การศึกษาความสัมพันธ์ของความต้องการการดูแลแบบประคับประคองระหว่างผู้ป่วยมะเร็งศีรษะและคอกับผู้ดูแล
Keywords:
ความต้องการ, การดูแลแบบประคับประคอง, ผู้ป่วยมะเร็งศีรษะและคอ, ผู้ดูแล, palliative care needs, head & neck cancer patients, caregiversAbstract
Abstract
Objective: To examine head & neck cancer patients’ pre- and post-treatment
needs for palliative care and their relationship with their caregivers.
Design: Correlational descriptive research.
Methodology: The participants were 45 head & neck cancer patients and their
caregivers. The patients were hospitalised at a tertiary hospital in Bangkok. The research
instruments consisted of (i) a general information and illness history form; and (ii) a
palliative care problem-and-need questionnaire for the patients and their caregivers.
The data were analysed using descriptive statistics and Spearman Correlation Analysis.
Results: The study showed that the patients’ primary pre-treatment need was fnancial
support (22.2%), whilst their primary post-treatment need was disease-related information
(20%). Their caregivers, on the other hand, identifed palliative care assistance for the patients
as their primary need, both before and after treatment (15.6% and 11.1%, respectively).
A statically signifcant relationship was found between the patients’ and their caregivers’
overall pre- and post-treatment palliative care needs (rs = .47, rs = .46, p < .01).
Category-based analysis showed that both the patients’ and their caregivers’ primary
pre-treatment needs were signifcantly related, and they mainly concerned social and fnancial
support (rs = .36, p < .05, rs = .52, p < .01, respectively). After treatment, a statistically signifcant
relationship was also found between the patients’ and their caregivers’ needs, which mainly
concerned spiritual and fnancial support (rs = .34, p < .05, rs = .39, p < .01, respectively).
Recommendations: It is suggested that nurses play an active role in assessing
patients’ pre- and post-treatment problems and palliative care needs. This practice could
lead to more effective counselling and problem-solving approaches, which ultimately
could improve palliative care methods for head & neck cancer patients.
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