간호사와 입원 환자가 지각한 임종기 치료선호도
Comparing the Preference for Terminal Care in Nurses and Patients
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Purpose: The purpose of this study was to identify the differences in preference for terminal care between hospitalized patients and nurses. Methods: A cross-sectional descriptive design was used in 79 patients and 107 nurses. The data were collected from August to October 2011, using the Preference for Care near the End of life Scale - Korean Version (PCEOL-K) with 5-point scale of 26 items. The reliability of the tool was Cronbach's ⍺=.74. Results: The mean score (SD) of PCEOL-K’s sub-dimensions in nurses’ priority was: (a) pain 3.70±0.63, (b) spirituality 3.63±0.61, (c) family 3.40±0.70, (d) autonomous decision making 2.30±0.66, and (e) decision making by healthcare professionals 2.14±0.64. In patients’ priority, the M±SD score of each sub-dimension was: (a) pain 3.86±0.65, (b) family 3.83±0.57, (c) decision making by healthcare professionals 3.37±0.85, (d) spirituality 3.01±0.80, and (e) autonomous decision making 2.43±0.63. Results indicated significant differences between nurses and patients regarding decision making by healthcare professionals (t=-11.28, p<.001), family (t=-4.66, p<.001), and spirituality (t=5.71, p<.001). Conclusion: The PCEOL-K of patients was higher than nurses’. A terminal care program for hospitalized patients at the end of life should be planned according to the results of PCEOL-K in nurses and patients.
Abstract
Purpose: The purpose of this study was to identify the differences in preference for terminal care between hospitalized patients and nurses. Methods: A cross-sectional descriptive design was used in 79 patients and 107 nurses. The data were collected from August to October 2011, using the Preference for Care near the End of life Scale - Korean Version (PCEOL-K) with 5-point scale of 26 items. The reliability of the tool was Cronbach's ⍺=.74. Results: The mean score (SD) of PCEOL-K’s sub-dimensions in nurses’ priority was: (a) pain 3.70±0.63, (b) spirituality 3.63±0.61, (c) family 3.40±0.70, (d) autonomous decision making 2.30±0.66, and (e) decision making by healthcare professionals 2.14±0.64. In patients’ priority, the M±SD score of each sub-dimension was: (a) pain 3.86±0.65, (b) family 3.83±0.57, (c) decision making by healthcare professionals 3.37±0.85, (d) spirituality 3.01±0.80, and (e) autonomous decision making 2.43±0.63. Results indicated significant differences between nurses and patients regarding decision making by healthcare professionals (t=-11.28, p<.001), family (t=-4.66, p<.001), and spirituality (t=5.71, p<.001). Conclusion: The PCEOL-K of patients was higher than nurses’. A terminal care program for hospitalized patients at the end of life should be planned according to the results of PCEOL-K in nurses and patients.
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