Assessing Patients’ Palliative Care Needs in the Final Stages of Illness During Hospitalization

This study aimed to explore the palliative care needs of inpatients in the final stages of illness and to analyze the factors that influence them. The survey comprised 349 inpatients in the terminal stage of disease. Needs were assessed with the Patient Needs Assessment in Palliative Care (PNAP) que...

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Bibliographic Details
Published in:American journal of hospice & palliative medicine 2016-03, Vol.33 (2), p.184-193
Main Authors: Buzgova, Radka, Sikorova, Lucie, Jarosova, Darja
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Anxiety - epidemiology
Anxiety - psychology
Czech Republic
Depression - epidemiology
Depression - psychology
Female
Health Status
Hospitalization
Humans
Mental Health
Middle Aged
Needs Assessment - organization & administration
Nursing
Palliative Care - organization & administration
Palliative Care - psychology
Quality of Life
Religion
Sex Factors
Socioeconomic Factors
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Summary:This study aimed to explore the palliative care needs of inpatients in the final stages of illness and to analyze the factors that influence them. The survey comprised 349 inpatients in the terminal stage of disease. Needs were assessed with the Patient Needs Assessment in Palliative Care (PNAP) questionnaire; mental status was evaluated using the Hospital Anxiety and Depression Scale (HADS) questionnaire. The importance of needs varied with respect to patients’ diagnosis, age, gender, religion, and their levels of anxiety and depression. Most frequently, predictors of needs importance were lower age, poorer functional status, higher anxiety, and lower depression scores. Unmet needs were more likely to be indicated by nonreligious patients with better functional status and higher anxiety and depression scores.
ISSN:1049-9091
1938-2715
DOI:10.1177/1049909114556528