A Study on Factors Affecting Promoting Relatives or Caregivers in Making Decisions for Palliative Care Patients to Good Death: Nursing Group Prakhon Chai Hospital, Buriram Province.

Abstract

Objective : To study factors that encourage relatives or caregivers in making decisions for palliative care patients to enter the good death.

ethods : This study is a descriptive research. 1. A sample group of 30 patients diagnosed as palliative care patients was selected. There were 30 relatives or caregivers of patients who have decision-making authority on behalf of patients. Divided into 3 steps: preparation phase 1. Clarifying the objectives and procedures. 2. Create nursing care guidelines for palliative care patients. Research period 1. Assess the patient's symptom level with the PPS assessment and ESAS assessment. 2. Nursing treatment. 3. Providing knowledge to relatives or caregivers. Evaluation period. Changes in patient symptom levels using the PPS and ESAS assessments. Statistics were analyzed by paired t-test. The data were analyzed using paired t-test and the level of satisfaction of patient care services using descriptive statistics, percentage and the standard deviation.

Results : The results of comparing the patient levels according to the PPS and ESAS assessments before and after were found to be statistically significantly different (P< 0.001) and the level of satisfaction of relatives or caregivers in palliative care services is at a very satisfied level.

Conclusion : Factors affecting patients and relatives in palliative care that includes a care process that covers physical, mental, and social aspects, resulting in palliative care patients entering the good death.