Impact of Humanitude Palliative Care Programme on Comfort of Older Cancer Patients on Palliative Care

  • Nanthiya Kaeowwongsa โรงพยาบาลมะเร็งอุบลราชธานี
  • Jiraporn Kespichayawattana Faculty of Nursing Chulalongkron University
Keywords: humanitude palliative care programme, comfort, older cancer patients, palliative care


Objective: To examine how the Humanitude palliative care programme could impact the comfort of older person who received palliative care
Design: Two-group quasi-experimental study with a pretest and a posttest
Methodology: This study was conducted on a sample of 44 cancer patients aged 60 and higher who were receiving palliative care in the in-patient department of a cancer hospital. Recruited by means of purposive sampling, the subjects were equally divided into an experimental group and a control group. The experimental group was given, for a period of five days, the Humanitude palliative care program, which integrated four nursing care components designed to enhance patients’ comfort. The control group, on the other hand, received standard care. Data were collected from January to March 2020, via 1) a demographic data collection form; and 2) Hospice Comfort Questionnaire (Patient). The data were analysed using descriptive statistics, independent t-test, and paired t-test.
Results: The experimental group, which received the Humanitude palliative care programme, displayed a statistically significant increase in their comfort level than the control group, which was given standard care (p= .05). The experimental group also showed a signifcantly increased level of comfort after receiving the palliative care programme than before receiving it (p = .05).
Recommendations: It is recommended that this nursing care programme be applied to promoting well-being and comfort into older cancer patients receiving palliative care


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World Health Organization. Palliative care for older people: better practices [Internet]. 2011

[cited 2020, January 10]. Available from:

National Cancer Institute. (2018). Cancer in Thailand Volume IX 2013 – 2015. National Cancer Institute Bangkok, Thailand.

World Health Organization. WHO Definition of palliative care [Internet]. 2018 [cited 2019, January 10]. Available From:

Connor SR, Bermedo MCS, editors. Global atlas of palliative care at the end of Life. London: Worldwide Hospice Palliative Care Alliance; 2014.

Egan, K. A., & Labyak, M. J. Hospice palliative care: a model for quality end-of-life care. In B. R. Ferrell & N. Coyle (Eds.). Textbook of palliative care. 3rd ed. New York: Oxford University Press; 2010. pp. 13-46

Kolcaba K. Comfort theory and practice: a vision for holistic health care and research. New York: Springer Publishing; 2003.

Tanatwanit Y. Comfort as experienced by Thai older patients with advanced cancer. [Doctoral Dissertation]. Washington, DC:The Catholic University of America. 2011.

Tanatwanit Y. & Damnong N. Comfort model in palliative care for end-of-life patient.2019 [cited 2020, July 2]. Available From:

Van Lancker A., Beeckman D., Verhaeghe S., Van Den Noortgate N., & Van Hecke, A symptom clustering in hospitalised older palliative cancer patients: a cross-sectional study. IJNS 2016, 61,72-81.

Kim Keum-Soon, & Kwon So-Hi. Comfort and quality of life of cancer patients. Asian Nurs Res 2007; 1: 125-35.

Sittipreechachan P. Sharing experience of palliative care. Nursing Science Journal of Thailand 2013; 31: 18-26. (in Thai).

Subwongcharoe, N., & Chintapanyakun T. Role of palliative care nurses in tertiary hospitals. Journal of The Royal Thai Army Nurses 2020; 21: 2-34. (in Thai).

Gineste Y., & Marescotti R. The sensory capture and feedback in the management of behavioural disturbances in demented old patients during basic care[Internet].2008 [cited 2019, August 21] Available From:

Phaneuf M. The concept of humanitude as applied to general nursing care[Internet].2007 [cited 2018, Apr 4] AvailableFrom: to_general_nursing_care.pdf

Gomes A. M., Carvalho R. C., & Ribeiro O. Humanitude care methodology: difficulties and benefits from its implementation in clinical practice. ESENFC [Internet].2018[cited 2019, July 21];17:53-63.Available from:

Brynaert Brennan and Associates. Senoir care; more humanitude in end-of-life program in case studies: primary health service delivery models for the Francophone minority 2016. [Internet]. [cited 2018, July 21]; Available From:

Honda M, Mori M, Hayashi S, Moriya K, Marescotti R, Gineste Y. The effectiveness of French origin dementia care method; humanitude to acute care hospital in Japan. Eur geriatric med 2013;4 :142-16

Youyangket A. The effect of humanutude program on anxiety of older persons admitted in coronary care

unit [Thesis]. Bangkok: Chulalongkorn University;2017

Preamthong S.& Kespichayawattana J. The effect of using humanitude concept by family caregivers care

on depression in older persons with stroke. Journal of The Royal Thai Army Nurses 2018 ; 19: 221-30. (in Thai).

Chewaskulyong B, Sapinun L, Downing GM, Intaratat P, Lesperance M, Leautrakul S, et al. Reliability and validity of the Thai translation (Thai PPS adult Suandok) of the Palliative Performance Scale (PPSv2). Palliative Medicine 2011;26(8):1034-41.

Kolcaba K., Dowd T., Steiner R., & Mitzel A. Efficacy of hand massage for enhancing the comfort of hospice patients. J HOSP PALLIAT NURS 2004;6: 91-102

Hsiung W. T., Chang Y. C., Yeh M. L., & Chang Y. H. Acupressure improves the postoperative comfort of gastric cancer patients: a randomised controlled trial. Complement Ther Med 2015; 23: 339-46.

Yilmaz S. G., & Arslan, S. Effects of progressive relaxation exercises on anxiety and comfort of Turkish breast cancer patients receiving chemotherapy. ASIAN PAC J CANCER P 2015; 16: 217-20.

Grove S, Burns N & Gray J. Introduction to statistical and data analysis. In SK Grove, N Burns, JR Gray

(Eds.), The practice of nursing research: appraisal, synthesis, and generation of evidence (7th ed). St. Louis (MO): Elsevier-Saunders. 2013.

Novak B., Kolcaba K., Steiner R., & Dowd T. Measuring comfort in caregivers and patients during late end-of-life care. Am J Hosp Palliat Care 2001;18: 170-80.

How to Cite
Kaeowwongsa N, Kespichayawattana J. Impact of Humanitude Palliative Care Programme on Comfort of Older Cancer Patients on Palliative Care. TJNC [nternet]. 2020Dec.28 [cited 2021Nov.28];36(1):18-3. vailable from: