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Inpatient Hospice Palliative Care Unit and Palliative Consultation Service Enhance Comprehensive Quality of Life Outcomes in Terminally Ill Cancer Patients: A Prospective Longitudinal Study

Author

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  • Li-Fang Chang

    (Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
    Graduate Institute of Medical Sciences, School of Nursing, National Defense Medical Center, Taipei City 11490, Taiwan)

  • Li-Fen Wu

    (Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
    Graduate Institute of Medical Sciences, School of Nursing, National Defense Medical Center, Taipei City 11490, Taiwan)

  • Chi-Kang Lin

    (Department of Gynecology and Obstetrics, Tri-Service General Hospital, National Defense Medical Center, Taipei City 11490, Taiwan)

  • Ching-Liang Ho

    (Division of Hematology and Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei City 11490, Taiwan)

  • Yu-Chun Hung

    (Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
    Nursing Department, University of Kang Ning, Taipei City 11405, Taiwan
    Hsueh-Hsing Pan and Yu-Chun Hung contribute equally in this article.)

  • Hsueh-Hsing Pan

    (Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
    Department of Nursing, Tri-Service General Hospital, School of Nursing, National Defense Medical Center, Taipei City 11490, Taiwan
    Hsueh-Hsing Pan and Yu-Chun Hung contribute equally in this article.)

Abstract

This study aimed to explore the effectiveness of an inpatient hospice palliative care unit (PCU) and palliative consultation service (PCS) on comprehensive quality of life outcome (CoQoLo) among terminally ill cancer patients. This was a prospective longitudinal study. Terminally ill cancer patients who met the inclusion criteria and received PCU or PCS in a northern Taiwanese medical center were recruited. The CoQoLo Inventory was used to measure CoQoLo level pre- and seven days following hospice care between August 2018 and October 2019. A total of 90 patients completed the study. No significant differences were found in CoQoLo levels between the PCU and PCS groups pre- and seven days following care. However, the CoQoLo level of patients significantly improved seven days following care in both PCU and PCS groups, compared with pre-hospice care. Patients’ age, religious belief, marital status, closeness with family, palliative prognostic index (PPI), and symptom severity were significant concerning CoQoLo levels after adjusting for patients’ baseline characteristics. PCU and PCS showed no difference in CoQoLo levels, but both of them can improve CoQoLo among terminally ill cancer patients. These patients could receive PCU or PCS to achieve a good CoQoLo at the end-of-life stage.

Suggested Citation

  • Li-Fang Chang & Li-Fen Wu & Chi-Kang Lin & Ching-Liang Ho & Yu-Chun Hung & Hsueh-Hsing Pan, 2021. "Inpatient Hospice Palliative Care Unit and Palliative Consultation Service Enhance Comprehensive Quality of Life Outcomes in Terminally Ill Cancer Patients: A Prospective Longitudinal Study," IJERPH, MDPI, vol. 18(17), pages 1-12, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:8992-:d:622711
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    References listed on IDEAS

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    1. Lena Axelsson & Birgitta Klang & Carina Lundh Hagelin & Stefan H Jacobson & Sissel Andreassen Gleissman, 2015. "Meanings of being a close relative of a family member treated with haemodialysis approaching end of life," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(3-4), pages 447-456, February.
    2. Ya-Ting Huang & Ying-Wei Wang & Chou-Wen Chi & Wen-Yu Hu & Rung Lin Jr & Chih-Chung Shiao & Woung-Ru Tang, 2020. "Differences in medical costs for end-of-life patients receiving traditional care and those receiving hospice care: A retrospective study," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-21, February.
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    Cited by:

    1. Huijing Lin & Eunjeong Ko & Bei Wu & Ping Ni, 2022. "Hospice Care Preferences and Its Associated Factors among Community-Dwelling Residents in China," IJERPH, MDPI, vol. 19(15), pages 1-12, July.

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