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Relationship Between Death Orientation of First Care Giver and Quality of Life of Hospice Patients

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KMID : 1003320060060020055
ÃÖ¿µ¼ø ( Choe Yeong-Sun ) - ÀÎõȣ½ºÇǽº

Abstract

In Korea, there are constantly increasing number of cancer patients with reaching 65,000 deaths and it was 26.3% of the total number of death in 2004. Many cancer patients suffer from surgery, chemotherapy, and radiotherapy after being diagnosed as cancer. And many of them are facing fear of death because they can¡¯t be perfectly cured. Due to patients¡¯ physical, psychological, and spiritual pain, quality of life drops dramatically. Patients¡¯ families also suffer from huge medical expenses while they have to take care of patients¡¯s suffering from pain. At the same time, family¡¯s attitude can influence on the quality of patients¡¯ life. The purpose of this study is to investigate the relationship between the death orientation of first care giver and the quality of life of hospice patient. The subjects of the study were 80 hospice patients registered at ten hospice institutions with hospice team and medical practitioners in six cities including Seoul as well as their first care givers. This study used 13 questions for the hospice patients and nine questions for the first care givers to recognize general characteristic. To measure death orientation of the first care giver the tool developed by Noh, Soon-hee (2003) was used. And to measure quality of life of the hospice patients Yoo, Seung-yeon¡¯s structured tool was used. The data were collected for a month through interview method. SPSS win 12.0 was used to analyze the data by using frequency, percentage, t-test, Pearson correlation. The study result is as follows. In relationship between general characteristic of hospice patient and quality of life, the highest suffering was pain (60%) and the second suffering was anorexia (23.8%). There was no significant relationship between physical pain and general characteristics of hospice patient. In psychological aspects, religion (p=.044) showed significant difference (p<.05). In existential aspects, age (p=.035) showed significant difference (p<.05). There was no significant difference variable in support aspects. And religion (p=.000) was statistically significant variable in spiritual aspects (p<.001). Age (p=0.025) and religion (p=.050) were the variable showed significant difference according to general characteristics of first care giver¡¯s death orientation. Although the relation between death orientation of first care giver and quality of life of hospice patient was not statistically significant correlation. In conclusion, while death orientation of first care giver and hospice patient¡¯s quality of life are not statistically significant in correlation analysis.
KeyWords
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hospice patient, first care giver, death orientation
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