Examining the Effect of the Case Management Model on Patient Results in the Palliative Care of Patients With Cancer

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dc.contributor.authorOzcelik, Hanife
dc.contributor.authorFadiloglu, Cicek
dc.contributor.authorKarabulut, Bulent
dc.contributor.authorUyar, Meltem
dc.date.accessioned2019-08-01T13:38:39Z
dc.date.available2019-08-01T13:38:39Z
dc.date.issued2014
dc.departmentNiğde ÖHÜ
dc.description.abstractPurpose We aimed to investigate the improvement in symptoms, quality of life, patient and family satisfaction with care, and direct costs resulting from a palliative care program based case management model. Methods The research was implemented at the Medical Oncology Clinic hospital of a University between September 2009 and September 2011. The research sample consisted of a total of 44 patients (22 control and 22 intervention group). The research tools were the Edmonton Symptom Diagnosis System, the Karnofsky Performance Scale, the EORTCQLQ-C30 Quality of Life Scale, a patient and family satisfaction form, and a patient cost record form. Results The difference between total symptom mean scores and the sub-dimension symptoms of pain, fatigue, nausea, depression, anxiety, lack of appetite, lethargy, well-being, dyspnea, and constipation post-hospitalization and post-discharge of patients in the control and experimental groups were found to be statistically significant (p < 0.05). The level of decrease in symptom severity in the experimental group patients was more than in the control group (p < 0.000). The satisfaction level of patients and family in the palliative care based case management service was higher than that for conventional service in the control group (p < 0.05). No statistical difference was detected between the experimental and control groups regarding health costs and duration of hospitalization (p > 0.05). Conclusion We provided a better symptom control, improved the patient s quality of life (excluding physical and congnitive functions), and patient and family satisfaction levels were higher in the palliative care based case management intervention group, but direct health costs were not affected.
dc.identifier.doi10.1177/1049909113506980
dc.identifier.endpage664
dc.identifier.issn1049-9091
dc.identifier.issn1938-2715
dc.identifier.issue6
dc.identifier.pmid24097840
dc.identifier.scopus2-s2.0-84927609540
dc.identifier.scopusqualityQ2
dc.identifier.startpage655
dc.identifier.urihttps://dx.doi.org/10.1177/1049909113506980
dc.identifier.urihttps://hdl.handle.net/11480/4131
dc.identifier.volume31
dc.identifier.wosWOS:000342571500011
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthor[0-Belirlenecek]
dc.language.isoen
dc.publisherSAGE PUBLICATIONS INC
dc.relation.ispartofAMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectpalliative care
dc.subjectcase management
dc.subjectsymptom control
dc.subjectmultidisciplinary team
dc.subjectnursing
dc.subjectcare management
dc.titleExamining the Effect of the Case Management Model on Patient Results in the Palliative Care of Patients With Cancer
dc.typeArticle

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