Quality and influencing factors of hospice care outcomes in patients with advanced cancer: a cross-sectional study based on symptom management theory
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Background Although the research and development of new drugs and the improvement of medical technology have made some progress in cancer treatment, the quality of life of cancer patients is still low, and the development of hospice care is still slow. At present, there are few studies on the quality of hospice care for patients themselves. Methods This cross-sectional study used convenience sampling to select 305 advanced cancer patients from hospitals, community health service centers and elderly care institutions related to the hospice care treatment pilot in Dongguan City, Guangdong Province between September 2023 and April 2024. The questionnaire was composed of seven parts: general information (including sociodemographic and disease-related information), palliative care outcome scale, numerical rating scale, brief illness perception questionnaire, 10-item Kessler psychological distress scale, family cohesion questionnaire, perceived social support scale. Data were analyzed using descriptive analysis, independent sample t -tests, one-way ANOVA, Pearson’s correlation, and multiple linear regression. Results A total of 305 advanced cancer patients were interviewed, most of them aged between 45 ~ 59 years. The average score of hospice care quality of cancer patients was 13.99 ± 5.98, which was at the lower average level compared with the median total score of the scale. The multiple linear regression results showed a linear correlation, between pain, disease perception, psychological distress, educational level, and financial stress on families and patient quality of hospice care. Conclusion The current quality of the hospice care outcomes in advanced cancer patients is at a moderate level. The results provide a reference for further construction of hospice care quality evaluation program and lay a foundation for improving the quality of the hospice care for advanced cancer patients.
