以质量求发展，以服务铸品牌

Journal of Nursing ›› 2018, Vol. 25 ›› Issue (21): 73-76.doi: 10.16460/j.issn1008-9969.2018.21.073

Previous Articles     Next Articles

Effect of Heart to Heart® Café on Lung Cancer Patients' End-of-life Concerns

CHENG Fang, WEN Qu, CHENG Xiu-li   

  1. Oncology Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2018-08-01 Published:2020-07-08

PDF (PC)

327

Like

Abstract: Objective To conduct Heart to Heart® Café to understand the end-of-life wishes of patients with lung cancer, enhance patients' cognition on death, and provide support for them to enjoy their remaining life. Methods Lung cancer patients were chosen with the method of purposive sampling. One host and three leading persons who were trained by Heart to Heart® card designed by the Chinese American Coalition for Compassionate Care held the Heart to Heart® Café. Patients completed Heart to Heart® card. Results Seven Heart to Heart® Café were launched including 38 patients, 33 of which participated in the whole activity and 5 left in the middle. All the participants believed such activities were meaningful and helpful and was worth to be popularized. A total of 99 Heart to Heart® card were collected. Among them, there were 30 cards of body needs of lung cancer patients at the end of life (30%), 30 of interpersonal needs (30%), 22 of spiritual needs (22%), 12 of financial needs (12%), and 5 of special wishes (5%). The most frequently seen wish was I do not want to become the family burden; I want a trusted doctor and a caring nurse, and I hope my family can get along well. Conclusion Heart to Heart® Café is conducive to understanding the concerns of lung cancer patients at the end of their life, to helping them face death positively. It is a easy but practical tool of death education for cancer patients and a good tool for soothing care to provide comprehensive care for cancer patients.

Key words: lung cancer patient, end of life, demand

CLC Number: 

  • R473.73
[1] 美华慈心关怀联盟.安心茶话屋[EB/OL].[2018-10-01].http://www.caccc-usa.org/en/activities/heart2heart.html.
[2] Chen W, Zheng R, Baade, et al. Cancer Statistics in China[J].CA: A Cancer Journal for Clinicians, 2015,66(2):115-132.DOI:10.3322/caac.21338.
[3] Puts M T E, Papoutsis A, Spongall E, et al. A Systematic Review of Unmet Needs of Newly Diagnosed Older Cancer Patients Undergoing Active Cancer Treatment[J].Supportive Care Cancer,2012, 20(7):1377-1394.DOI:10.1007/s00520-012-1450-7.
[4] 闻曲,刘义兰,成芳.肿瘤患者舒缓疗护实践探索[J].中华现代护理杂志,2016,22(34):4889-4893.DOI:10.3760/cma.j.issn.1674-2907.2016.34.002.
[5] Menkin E S, Go Wish: A Tool for End-of-life Care Conversations[J]. J Palliat Med, 2007,10(2):297-303.DOI:10.1089/jpm.2006.9983.
[6] 张慧兰,王丹,罗羽.国内外死亡教育发展的分析与思考[J].护理学报,2015,22(11):29-32.DOI:10.16460/j.issn1008-9969.2015.11.029.
[7] 朱琳,陈晓莉,鲜于云艳.肺癌病人支持性照顾需求研究进展[J].护理研究,2018,32(3):346-350. DOI:10.3969/j.issn.1009-6493.2018.03.005.
[8] Benero C, Vanhanen M, Appelin G.Receiving a Diagnosis of Inoperable Lung Cancer:Patients' Perspectives of How It Affects Their Life Situation and Quality of Life[J].Acta 0ncologica,2008,47(5):862-869.DOI:10.1080/0284186070165.
[9] 张丽燕,陆宇晗.365例晚期癌症患者照顾者心理韧性现状及影响因素分析[J].护理学报,2018,25(14):44-48. DOI:10.16460/j.issn1008-9969.2018.14.044.
[10] 朱晓红,冯新玮,何思雨.肺癌患者信息需求水平的调查研究[J].河北医药,2016,38(18):2854-2856. DOI:10.3969/j.issn.1002-7386.2016.18.039.
[11] 张玉玺,殷蓉,林征.老年晚期肿瘤患者心理体验的质性研究[J].护理学报,2013,20(12A):6-10.
[12] 成琴琴,梁赛,谌永毅,等.癌症患者灵性需求的研究进展[J].中华护理杂志,2016,51(3):330-335.DOI:10.3761/j.issn.0254-1796.2016.03.015.
[13] 杨柳,丁君蓉.肺癌术后患者灵性照护需求的研究[J].护士进修杂志,2018, 33(7):657-660.DOI:10.16821/j.cnki.hsjx.2018.07.026.
[14] 张义华,王增珍.恶性肿瘤患者年住院费用研究[J].中国卫生经济,2006(12):72-73.
[15] 柳俊杰,马雷,李军,等.某市医保恶性肿瘤患者住院费用分析[J].医学与哲学(B),2017,38(8):90-93. DOI:10.12014/j.issn.1002-0772.2017.08b.26.
[16] The Economist Intelligence Unite. The2015 Quality of Death Index Ranking Palliative Care Across the World[EB/OL].(2016-12-30)[2018-11-27].https://perspectives.eiu.com/healthcare/2015-quality-death-index.
[17] 李永红,江智霞,高晓霞,等.死亡教育对晚期癌症患者死亡态度的影响[J].重庆医学,2014,43(2):244-246. DOI:10.3969/j.issn.1671-8348.2014.02.044.
[18] National Comprehensive Cancer Network. Palliative Care Version 1 2018[EB/OL]. (2018-05-26)[2018-10-01]. http://www.nccn.org/professionals/physician-gls/f-guidelines.asp.
[1] LIU Xiao-cheng, YING Wen-juan, LIU Zhi-li, ZHENG Rui-hua, XU Nuo, LIU Hui. Best Evidence Summary for Assessment of Sexuality and Intimacy Relationship for Patients with Terminal Stage [J]. Journal of Nursing, 2020, 27(12): 23-27.
[2] CAO Dan-yang,WANG Yu-ting,YU Li,WANG Wei-jie,CUI Jing. Attitudes toward and Demands of Death Education of Medical Undergraduates in Shanghai [J]. Journal of Nursing, 2018, 25(7): 32-35.
[3] YOU Shu-ping,JIANG Hong,MA Long,JIANG Yue-ying,Mohedesi Siyiti,LIU Tao. PracticaI Teaching Effect of Community Nursing Guided by Demand-oriented Theory for Nursing Undergraduates [J]. , 2016, 23(22): 14-17.
[4] GUO Sha-sha,CHEN Xue-ping,LI Jun-hua. OId PeopIe’s Demands in Homecare Service and Day Care Centre in Community [J]. Journal of Nursing, 2015, (7): 72-75.
[5] GAO Li,GUO Ming-xian,CUI Yan,ZHANG Hong-chen,YANG Rui. Cognition of and Demands for Knowledge on Geriatric Nursing of Nursing Aides in Nursing Homes [J]. Journal of Nursing, 2014, (8): 5-7.
[6] ZHU Zhuan-e,CHEN Rui-lian,ZHENG Li-song,HUANG Shuang-huo. Feedback on Involvement of Medical Social Workers from Hospitalized Psychiatric Patients [J]. Journal of Nursing, 2014, (7): 34-36.
[7] ZHENG Yan,HOU Ming,TANG Ying,LI Ping. Needs Survey of PICC Health Management Knowledge and Approach of Patients during Intermission of Chemotherapy [J]. Journal of Nursing, 2014, (13): 1-4.
[8] DENG Run-xia,WANG Xin,PENG Jin-lian,ZHANG Li-bin,LI Xiao-mei. Incentive Demand of Contracted Nurse of Class II Hospital in Zhongshan [J]. Journal of Nursing, 2013, (12): 10-13.
Viewed
Full text


