Preventive Care in Nursing and Midwifery Journal
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Volume 10, Issue 2 (8-2020)
PCNM 2020, 10(2): 26-33 |
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Fathollahi T, Baljani E, rezaee moradali M. Study of Palliative Care Needs among Stroke Patients Referred to Physiotherapy Centers. PCNM 2020; 10 (2) :26-33
URL: http://nmcjournal.zums.ac.ir/article-1-665-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-665-en.html
Department of nursing, urmia branch, Islamic Azad University, urmia, Iran , baljanies@gmail.com
Abstract: (5732 Views)
Background: Patients with stroke need professional care and identifying the palliative needs of these people is the basis for care planning by health managers.
Objectives: The present study aimed to determine the palliative care needs of stroke patients and the factors that affect these needs.
Methods: The population of this cross-sectional descriptive study was the patients referred to physiotherapy centers in Mako city in 1398. A total of 160 patients were selected based on convenience sampling. The data collection tool was a two-part questionnaire. In the first part, demographic characteristics and in the second part, the questionnaire of palliative care needs in specific patients was completed. Descriptive tests, mean comparison, and Pearson correlation was used to analyze the data using SPSS software version 16.
Results: The need for palliative care can vary in different fields. For example, having problems in daily life in the field of daily life activities (2.03-0.24), pain in the field of physical symptoms (2.36.07.07), dependence on others for care in the field of control over living affairs (1.72 1 0.82), tendency to talk about illness in the field of social problems, (2/71/71/71), fear of metastasis in the field of mental problems, (2.97 2 0.22), understanding the meaning of death in the field of spiritual problems (2.87 ± 0.48), and loss of income due to diseases in the field of financial problems (2.63 89 0.89). Independent group t-test showed that the mean scores of palliative care needs of patients referred to physiotherapy centers in the two groups of men and women were not significantly different (t=92.1, p=0.057). However, One-way analysis of variance showed that the average palliative care needs of patients referred to physiotherapy centers based on their level of education had a significant difference (f=486.4, p=0.014).
Conclusion: The results of the study showed that nurses and health system managers with knowledge of the needs of palliative care for patients with stroke can put training programs on discharge and disease management at home on their agenda
Objectives: The present study aimed to determine the palliative care needs of stroke patients and the factors that affect these needs.
Methods: The population of this cross-sectional descriptive study was the patients referred to physiotherapy centers in Mako city in 1398. A total of 160 patients were selected based on convenience sampling. The data collection tool was a two-part questionnaire. In the first part, demographic characteristics and in the second part, the questionnaire of palliative care needs in specific patients was completed. Descriptive tests, mean comparison, and Pearson correlation was used to analyze the data using SPSS software version 16.
Results: The need for palliative care can vary in different fields. For example, having problems in daily life in the field of daily life activities (2.03-0.24), pain in the field of physical symptoms (2.36.07.07), dependence on others for care in the field of control over living affairs (1.72 1 0.82), tendency to talk about illness in the field of social problems, (2/71/71/71), fear of metastasis in the field of mental problems, (2.97 2 0.22), understanding the meaning of death in the field of spiritual problems (2.87 ± 0.48), and loss of income due to diseases in the field of financial problems (2.63 89 0.89). Independent group t-test showed that the mean scores of palliative care needs of patients referred to physiotherapy centers in the two groups of men and women were not significantly different (t=92.1, p=0.057). However, One-way analysis of variance showed that the average palliative care needs of patients referred to physiotherapy centers based on their level of education had a significant difference (f=486.4, p=0.014).
Conclusion: The results of the study showed that nurses and health system managers with knowledge of the needs of palliative care for patients with stroke can put training programs on discharge and disease management at home on their agenda
Type of Study: Orginal research |
Subject:
Nursing
Received: 2020/07/27 | Accepted: 2020/08/31 | Published: 2020/08/31
Received: 2020/07/27 | Accepted: 2020/08/31 | Published: 2020/08/31
References
1. Rassouli M, Sajjadi M. Palliative care in Iran: Moving toward the development of palliative care for cancer. Am J Hosp Palliat Care. 2016; 33(3): 240-44. [Crossref]
2. Creutzfeldt CJ, Holloway RG, Walker M. Symptomatic and palliative care for stroke survivors. J Gen intern med. 2012; 27(7): 853-60. [Crossref]
