Perception of Artificial Hydration for Terminally Ill Cancer Patients: Patients, Families and General Public
| Autor: | Jinsun Yong, Seong Kyeong Yang |
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| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | The Korean Journal of Hospice and Palliative Care. 12:220-227 |
| ISSN: | 2287-6189 1229-1285 |
| Popis: | Purpose: The purpose of the study was to investigate how much understand about artificial hydration in patients with terminal cancer, according to the subject groups, including patients, families, and general public. Methods: Data were collected from June 2007 to December 2007 and the participants included 22 hospitalized patients in the hospice unit of S Hospital, 100 families, and 101 participants who participated in a hospice education program for the general public. The questionnaire was developed through literature review, interview with patients ’ families, and expertise consultation. Data were analyzed using descriptive statistics with an SAS program. Results: Understanding of artificial hydration among patients, families and general public was examined from three perspectives. From an ethical perspective, ‘if you receive artificial hydration, you can live longer’, 45.5%, 63%, and 52.4% of the above three groups, respectively, answered “yes”. From an emotional perspective, ‘artificial hydration must be provided ’, 81.8%, 70% and 58.4%, respectively, agreed. From a cultural perspective, ‘if artificial hydration is not provided for the patient, the families will fe el painful’, 95.5%, 83%, and 88.2%, respectively, answered “yes”. Conclusion: This study found the differences in understanding of artificia l hydration among patients, families and general public, and also found that less than 50 percent of the participants understood artificial hydration appropriately. We suggest, therefore, that patients ’ understanding about artificial hydration should be determined in the clinical setting and then followed by individ ualized education according to given medical situations. (Korean J Hosp Palliat Care 2009;12:220-227)Key Words: Advanced cancer, Fluid therapy, Perception서론 우리나라의 암 환자는 생활수준의 향상에 따른 질병 구조의 변화와 의학의 발달로 인해 점점 늘어나고 있고(1), 2008년 통계청 자료에 따르면 암으로 인한 사망자 수는 우리나라 총 사망자 246,113명 가운데 28.4%인 69,854명으로 사망원인의 1위를 차지하고 있다(2). 암이 말기로 진행되면서 환자들은 조절이 어려운 여러 증상들을 경험하게 되는데, 구강섭취를 감소시키는 증상들도 나타나게 된다. 이러한 증상들로 오심/구토는 말기 암 환자의 60% 정도가 경험하고, 식욕부진은 65% 정도, 그리고 변비는 50% 정도에서 경험하는 것으로 나타났다(3). 말기 암 환자의 구강섭취가 감소함에 따라 정맥내 수액요법을 고려하게 되는데, 이는 비경구적으로 투여되 |
| Databáze: | OpenAIRE |
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