Abstract

Cited
  Shared   
[1] . [J]. Journal of Nursing, 2013, 20(11): 25 -27 .
[2] WANG Xin,LI Gui-you,DENG Mei-lian. Influencing Factors of Pelvic Organ Prolapse during Pregnancy[J]. Journal of Nursing, 2013, 20(11): 28 -30 .
[3] LI Yuan, ZHANG Rui, LU Yan-yan, Ning Pei, LI Xue, MENG Qing-hui. Study Methods of Nursing Postgraduates of Critical Illness from Perspectives of Tutors and Postgraduates[J]. Journal of Nursing, 2020, 27(11): 1 -5 .
[4] ZHAO Di, ZHAO Meng-Lu, WANG Na, FU Ming-Jing, LIANG Feng, ZHANG Wei, WANG Ai-Min. Current Status of Social Isolation of Community-dwelling Elderly People in Qingdao and Its Influencing Factors[J]. Journal of Nursing, 2020, 27(11): 6 -10 .
[5] . [J]. Journal of Nursing, 2020, 27(11): 11 -15 .
[6] XIE Yan-zhen, LI Zhuang-miao, ZHANG Jia-yu, JI Qiu-lu, WU Yu-xin. Bibliometric Analysis of Moxibustion for Hemiplegia after Stroke[J]. Journal of Nursing, 2020, 27(11): 16 -20 .
[7] . [J]. Journal of Nursing, 2020, 27(11): 21 -25 .
[8] ZHANG Ai-qin, CHEN Jun-shan, YU Jin-tian. Guidelines on Non-pharmacological Management of Delirium in ICU Patients：A Systematic Review[J]. Journal of Nursing, 2020, 27(11): 26 -32 .
[9] YE Dong-ting, ZHANG Qin-lian, JING Shuang, GUO Jia, XING Yan-fen. Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis[J]. Journal of Nursing, 2020, 27(11): 33 -39 .
[10] LIU Min, LIU An-nuo, WU De-quan, GAO Yu, CHEN Guo-hong, ZHU Gui-yue, ZHANG Meng, MA Wen, DING Cui-lu. Effect of Exercise on Walking Function of Elderly Type 2 Diabetic Patients：A Meta-analysis[J]. Journal of Nursing, 2020, 27(11): 40 -45 .