COMPARATIVE ANALYSIS OF PAIN INTENSITY IN HOSPICE CARE AT HOME AND IN HOSPITALS
Author(s)
Fullér N, Oláh A, Betlehem J, Boncz I, Pék E
University of Pécs, Pécs, Hungary
OBJECTIVES: Many challanges are experienced in the care of cancer patients like how to reach the painless condition and how to improve the quality of life. The intensity of pain, the distress caused by the pain and the pain’s experience are affected by many factors and these factors should be considered during the multidisciplinary care. We supposed that in case of hospice patients the circumstances, the place of the care and family support are such significant factors. Our aim was to compare hospice patients cared by home-hospice service and hospice department regarding pain and functional capabilityin Hungary. METHODS: A quantitative crossectional study was performed in 2011-2012 using an anonymous questionnaire. Our tool contained a visual analog scale (VAS) to measure the intensity of pain, Beck depression inventory SF and self-developed questions. SPSS.18.0. programme was used for data analysis, regression analysis, khi-square, Mann-Whitney and Kruskal-Wallis tests were used to find out the correlations. Finally 120 patients (n=120) participated in our study from the Southern Transdanubian region of Hungary. RESULTS: The total intensity of pain was 4,4 ± 2,2 at the hospice department and 2,4 ± 0,9 in case of home hospice patients. There was a significant difference between the two groups (p<0,001). We found significant correlation regarding the intensity of pain and severity of depression (p<0,001). The presence of pain affected the functional capability, the decrease of the capability was connected with the increase of the pain. CONCLUSIONS: We concluded that the place of the care is a determinative factor in case of hospice patient care. Part of the patient centralized care we have to focus on the family support and one of our challenge should be to teach the family how to care their relatives. With the enhance of the family care it is possible to fill the health care system’s gaps in.
Conference/Value in Health Info
2014-09, ISPOR Asia Pacific 2014, Beijing, China
Value in Health, Vol. 17, No. 7 (November 2014)
Code
PCN33
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Oncology