Effectiveness of lmplementing Clinical Practice Guidelines for Palliative Care in Cancer Patients

Authors

  • ฐิติณัฏฐ์ อัคคะเดชอนันต์ Assistant Professor, Faculty of Nursing, Chiang Mai University
  • พิกุล พรพิบูลย์ Assistant Professor, Faculty of Nursing, Chiang Mai University

Keywords:

effectiveness, palliative care, cancer patients, satisfaction, quality of life

Abstract

Cancer is an incurable and life threatening disease. The major goal of healthcare services is to cure the cancer, to enable the patient to live longer, and to relieve their symptoms. Palliative care should be given throughout a patient’s experience with cancer, not only at the end of life. This operation research aimed to study the effectiveness of implementing the Nursing Clinical Practice Guideline on Palliative Care (NCPGPC) among cancer patients. The sample of this study composed of 150 persons with cancer admitted to the inpatient wards at a cancer hospital. Seventy-four of the participants were pre-implementation group and 76 were post-implementation group. The study took place for 8 months. The research instruments for data collection developed by the researchers included 1) the personal data form, 2) the checklist of advance care plan, 3) the satisfaction with care received questionnaire, and 4) the quality of life questionnaire. These questionnaires were validated by 5 experts and the content validity index was .90, .97, and .90 respectively. The reliability of the research instruments was tested with 10 patients that had the similar characteristics with the sample. The Cronbach alpha reliability was .83, .97 and .84 respectively. The framework for guideline implementation was modify from the National Health and Medical Research Council of Australia (NHMRC, 1999). Data were analyzed using descriptive statistics and independent t-test.

          The study results revealed that:

  1. The percentages of the subject in the NCPGPC implementation performed activities of advance care plan higher than the pre-NCPGPC implementation group.
  2. The percentage of the subject in the post-NCPGPC implementation group reported high satisfaction with care received higher than the pre- NCPGPC group.
  3. The percentage of the subject in the post-NCPGPC implementation reported good level of quality of life higher than the pre- NCPGPC implementation group.
  4. The mean scores of satisfaction with care received of subject in the post-NCPGPC implementation were significantly higher than the pre- NCPGPC implementation group (t = -846, p <.01) and the mean scores of perceive quality of life of the subject in the post-NCPGPC implementation was not significantly higher than the pre- NCPGPC implementation group (t = .074, p < .05).

            The findings of this study can confirm the effectiveness, feasibility, and meaningfulness of NCPGPC implementation among cancer patients. Nurses can use this guideline as a tool of for persons who need palliative care.

References

Dahlin, C. (2015). Palliative care: Delivering comprehensive oncology nursing care. Seminars in Oncology Nursing, 31(4), 327-337.
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Translated Thai Reference
Nantachaipan, P. & Soiwong, P. (2012). Clinical Nursing Practice Guideline: Palliative Care in Adult Patients. Bangkok: Judthong Company. (in Thai).
National Health Assembly. (2008). Health Act 2008. Retrieved from http://www.nationalhealth.or.th/sites/default/files/upload_files/ hpp_act_ebook58_08_07_453.pdf. (in Thai).
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Published

2018-09-30

How to Cite

อัคคะเดชอนันต์ ฐ., & พรพิบูลย์ พ. (2018). Effectiveness of lmplementing Clinical Practice Guidelines for Palliative Care in Cancer Patients. Nursing Journal CMU, 45(3), 69–82. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/149341

Issue

Vol. 45 No. 3 (2018): July-September 2018

Section

Research Article

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