3. Cowey E. End of life care for patients following acute stroke. Nurs Stand. 2012; 26(27): 42.
https://doi.org/10.7748/ns2012.03.26.27.42.c8985 [Crossref]
4. Ntlholang O, Walsh S, Bradley D, Harbison J. Identifying palliative care issues in inpatients dying following stroke. Ir J Med Sci. 2016; 185(3): 741-44. [Crossref]
5. Dalvandi A, Heikkilä K, Maddah S, Khankeh H, Ekman S-L. Life experiences after stroke among Iranian stroke survivors. Int Nurs Rev. 2010;57(2):247-53. [Crossref]
6. Harding R, Epiphaniou E, Hamilton D, et al. What are the perceived needs and challenges of informal caregivers in home cancer palliative care? Qualitative data to construct a feasible psycho-educational intervention. Support Care Cancer. 2012;20(9):1975-82. [Crossref]
7. Koopmans RT, Lavrijsen JC, Hoek JF, Went PB, Schols JM. Dutch elderly care physician: a new generation of nursing home physician specialists. J Am Geriatr Soc. 2010; 58(9):1807-79. [Crossref]
8. Young AJ, Rogers A, Addington‐Hall JM. The quality and adequacy of care received at home in the last 3 months of life by people who died following a stroke: a retrospective survey of surviving family and friends using the Views of Informal Carers Evaluation of Services questionnaire. Health Soc Care Community. 2008; 16(4): 419-28. [Crossref]
9. Holloway RG, Arnold RM, Creutzfeldt CJ, et al. Palliative and end-of-life care in stroke: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014; 45(6): 1887-916. [Crossref]
10. Mazzocato C, Michel‐Nemitz J, Anwar D, Michel P. The last days of dying stroke patients referred to a palliative care consult team in an acute hospital. Eur J Neurol. 2010; 17(1): 73-77. [Crossref]
11. Fattahi a, Azad a, Montazeri a. Quality of life among stroke patients in Kermanshah city. Journal of modern rehabilitation. 2008; 2(1): 1-8.
12. Osse BH, Vernooij-Dassen MJ, Schadé E, Grol RP. A practical instrument to explore patients' needs in palliative care: the Problems and Needs in Palliative Care questionnaire short version. Palliat Med. 2007; 21(5): 391-99. [Crossref]
13. Bakken LN, Kim HS, Finset A, Lerdal A. Stroke patients' functions in personal activities of daily living in relation to sleep and socio‐demographic and clinical variables in the acute phase after first‐time stroke and at six months of follow‐up. J Clin Nurs. 2012; 21(13-14): 1886-95. [Crossref]
14. Haghgoo HA, Pazuki ES, Hosseini AS, Rassafiani M. Depression, activities of daily living and quality of life in patients with stroke. J Neurol Sci. 2013; 328(1-2): 87-91. [Crossref]
15. Burton CR, Payne S, Addington-Hall J, Jones A. The palliative care needs of acute stroke patients: a prospective study of hospital admissions. Age Ageing. 2010; 39(5): 554-59. [Crossref]
16. Ghayeghran A, Bakhshayesh Eghbali B, Azari P. Survey of Various Post Stroke Pain Syndromes and the Related Risk Factors. J Guilan Univ Med Sci. 2012; 21(82): 1-7.
17. Ullberg T, Zia E, Petersson J, Norrving B. Changes in functional outcome over the first year after stroke: an observational study from the Swedish stroke register. Stroke. 2015; 46(2): 389-94. [Crossref]
18. Van Mierlo ML, Van Heugten CM, Post MW, Hajós TR, Kappelle LJ, Visser-Meily JM. Quality of life during the first two years post stroke: the Restore4Stroke cohort study. Cerebrovas Dis. 2016; 41(1-2): 19-26. [Crossref]
19. Nikanfar S, Kalantari M, Shafiee Z, Akbarzadeh-baghban A. The relationship between sensorimotor function of hemiplegic lower limb and independency in daily living activities in hemiplegic patients. Sci J Kurdistan Univ Med Sci. 2017; 22(2): 64-70. [In Persian]
20. Sharma R, Sharma M, Sharma R. The patient satisfaction study in a multispecialty tertiary level hospital, PGIMER, Chandigarh, India. Leadership Health Serv. 2011; 24(1): 64-73. [Crossref]
21. Alimohammadi N, Taleghani F, Yousefi H. Stroke Patients' Experiences Of Care: A Phenomenological Study. Nurs Midwifery J. 2015; 13(9): 799-807. [In Persian]
22. Berry D, Bradlow A, Courtenay M. Patients' attitudes towards, and information needs in relation to, nurse prescribing in rheumatology. J clin nurs. 2008;17(2):266-73. [Crossref]
23. Jafari M, Makarem A, Dalvandi A, Azimian M, Hosseini M. Determination of facilitators and barriers in post stroke life, in Kerman city. Modern Rehabilitation. 2011; 5(2): 54-62. [In Persian]
24. Naess H, Lunde L, Brogger J, Waje-Andreassen U. Post-stroke pain on long-term follow-up: the Bergen stroke study. J Neurol. 2010; 257(9): 1446-52. [Crossref]
25. McKevitt C, Fudge N, Redfern J, et al. Self-reported long-term needs after stroke. Stroke. 2011; 42(5): 1398-403. [Crossref]
26. Moeller D, Carpenter C. Factors affecting quality of life for people who have experienced a stroke. Int J Ther Rehabil. 2013; 20(4): 207-16. [Crossref]
27. Ghayeghran Ar, Bakhshayesh Eghbali B, Hosseini Nejad M, Azari P, Kazem Nejad E. Survey Of Various Post Stroke Pain Syndromes And The Related Risk Factors. J Guilan Univ Med Sci. 2012; 21(82:1-7. [In Persian]
28. Fattahi a, Azad a, Montazeri a. Quality Of Life Among Stroke Patients In Kermanshah City. Modern Rehabilitation. 2008; 2(1): 1-8. [In Persian]
29. Ch'Ng AM, French D, Mclean N. Coping with the challenges of recovery from stroke: long term perspectives of stroke support group members. J Health Psychol. 2008; 13(8): 1136-46. [Crossref]
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