학술논문
Applicability of Nursing Support for Patients With Terminal Cancer and Their Families: A Delphi Study.
Document Type
Academic Journal
Author
Kako J; Graduate School of Medicine, Mie University, Tsu, Japan.; Kajiwara K; Japanese Red Cross Kyushu International College of Nursing, Munakata, Japan.; Kobayashi M; Graduate of Nursing Science, St. Luke's International University, Tokyo, Japan.; Kanno Y; Nursing Science, Tokyo Medical and Dental University, Tokyo, Japan.; Morikawa M; Graduate School of Medicine, Kyoto University, Kyoto, Japan.; Nakano K; Clinical Research Center for Developmental Therapeutics, Tokushima University Hospital, Tokushima, Japan.; Matsuda Y; Department of Psychosomatic Internal Medicine, NHO Kinki Chuo Chest Medical Center, Sakai, Japan.; Shimizu Y; School of Nursing, National College of Nursing, Kiyose, Japan.; Niino M; Center for Cancer Registries, National Cancer Center Institute for Cancer Control, National Cancer Center, Tokyo, Japan.; Suzuki M; Faculty of Nursing and Medical Care, Keio University, Fujisawa, Japan.; Shimazu T; Division of Behavioral Sciences, National Cancer Center Institute for Cancer Control, National Cancer Center, Tokyo, Japan.
Source
Publisher: Sage Publications Country of Publication: United States NLM ID: 9008229 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-2715 (Electronic) Linking ISSN: 10499091 NLM ISO Abbreviation: Am J Hosp Palliat Care Subsets: MEDLINE
Subject
Language
English
Abstract
Background: This report investigates the applicability of nursing support for patients with cancer with a prognosis of months and weeks, and their families.
Objectives: To evaluate the applicability of nursing support for five symptoms (dyspnea, pain, nausea/vomiting, constipation, and delirium) in patients with cancer during the last weeks of life, and the caregiver burden on their families.
Design Setting: A Delphi study was used to determine the applicability of nursing support for patients with terminal cancer and their families. Eight experts in symptom palliation in Japan who have direct care or research experience with these populations were included. The Delphi method was used to assess nursing support types for prognoses of months and weeks. Consensus was defined as ≥70% agreement for either "high applicability" or "low applicability" of each support type.
Results: A total of 50 nursing support types for 5 symptoms were evaluated as highly applicable for 92% ( n = 46) of patients with cancer with a prognosis of months. For patients with cancer with a prognosis of weeks, 78% ( n = 39) of the nursing support was rated as highly applicable. For both prognosis groups, all nursing support (n = 6) for caregiver burden was highly applicable.
Conclusion: Applicability ratings of nursing support may be influenced by a high degree of invasiveness, accessibility of knowledge and information, and high expectations of effectiveness. Future studies are needed to verify the effectiveness of nursing support evaluated as highly applicable to patients with cancer during the last few months and weeks of life.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Objectives: To evaluate the applicability of nursing support for five symptoms (dyspnea, pain, nausea/vomiting, constipation, and delirium) in patients with cancer during the last weeks of life, and the caregiver burden on their families.
Design Setting: A Delphi study was used to determine the applicability of nursing support for patients with terminal cancer and their families. Eight experts in symptom palliation in Japan who have direct care or research experience with these populations were included. The Delphi method was used to assess nursing support types for prognoses of months and weeks. Consensus was defined as ≥70% agreement for either "high applicability" or "low applicability" of each support type.
Results: A total of 50 nursing support types for 5 symptoms were evaluated as highly applicable for 92% ( n = 46) of patients with cancer with a prognosis of months. For patients with cancer with a prognosis of weeks, 78% ( n = 39) of the nursing support was rated as highly applicable. For both prognosis groups, all nursing support (n = 6) for caregiver burden was highly applicable.
Conclusion: Applicability ratings of nursing support may be influenced by a high degree of invasiveness, accessibility of knowledge and information, and high expectations of effectiveness. Future studies are needed to verify the effectiveness of nursing support evaluated as highly applicable to patients with cancer during the last few months and weeks of life.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.