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Nurses' symptom management and views on death and caring for heart failure and chronic obstructive pulmonary disease
1Professor, National Defense Medical College, Division of Nursing, Japan.
Background:
The number of older adult patients in Japan is increasing and symptom management is needed not only for cancer patients, but also non-cancer patients.
Aims:
This study investigated nurses' symptom management and their views on death and caring for heart failure (HF) and chronic obstructive pulmonary disease (COPD).
Methods:
A cross-sectional survey using a questionnaire was conducted. Survey items were implementation of assessment and non-pharmacological interventions for 14 symptoms at the end-of-life stage, participation in palliative care training courses and attitude toward death and caring, as assessed by the Frommelt attitude toward care of the dying (FATCOD) Scale.
Results:
A total of 266 (78.5%) nurses responded. More than 90% implemented symptom assessment of dyspnea and cough for both HF and COPD. The mean FATCOD score was 114.7, participation in on-the-job palliative care training courses (p<0.01), and difficulty with near-death issues (p<0.01) were significantly associated with the FATCOD.
Conclusion:
These results suggest that nurses assessed the major symptoms of HF and COPD. Training courses are important to promote palliative care for non-cancer patients.
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