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Volume 18
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10.3390/ijerph18178992
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Article

Inpatient Hospice Palliative Care Unit and Palliative Consultation Service Enhance Comprehensive Quality of Life Outcomes in Terminally Ill Cancer Patients: A Prospective Longitudinal Study

by
Li-Fang Chang
1,2,
Li-Fen Wu
1,2,
Chi-Kang Lin
3,
Ching-Liang Ho
4,
Yu-Chun Hung
1,5,*,† and
Hsueh-Hsing Pan
1,6,*,†
1
Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
2
Graduate Institute of Medical Sciences, School of Nursing, National Defense Medical Center, Taipei City 11490, Taiwan
3
Department of Gynecology and Obstetrics, Tri-Service General Hospital, National Defense Medical Center, Taipei City 11490, Taiwan
4
Division of Hematology and Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei City 11490, Taiwan
5
Nursing Department, University of Kang Ning, Taipei City 11405, Taiwan
6
Department of Nursing, Tri-Service General Hospital, School of Nursing, National Defense Medical Center, Taipei City 11490, Taiwan
*
Authors to whom correspondence should be addressed.
†
Hsueh-Hsing Pan and Yu-Chun Hung contribute equally in this article.
Int. J. Environ. Res. Public Health 2021, 18(17), 8992; https://doi.org/10.3390/ijerph18178992
Submission received: 22 June 2021 / Revised: 22 August 2021 / Accepted: 22 August 2021 / Published: 26 August 2021
(This article belongs to the Section Nursing)
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Abstract

This study aimed to explore the effectiveness of an inpatient hospice palliative care unit (PCU) and palliative consultation service (PCS) on comprehensive quality of life outcome (CoQoLo) among terminally ill cancer patients. This was a prospective longitudinal study. Terminally ill cancer patients who met the inclusion criteria and received PCU or PCS in a northern Taiwanese medical center were recruited. The CoQoLo Inventory was used to measure CoQoLo level pre- and seven days following hospice care between August 2018 and October 2019. A total of 90 patients completed the study. No significant differences were found in CoQoLo levels between the PCU and PCS groups pre- and seven days following care. However, the CoQoLo level of patients significantly improved seven days following care in both PCU and PCS groups, compared with pre-hospice care. Patients’ age, religious belief, marital status, closeness with family, palliative prognostic index (PPI), and symptom severity were significant concerning CoQoLo levels after adjusting for patients’ baseline characteristics. PCU and PCS showed no difference in CoQoLo levels, but both of them can improve CoQoLo among terminally ill cancer patients. These patients could receive PCU or PCS to achieve a good CoQoLo at the end-of-life stage.
Keywords: terminally ill cancer patients; comprehensive quality of life outcomes; hospice palliative care; hospice palliative care unit; hospice palliative consultation service terminally ill cancer patients; comprehensive quality of life outcomes; hospice palliative care; hospice palliative care unit; hospice palliative consultation service

Share and Cite

MDPI and ACS Style

Chang, L.-F.; Wu, L.-F.; Lin, C.-K.; Ho, C.-L.; Hung, Y.-C.; Pan, H.-H. Inpatient Hospice Palliative Care Unit and Palliative Consultation Service Enhance Comprehensive Quality of Life Outcomes in Terminally Ill Cancer Patients: A Prospective Longitudinal Study. Int. J. Environ. Res. Public Health 2021, 18, 8992. https://doi.org/10.3390/ijerph18178992

AMA Style

Chang L-F, Wu L-F, Lin C-K, Ho C-L, Hung Y-C, Pan H-H. Inpatient Hospice Palliative Care Unit and Palliative Consultation Service Enhance Comprehensive Quality of Life Outcomes in Terminally Ill Cancer Patients: A Prospective Longitudinal Study. International Journal of Environmental Research and Public Health. 2021; 18(17):8992. https://doi.org/10.3390/ijerph18178992

Chicago/Turabian Style

Chang, Li-Fang, Li-Fen Wu, Chi-Kang Lin, Ching-Liang Ho, Yu-Chun Hung, and Hsueh-Hsing Pan. 2021. "Inpatient Hospice Palliative Care Unit and Palliative Consultation Service Enhance Comprehensive Quality of Life Outcomes in Terminally Ill Cancer Patients: A Prospective Longitudinal Study" International Journal of Environmental Research and Public Health 18, no. 17: 8992. https://doi.org/10.3390/ijerph18178992

APA Style

Chang, L.-F., Wu, L.-F., Lin, C.-K., Ho, C.-L., Hung, Y.-C., & Pan, H.-H. (2021). Inpatient Hospice Palliative Care Unit and Palliative Consultation Service Enhance Comprehensive Quality of Life Outcomes in Terminally Ill Cancer Patients: A Prospective Longitudinal Study. International Journal of Environmental Research and Public Health, 18(17), 8992. https://doi.org/10.3390/ijerph18178992

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