A comparative study of palliative care service outcomes for cancer and non-cancer patients at Maharaj Nakorn Chiang Mai Hospital

Authors

  • Ampawan Jaipear Department of Nursing, Maharaj Nakorn Chiang Mai Hospital, School of Medicine, Chiang Mai University
  • Panadda Suwan Department of Nursing, Maharaj Nakorn Chiang Mai Hospital, School of Medicine, Chiang Mai University
  • Thawalrat Ratanasiri Department of Family Medicine, School of Medicine, Chiang Mai University
  • Issaree Panyawan Department of Nursing, Maharaj Nakorn Chiang Mai Hospital, School of Medicine, Chiang Mai University

Keywords:

Palliative care patients, Palliative care service outcomes, Cancer patients, Non-cancer patients

Abstract

The objective of this study was to compare the outcomes of palliative care services for cancer and non-cancer patients. Methods : This research is a retrospective analytical study. Participants included individuals aged 20 years and above, with a Palliative Performance Scale; PPS - Adult Suandok score from 10% to 30%, with 62 individuals in each group. Data were collected from 1st October 2021 to 31st August 2022 by the palliative care case manager unit, Nursing department at Maharaj Nakorn Chiang Mai Hospital. The collected data included outcomes such as general information, Edmonton Symptom Assessment System : ESAS, advance care planning, family meetings with healthcare providers, living will completion, and good death. The results found that after participated the program, both groups were decreased symptom scores lower than before with statistical significant. Regarding palliative care outcomes, a statistically significant difference (p<.05) was observed in living will completion between the two groups. However, no significant differences were found in advance care planning, family meetings with the palliative care team, or good death. 
Conclusion : Palliative care adopts a holistic approach to alleviate all aspects of patient suffering. The research findings could inform the development of palliative care services in Thailand, emphasizing comprehensive access to palliative care for patients and families, irrespective of the underlying condition, to alleviate suffering effectively.

References

Hui D, Bruera E. Models of palliative care delivery for patients with cancer. J Clin Oncol [Internet]. 2020;38(9):852–65. Available from: http://dx.doi.org/10.1200/JCO.18.02123.

Tanzi S, Peruselli C, Moroni M. Palliative care is a complex care. BMJ Support Palliat Care [Internet]. 2023;spcare-2023-004553. Available from: http://dx.doi.org/10.1136/spcare-2023-004553.

World Health Organization. Palliative care [Internet]. 2023 [cited 2023 Nov 28]. Available from: https://www.who.int/health-topics/palliative-care.

Henson LA, Maddocks M, Evans C, Davidson M, Hicks S, Higginson IJ. Palliative care and the management of common distressing symptoms in advanced cancer: Pain, breathlessness, nausea and vomiting, and fatigue. J Clin Oncol [Internet]. 2020;38(9):905–14. Available from: http://dx.doi.org/10.1200/JCO.19.00470.

Milazzo S, Hansen E, Carozza D, Case AA. How effective is palliative care in improving patient outcomes? Curr Treat Options Oncol [Internet]. 2020;21(2):12. Available from: http://dx.doi.org/10.1007/s11864-020-0702-x.

Xu S, Wang X, Wang R. The effects of integrated palliative care on quality of life and psychological distress in patients with advanced cancer: a systematic review and meta-analysis. Ann Palliat Med [Internet]. 2022;11(8):2586–99. Available from: http://dx.doi.org/10.21037/apm-22-162.

National Economic and Social Development Council (NESDC). Social Indicator Data [Internet]. 2021. Available from: https://www.nesdc.go.th/main.php?filename=PageSocial. (in Thai)

Chaiviboontham S, Pokpalagon P. Palliative care model in Thailand [Internet]. Int J Palliat Nurs. 2021;27(3):132-46. Available from: https://doi.org/10.12968/ijpn.2021.27.3.132. (in Thai)

Chinda M, Jaturapatporn D, Kirshen AJ, Udomsubpayakul U. Reliability and validity of a Thai version of the edmonton symptom assessment scale (ESAS-Thai) [Internet]. J Pain Symptom Manage. 2011;42(6):954-60. Available from: https://doi.org/10.1016/j.jpainsymman.2011.02.020.

