[논문]Delirium-Related Knowledge, Caregiving Performance, Stress Levels, and Mental Health of Family Caregivers of Terminal Cancer Patients with Delirium in a Hospice Care Unit

Jung, Mi Hyun; Park, Myung-Hee; Kim, Su-Jeong; Ra, Jeong Ran

doi:10.14475/jhpc.2021.24.2.116

Delirium-Related Knowledge, Caregiving Performance, Stress Levels, and Mental Health of Family Caregivers of Terminal Cancer Patients with Delirium in a Hospice Care Unit 원문보기

Journal of hospice and palliative care, v.24 no.2, 2021년, pp.116 - 129

Jung, Mi Hyun (Hospice & Palliative Care Center, Seoul St. Mary's Hospital, University of Catholic) , Park, Myung-Hee (Hospice & Palliative Care Center, Seoul St. Mary's Hospital, University of Catholic) , Kim, Su-Jeong (Hospice & Palliative Care Center, Seoul St. Mary's Hospital, University of Catholic) , Ra, Jeong Ran (Hospice & Palliative Care Center, Seoul St. Mary's Hospital, University of Catholic)

Abstract ▼ AI-Helper

Purpose: The purpose of this study was to examine the knowledge, caregiving performance, stress levels, and mental health of family caregivers of terminal cancer patients with delirium, insofar as these characteristics are relevant for delirium. Methods: Between May 1, 2019, and June 1, 2020, 96 family caregivers of terminal cancer patients with delirium completed a structured survey, the results of which were analyzed. Results: The average correct answer rate for delirium-related knowledge was 53.2% across all subcategories, which included knowledge of causes (41.5%), symptoms (65.4%), and caregiving (51.7%). The average score for family caregivers' performance of caregiving for delirium was 2.60±0.5, with subcategories including caregiving for patients without delirium (2.16±0.95), caregiving for patients with delirium (2.84±1.01), and stress related to caregiving for delirium (39.88±16.55), as well as categories such as patient-related caregiving (44.32±28.98), duty-related caregiving (44.21±30.15), and interpersonal relationship-related caregiving (22.35±25.03). For mental health, the average score among family caregivers was 1.96±0.70, with the highest score being for the category of additional items (2.28±0.84). Family caregivers of patients with hyperactive delirium as the delirium subtype had higher scores for caregiving performance than caregivers of patients with mixed delirium. Conclusion: Scores for the delirium-related knowledge and caregiving performance of family caregivers were low, while their caregiving stress levels were high due to their lack of knowledge and experience. This indicates the importance of delirium-related education for family members of patients with delirium and the necessity of developing nursing intervention programs to help manage stress and promote mental health among family caregivers.

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참고문헌 (27)

1 American Psychiatric Association 2017, c2013 DSM-5 Task Force. Diagnostic and statistical manual of mental disorders : DSM-5 5th ed American Psychiatric Association Arlington, VA 596 602
2 Irwin SA Rao S Bower KA Palica J Rao SS Maglione JE 2008 Psychiatric issues in palliative care: Recognition of delirium in patient enrolled in hospice care Palliat Support Care 6 159 64 10.1017/S1478951508000242 18501051

상세보기
3 Sfera A Cummings M Osorio C 2015 Non-neuronal acetylcholine: the missing link between sepsis, cancer, and delirium? Front Med (Lausanne) 2 56 10.3389/fmed.2015.00056 26347869

상세보기
4 Lee PJ Hahm BJ 2010 Pharmacological treatment for delirium in cancer patients J Korean Neuropsychiatr Assoc 49 20 5
5 Cohen MZ Pace EA Kaur G Bruera E 2009 Delirium in advanced cancer leading to distress in patients and family caregivers J Palliat Care 25 164 71 10.1177/082585970902500303 19824277

상세보기
6 Oh HY 2015 Knowledge, educational needs, and mental health related to delirium of family caregivers of older adults who are hospitalized [master's thesis] Hanyang Univ. Seoul Korean
7 Bull MJ Boaz L Sjostedt JM 2016 Family caregivers' knowledge of delirium and preferred modalities for receipt of information J Appl Gerontol 35 744 58 10.1177/0733464814535484 24942969

상세보기
8 Mittal V Muralee S Williamson D McEnerney N Thomas J Cash M 2011 Review: delirium in the elderly: a comprehensive review Am J Alzheimers Dis Other Demen 26 97 109 10.1177/1533317510397331 21285047

상세보기
9 Brajtman S 2005 Helping the family through the experience of terminal restlessness J Hosp Palliat Nurs 7 73 81 10.1097/00129191-200503000-00010

상세보기
10 Buss MK Vanderwerker LC lnouye SK Zhang B Block SD Prigerson HG 2007 Associations between caregiver-perceived delirium in patients with cancer and generalized anxiety in their caregivers J Palliat Med 10 1083 92 10.1089/jpm.2006.0253 17985965

상세보기
11 Kim MY Eun Y 2013 Knowledge, performance and stress about care for delirium in orthopedic hospital nurses J Muscle Joint Health 20 72 80 10.5953/JMJH.2013.20.1.72

원문보기 상세보기
12 Kim EH 2016 Relationship between knowledge, stress, and nursing performance about care for delirium in geriatric hospital nurses JKCHS 4 593 602 10.15205/kschs.2016.6.30.593

원문보기 상세보기
13 Lee JY Shin JH 2017 Effects of delirium care education on delirium care of Korean-Chinese caregivers caring for elderly postsurgical patients J Korean Gerontol Nurs 19 194 202 10.17079/jkgn.2017.19.3.194

상세보기
14 Ko HJ Youn CH Chung SE Kim AS Kim HM 2014 Risk factors related to development of delirium in hospice patients J Hosp Palliat Care 17 170 8 10.14475/kjhpc.2014.17.3.170

원문보기 상세보기
15 Park HS Kim DS Bae EH Kim JR Seo JH Yun JM 2016 Retrospective cohort study on the administration of sedative for delirium in terminally Ill cancer patients and survival time J Hosp Palliat Care 19 119 26 10.14475/kjhpc.2016.19.2.119

원문보기 상세보기
16 Trzepacz PT Baker RW Greenhouse J 1988 A symptom rating scale for delirium Psychiatry Res 23 89 97 10.1016/0165-1781(88)90037-6 3363018

상세보기
17 Lim KO Kim SY Lee YH Lee SW Kim JL 2006 A validation study for the Korean Version of Delirium Rating scale-Revised-98 (K-DRS-98) J Korean Neuropsychiatr Assoc 45 518 26
18 Jeong JY 2013 Care aides' knowledge, care performance and care stress of delirium in general hospitals [master's thesis] Gyeongsang National Univ. Jinju Korean
19 Kim KI Won HT Lee JH Kim KY 1978 Standardization study of symptom check list-90 in Korea I: Characteristics of normal responses J Korean Neuropsychiatr Assoc 17 449 58
20 Derogatis LR Lipman RS Covi L 1973 SCL-90: An outpatient psychiatric rating scale-preliminary report Psychopharmacol Bull 9 13 28 4682398
21 Ahn JS Oh JY Park JS Kim JJ Park JY 2019 Incidence and procedure-related risk factors of delirium in patients admitted to an intensive care unit Korean J Psychosom Med 27 35 41
22 Cho HJ Kim HK Kim KK Kim YI Suh SY Cho KH 2009 Delirium in the final weeks of terminally ill cancer patients Korean J Fam Med 30 285 91 10.4082/kjfm.2009.30.4.285

상세보기
23 Park HM Chang MY 2016 Influence of nurse's knowledge, confidence on nursing performance of delirium J Health Info Stat 41 359 68 10.21032/jhis.2016.41.4.359
24 Jang BJ Yeom HA 2018 Hospice-palliative care nurses' knowledge of delirium, self-efficacy and nursing performance on delirium Korean J Hosp Palliat Care 21 65 74 10.14475/kjhpc.2018.21.2.65

원문보기 상세보기
25 Suh HJ Yoo YS 2007 Intensive care unit nurse's knowledge, nursing performance, and stress about delirium KJAN 19 55 65
26 Oh KO Chun CS 2000 The burden and mental health of family caregiver with chronic mentally ill patients in community J Korean Acad Psychiatr Ment Health Nurs 9 499 513
27 Cho EJ Oh KO 2008 Burden and social support of informal caregivers for cancer patients in postoperative state J Korean Acad Psychiatr Ment Health Nurs 17 10 8

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Delirium-Related Knowledge, Caregiving Performance, Stress Levels, and Mental Health of Family Caregivers of Terminal Cancer Patients with Delirium in a Hospice Care Unit 원문보기

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