Effect of Implementing a Palliative Cancer Care Guideline on Patient Care Outcomes and Caregiver Satisfaction
Keywords:
Palliative care guideline, Palliative care, Caregiver satisfactionAbstract
Background: Cancer is a major public health problem and a chronic disease that requires long-term and continuous treatment. This group of patients needs to receive supportive management of uncomfortable symptoms. In addition, patients and caregivers should be prepared during treatment for home-based continuing care. Objective: The study aimed to evaluate the effect of a palliative care guideline for cancer patients on the outcomes of care and caregiver satisfaction. Method: The study was a quasi-experimental study using the World Health Organization's palliative care framework for end-stage cancer patients, which consists of six domains: 1) Patient and family-centered care, 2) Comprehensive care, 3) Continuous care, 4) Interdisciplinary care, 5) System-strengthening care and 6) Quality of life promotion for patients and families. The sample consisted of 100 cancer patients diagnosed with a need for end-of-life palliative care and 100 caregivers. The research instrument was the Guideline for Palliative Cancer Care of Lampang Cancer Hospital. The data collection instruments were the Palliative Care Outcome Scale (POS) and the FAMCARE-2 caregiver satisfaction survey. The content validity index (CVI) was 0.98. The reliability of the questionnaire was assessed using Cronbach's alpha coefficient of 0.932. Data were analyzed using content analysis, descriptive statistics, and the Wilcoxon signed-rank test to compare the palliative care outcomes of the patients. Results: The study found that after using the palliative care guidelines, the outcomes for patients were significantly better than before using the guidelines (p-value <.001). Additionally, caregivers were highly satisfied with the care (mean = 4.52, SD = 0.34.). Conclusion: This palliative care guideline has led to improved care outcomes and caregiver satisfaction. It should be disseminated to other organizations so that it can be used to benefit the care of cancer patients.
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