J Korean Acad Nurs.  2011 Feb;41(1):9-17. 10.4040/jkan.2011.41.1.9.

Development and Evaluation of "Hospice Smart Patient" Service Program

• Park CS
• Yoo YS
• Choi DW
• Park HJ
• Kim JI

• KMID: 1007004
• DOI: http://doi.org/10.4040/jkan.2011.41.1.9

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.

Keyword

Hospices; Breast neoplasms; Quality of life; Communication

MeSH Terms

Breast Neoplasms/drug therapy/*psychology/surgery
Communication
Decision Making
Female
*Hospices
Humans
Middle Aged
*Palliative Care
Program Development
Program Evaluation
Quality of Life