The International Agency for Research on Cancer (IARC). Global Cancer Observatory [Internet]. Iarc.Fr. [cited 2023 Nov 28]. Available from: https://gco.iarc.fr/.

National cancer institue.(2017).Annual Report 2017. Department of Medical Sciences Ministry of Public Health.[Internet]. Available from:https://www.nci.go.th/th/File_download/filePlan/2560.pdf.

Wallace C.H. CHAN and I. Epstein, (2012) Researching “good death” in a Hong Kong palliative care program: A clinical data-mining study. Omega: Journal of Death and Dying, 64(3), 203–222.

NIH National Institute on Aging (NIA) (2022).Providing Care and Comfort at the End of Life. [Internet] Available from: https://www.nia.nih.gov/health/end-life/providing-care-and-comfort-end-life.

Cotogni P, De Luca A. Caring for patients in need of palliative care: Is this a mission for acute care hospitals? Key questions for healthcare professionals. Healthcare [Internet]. 2022;10(3):486. Available from: http://dx.doi.org/10.3390/healthcare100304861.

Romanò M, Oldani S, Reina V, Sofia M, Castiglioni C. Palliative care for patients with end-stage, non-oncologic diseases-A retrospective study in three public palliative care departments in northern Italy. Healthcare. 2022;10(6):1031. Available from: https://doi.org/10.3390/healthcare10061031.

Ruechuta Molek. Symptom intensity in persons with advanced cancer receiving palliative nursing care protocol and caregivers' satisfaction. Thesis Master of Nursing Science Program in Adult and Gerontological Nursing. 2014.

Schoenherr LA, Bischoff KE, Marks AK, O’Riordan DL, Pantilat SZ. Trends in Hospital-Based Specialty Palliative Care in the United States. JAMA Netw Open 2019; 2(12): 43-54.

Ramsbottom, K., & Kelley, M. L. Developing strategies to improve advance care planning in long term care homes: Giving voice toresidents and their family members.International Journal of Palliative Care, 2014: 1-8. doi: 10.1155/2014/3584572014.

Kim S, Koh S, Park K, Kim J. End-of-life care decisions using a Korean advance directive among cancer patient–caregiver dyads. Palliative and Supportive Care [Internet]. 2017 Feb 1 [cited 2024 July 20];15(1):77-87. Available from: https://research-ebsco-com.chula.idm.oclc.org/linkprocessor/ plink?id=b881655f-4569-3119-b87a-38f306cd6a1a.

เปรียบเทียบผลลัพธ์ของการจัดบริการการดูแลแบบประคองของกลุ่มผู้ป่วยมะเร็งและกลุ่มผู้ป่วยที่ไม่ใช่มะเร็ง (n=124)

Downloads

Published

2024-08-29

How to Cite

1.
Jaipear A, Suwan P, Ratanasiri T, Panyawan I. A comparative study of palliative care service outcomes for cancer and non-cancer patients at Maharaj Nakorn Chiang Mai Hospital. Health Sci Tech Rev [Internet]. 2024 Aug. 29 [cited 2024 Nov. 21];17(2):48-59. Available from: https://li01.tci-thaijo.org/index.php/journalup/article/view/263681

Issue

Vol. 17 No. 2 (2024): May - August 2024

Section

Research articles

License

Copyright (c) 2024 University of Phayao

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

ผู้นิพนธ์ต้องรับผิดชอบข้อความในบทนิพนธ์ของตน มหาวิทยาลัยพะเยาไม่จำเป็นต้องเห็นด้วยกับบทความที่ตีพิมพ์เสมอไป ผู้สนใจสามารถคัดลอก และนำไปใช้ได้ แต่จะต้องขออนุมัติเจ้าของ และได้รับการอนุมัติเป็นลายลักษณ์อักษรก่อน พร้อมกับมีการอ้างอิงและกล่าวคำขอบคุณให้ถูกต้องด้วย

The authors are themselves responsible for their contents. Signed articles may not always reflect the opinion of University of Phayao. The articles can be reproduced and reprinted, provided that permission is given by the authors and acknowledgement must be given.