J Korean Acad Nurs. 2011 Feb;41(1):9-17. Korean.
Published online Feb 28, 2011.
© 2011 Korean Society of Nursing Science
Original Article

Development and Evaluation of 「Hospice Smart Patient」 Service Program

Chai-Soon Park,1 Yang-Sook Yoo,1 Dong-Won Choi,2 Hyun-Jeong Park,3 and Ji-In Kim4
    • 1Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.
    • 2Assistant Professor, Red Cross College of Nursing, Seoul, Korea.
    • 3Full-time Instructor, College of Nursing, The Catholic University of Korea, Seoul, Korea.
    • 4Research Assistant, Institute for Hospice/Palliative Care, The Catholic University of Korea, Seoul, Korea.
Received June 14, 2010; Accepted February 25, 2011.

Abstract

Purpose

The purpose of this study was to develop and implement the Hospice Smart Patient Program and to evaluate its effectiveness.

Methods

It was quasi-experimental non-equivalent pre-post study. Breast cancer patients who underwent surgery, chemotherapy or radiotherapy, or who needed palliative care, participated in the study. Participants were divided into two groups, experimental and control groups based on their preferences. The program was developed after literature review and discussion among experts on hospice and palliative care. Participants who were in the experimental group received either face-to-face or phone 「Hospice Smart Patient」 Service at least once a week for 5 months.

Results

There was a significant difference in quality of life and communication skill between the two groups after the service was provided. In addition, participants in experimental group showed improved decision making skills, mastery sense, and understanding of hospice and palliative care, which would be beneficial in improving their quality of life.

Conclusion

We have concluded that the 「Hospice Smart Patient」 Program is useful for cancer patients in decision making, improving self-control and choosing hospice care to improve their quality of life.

Keywords
Hospices; Breast neoplasms; Quality of life; Communication

Tables

Table 1
The Contents for Smart Patients Service Program

Table 2
Contents of Guidebook, Handbook and Communication Guidelines

Table 3
Individual Characteristics and Homogeneity Test

Table 4
Differences between Experimental and Control Groups

Table 5
Service Evaluation

Notes

This study was supported by a grant from the National R&D Program for Cancer Control, Ministry for Health, Welfare and Family affairs, Republic of Korea (0720360).

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