J Korean Acad Nurs.  2009 Aug;39(4):528-538. 10.4040/jkan.2009.39.4.528.

Effects of a Palliative Care Program based on Home Care Nursing

  • 1Graduate School of Clinical Nursing Science, Sungkyunkwan University, Research Institute for Clinical Nursing Science, Samsung Medical Center, Seoul, Korea. msyellow45@hanmail.net
  • 2College of Nursing, Korea University, Seoul, Korea.


PURPOSE: This study was done to develop and test a palliative care program based on home care nursing.
A quasi-experimental design was employed. Changes in the variables were evaluated to test effects of the developed program. Participants were patients with terminal cancer and their families receiving home care nursing from six hospitals (experimental group: 24 and control group: 22). Data collection was conducted from February to October, 2006. Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test and repeated measures ANOVA were used to analyse the data.
Hypothesis 1, the experimental group receiving this program will experience less pain (severe, average, weak pain) than the control group, was supported. Hypothesis 2, the experimental group will have less symptom experience than the control group, was supported. Hypothesis 3, the experimental group will have higher QOL than the control group, was supported and the last hypothesis 4, family burden in the experimental group will be less than the control group, was supported.
The home care nursing based palliative program developed in this study was found to be an effective program to reduce patient pain and symptom experience, to improve patient QOL and to decrease family burden.


Home nursing; Palliative care; Pain; Symptom; Quality of life

MeSH Terms

Home Care Services, Hospital-Based
Middle Aged
Palliative Care/*methods
Patient Satisfaction
Program Evaluation
Quality of Life
Terminal Care


  • Figure 1 Conceptual framework.

  • Figure 2 Change of symptom experience, quality of life and family burden by time. Exp.=experimental group; Cont.=control group.

Cited by  1 articles

Understanding Quality of Life among Adult Patients with Terminal Cancer in South Korea: An Integrative Review
Hyejin Kim, Jeonghyun Cho
Korean J Adult Nurs. 2017;29(4):419-431.    doi: 10.7475/kjan.2017.29.4.419.


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