Saygılı Meltem, Çelik Yusuf
Department of Health Management, Kırıkkale University Faculty of Health Sciences, Kırıkkale, Turkey.
Department of Health Management, Hacettepe University Faculty of Economics and Administrative Sciences, Ankara, Turkey.
Agri. 2020 Apr;32(2):61-71. doi: 10.14744/agri.2019.95770.
The aim of this study was to evaluate the effect of palliative care on the symptom level assessment and satisfaction of patients diagnosed with cancer.
The study was carried out with 60 cancer patients who received service at a palliative care center (PCC) and 59 cancer patients who received general care services at a public hospital. The effect of the services provided at the 2 hospitals was evaluated using the Edmonton Symptom Assessment System and the European Organisation for Research and Treatment of Cancer In-patient Satisfaction with Care Questionnaire. The data were analyzed to determine number and percentage distributions, the significance of differences between 2 peers, and 2-way analysis of variance in repetitive measurements.
It was determined that the symptom severity of the PCC patients was greater. In a 1 week interval, greater improvement was observed in all of the symptoms of the patients who received general care, and the evaluation revealed a statistically significant difference between the hospitals in terms of fatigue, nausea, and dyspnea (p<0.05). However, the mean satisfaction of the patients who received services at the PCC was higher, and the difference in the general satisfaction level between hospitals was statistically significant (p<0.05).
The palliative care provided to cancer patients at the PCC was less effective in reducing symptom levels compared with the results from patients of general care at a public hospital, but provided greater patient satisfaction.
本研究旨在评估姑息治疗对癌症确诊患者症状水平评估及满意度的影响。
该研究选取了60名在姑息治疗中心（PCC）接受服务的癌症患者以及59名在公立医院接受普通护理服务的癌症患者。使用埃德蒙顿症状评估系统和欧洲癌症研究与治疗组织住院患者护理满意度调查问卷对两家医院提供的服务效果进行评估。对数据进行分析，以确定数量和百分比分布、两组之间差异的显著性以及重复测量的双向方差分析。
确定PCC患者的症状严重程度更高。在1周的间隔内，接受普通护理的患者所有症状均有更大改善，评估显示两家医院在疲劳、恶心和呼吸困难方面存在统计学显著差异（p<0.05）。然而，在PCC接受服务的患者的平均满意度更高，医院之间总体满意度水平的差异具有统计学显著性（p<0.05）。
与公立医院普通护理患者的结果相比，PCC为癌症患者提供的姑息治疗在降低症状水平方面效果较差，但患者满意度更高。
