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최은숙 ( Choi Eun-Sook ) - 국립암센터 사회사업 호스피스실
김금순 ( Kim Keum-Soon ) - 서울대학교 간호대학
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Abstract
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Purpose: The purpose of this study was to increase our understanding of the terminal cancer patients and their families concerns. I analyzed the counseling contents of terminal cancer patients and their relatives who referred to hospice office.
Method: Data was collected from January 2004 to November 2004. During the counseling, I took notes the key points and contents. 109 patients and/or their families’s counseling records were analyzed with the descriptive statistics and content analysis.
Result: 73.4% of patients knew their current terminally ill status. The mobility of 86.2% of the patients was worse than ECOG 3 level. Patients have uncontrolled pain(28.4%), emotional distress(55.0%), and physical distress(49.5%). Caregivers of the patients were spouse(46.8%), sons and daughters(24.8%). Family members had problems to tell the bad news to their family cancer patient. 95.4% of the patient and family members was informed about the hospice and palliative care services, and 35.8% of them was referred to the hospice and palliative organizations. Frequently asked questions were ’what is hospice?’, ’how much is the cost of hospice services?’ etc.
Conclusion: Care planning for terminal cancer patients must include patient. Also, professionals should consider and offer accessible, effective and empathetic counseling services to patients and families.
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KeyWords
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호스피스, 상담
Hospice, Counseling
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원문 및 링크아웃 정보
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등재저널 정보
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