Key result
Over 90% of nurses assessed dyspnea and cough in HF and COPD, and palliative care training participation was significantly associated with FATCOD scores (p<0.01).
Why the study?
With an increasing older adult population in Japan, symptom management is needed for non-cancer patients, leading investigators to evaluate nurses' symptom management and views on death and caring for HF and COPD.
Cross-Sectional (n=266)
p-value: p=<0.01
Nurses frequently assess major symptoms of HF and COPD, and participation in palliative care training courses is associated with improved attitudes toward caring for dying patients.
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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Miho Matsui (2022) conducted a cross-sectional in Heart failure and chronic obstructive pulmonary disease (nurses' views) (n=266). Participation in palliative care training courses was evaluated on Frommelt attitude toward care of the dying (FATCOD) Scale score (p=<0.01). Over 90% of nurses assessed dyspnea and cough in HF and COPD, and palliative care training participation was significantly associated with FATCOD scores (p<0.01).
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