TY - JOUR
T1 - Care Associated With Satisfaction of Bereaved Family Members of Terminally Ill Cancer Patients With Dyspnea
T2 - A Cross-sectional Nationwide Survey
AU - Yamamoto, Sena
AU - Arao, Harue
AU - Aoki, Miwa
AU - Mori, Masanori
AU - Morita, Tatsuya
AU - Kizawa, Yoshiyuki
AU - Tsuneto, Satoru
AU - Shima, Yasuo
AU - Masukawa, Kento
AU - Miyashita, Mitsunori
N1 - Funding Information:
This study was part of the fourth Japan HOspice and Palliative Care Evaluation ( J-HOPE4 ) Study. The study was performed with the corporation of the Hospice Palliative Care Japan , and funded by the Japan Hospice Palliative Care Foundation . This work was supported by a grant from JSPS KAKENHI [grant number 18K10266 ]. The authors declare no conflicts of interest associated with this manuscript.
Publisher Copyright:
© 2021 American Academy of Hospice and Palliative Medicine
PY - 2021/10
Y1 - 2021/10
N2 - Context: Terminal dyspnea in dying cancer patients is frequent and distressing, and the impact extends to their families. Families are often involved in providing care for terminal dyspnea. Objectives: This study aimed to describe various care strategies for terminal dyspnea in cancer patients hospitalized in palliative care units (PCUs), evaluate families’ satisfaction with care for terminal dyspnea, and explore determinants contributing to families’ satisfaction. Methods: A nationwide, cross-sectional survey was conducted using a self-reported questionnaire among bereaved families of cancer patients who died in PCUs. The questionnaire consisted of questions on the perceptions of care offered to patients with terminal dyspnea and their families, satisfaction with care for terminal dyspnea, family-perceived intensity of terminal dyspnea, use of oxygen, and background data of patients and families. Results: In total, 533 participants (response rate = 54%) returned the completed questionnaires, and 231 reported that their loved one had experienced terminal dyspnea. Dedicated and compassionate care was perceived by 60%–89% of the participants as the strategy provided for patients. Care for family members was perceived by 58%–69% of the participants. Perception of dedicated and compassionate care for patients and that of care for family members were significantly associated with high satisfaction (odds ratio, 95% confidence interval: 8.64, 3.85–19.36 and 15.37, 5.00–47.25, respectively). Conclusion: Dedicated and compassionate care may be the essential part of the care for terminal dyspnea. Dedicated and compassionate care for patients and care for family members have a potential of improving the care satisfaction among family caregivers.
AB - Context: Terminal dyspnea in dying cancer patients is frequent and distressing, and the impact extends to their families. Families are often involved in providing care for terminal dyspnea. Objectives: This study aimed to describe various care strategies for terminal dyspnea in cancer patients hospitalized in palliative care units (PCUs), evaluate families’ satisfaction with care for terminal dyspnea, and explore determinants contributing to families’ satisfaction. Methods: A nationwide, cross-sectional survey was conducted using a self-reported questionnaire among bereaved families of cancer patients who died in PCUs. The questionnaire consisted of questions on the perceptions of care offered to patients with terminal dyspnea and their families, satisfaction with care for terminal dyspnea, family-perceived intensity of terminal dyspnea, use of oxygen, and background data of patients and families. Results: In total, 533 participants (response rate = 54%) returned the completed questionnaires, and 231 reported that their loved one had experienced terminal dyspnea. Dedicated and compassionate care was perceived by 60%–89% of the participants as the strategy provided for patients. Care for family members was perceived by 58%–69% of the participants. Perception of dedicated and compassionate care for patients and that of care for family members were significantly associated with high satisfaction (odds ratio, 95% confidence interval: 8.64, 3.85–19.36 and 15.37, 5.00–47.25, respectively). Conclusion: Dedicated and compassionate care may be the essential part of the care for terminal dyspnea. Dedicated and compassionate care for patients and care for family members have a potential of improving the care satisfaction among family caregivers.
KW - Advanced cancer
KW - Breathlessness
KW - Dyspnea
KW - Family
KW - Palliative care
KW - Terminal care
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U2 - 10.1016/j.jpainsymman.2021.03.023
DO - 10.1016/j.jpainsymman.2021.03.023
M3 - Article
C2 - 33848568
AN - SCOPUS:85106371939
VL - 62
SP - 796
EP - 804
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
SN - 0885-3924
IS - 4
ER -