Factors Related to Needs in Palliative Care among Patients with Hepatocellular Carcinoma

• Main Authors: Le Thi Hien, วัลย์ลดา ฉันท์เรืองวณิชย์, Wallada Chanruangvanich, อรพรรณ โตสิงห์, Orapan Thosingha
• Other Authors: มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์
• Format: Article
• Language: English
• Published: 2019
• Subjects: palliative care; hepatocellular carcinoma; social support; physical symptoms; anxiety and depression; การดูแลแบบประคับประคอง; มะเร็งตับ; ความวิตกกังวลและภาวะซึมเศร้า; การสนับสนุนทางสังคม; อาการทางกาย; Journal of Nursing Science; วารสารพยาบาลศาสตร์
• Online Access: https://repository.li.mahidol.ac.th/handle/123456789/44108
• Institution: Mahidol University

Purpose: To identify relationships between physical symptoms, anxiety and depression, social support, and needs in palliative care among patients with hepatocellular carcinoma (HCC). Design: Descriptive correlational study. Methods: The study was conducted among 115 patients with HCC at the Nuclear Medicine and Oncology Center in Hanoi, Vietnam. Data were collected from the patients’ record and interviewed using demographic questionnaire, the Cohen-Hoberman Inventory of Physical Symptoms scale (CHIPS), the Hopkins Symptoms Checklist-25 scale (HSCL- 25), the Multidimensional Scale Perceived Social Support (MSPSS), and the Problems and Needs in Palliative Care-short version (PNPC-sv). Spearman’s rho was employed to test the relationship among studied variables. Main findings: Physical symptoms, anxiety, and depression were significant positively correlated with needs in palliative care (rs = .775, rs = .828, p < .05). Social support had a significant negative correlation with needs in palliative care (rs = - .307, p < .05). Conclusion and recommendations: Nurses should assess and manage patients’ symptoms, control their psychology and promote their social support. To improve palliative care, standard guidelines for symptom management in palliative care should be developed and implemented.