cancers related to female reproductive organs=cervix cancer, uteric cancer, ovarian cancer; ^‡Others=brain tumor, renal cell cancer, tongue cancer, bladder cancer, esophageal cancer, urethral cancer, melanoma, nasopharyngeal cancer, tonsilar cancer, pancreas cancer, lymphoma, leukemia.

Table 2

Symptoms According to Duration after Diagnosis, Metastasis and Treatment Status (N=167)

^a,ab,bMeans with the different letter are significantly different by Turkey test.

Number of Sx.=number of experienced symptom among 13 symptoms.

Table 3

Provided Service Types to the Participants (N=1,350)

NSAID=nonsteroidal antiinflammatory drug; ROM=range of motion.

Table 4

Provided Services according to Duration after Diagnosis, Metastasis and Treatment Status (N=167)

^a,bMeans with the different letter are significantly different by Turkey test; ^*Frequency of provided services; ^†Other services.

BAS=basic assessment and services; PCN=positioning and comfort nursing; Med=medication; NPM=non-pharmacologic pain relief method; SPC=Symptom and pain control; SD=services of doctor; PP=Physician's prescription (pain control); SNS=Special nursing services; ESS=emotional and spiritual support; DS=death of the patient/the bereaved support; EDU=patient/family education.

Notes

This work was supported by the research grant of Jeju National University Hospital in 2010.

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