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Comfort as Experienced by Thai Older...

Tanatwanit, Yupin.

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Comfort as Experienced by Thai Older Patients with Advanced Cancer.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Comfort as Experienced by Thai Older Patients with Advanced Cancer./
作者:	Tanatwanit, Yupin.
面頁冊數:	412 p.
附註:	Source: Dissertation Abstracts International, Volume: 72-04, Section: B, page: .
Contained By:	Dissertation Abstracts International72-04B.
標題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3439981
ISBN:	9781124460505

Comfort as Experienced by Thai Older Patients with Advanced Cancer.
Tanatwanit, Yupin.

Comfort as Experienced by Thai Older Patients with Advanced Cancer. - 412 p.

Source: Dissertation Abstracts International, Volume: 72-04, Section: B, page: .

Thesis (Ph.D.)--The Catholic University of America, 2011.

The study purpose was to explore and describe comfort as experienced by Thai older patients with advanced cancer in an academic medical-university hospital in Thailand. Between-method triangulation was utilized and based on the Comfort Theory developed by Kolcaba (2003). For the quantitative phase, purposive sampling was applied to recruit 111 Thai older patients with advanced cancer, determined by the Palliative Performance Scale version 2 (PPSv2) scores equal to or less than 60% and meeting other inclusion criteria, to complete the Hospice Comfort Questionnaire (HCQ) (Patient) and Verbal Rating Scales (VRSs). Every fifth subject of quantitative phase (N = 20) was invited and interviewed in depth following the Semi-Structured Interview Guide.

ISBN: 9781124460505Subjects--Topical Terms:

533633
Gerontology.

Comfort as Experienced by Thai Older Patients with Advanced Cancer.
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245 1 0 $a Comfort as Experienced by Thai Older Patients with Advanced Cancer.
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500 $a Source: Dissertation Abstracts International, Volume: 72-04, Section: B, page: .
500 $a Adviser: Janice Griffin Agazio.
502 $a Thesis (Ph.D.)--The Catholic University of America, 2011.
520 $a The study purpose was to explore and describe comfort as experienced by Thai older patients with advanced cancer in an academic medical-university hospital in Thailand. Between-method triangulation was utilized and based on the Comfort Theory developed by Kolcaba (2003). For the quantitative phase, purposive sampling was applied to recruit 111 Thai older patients with advanced cancer, determined by the Palliative Performance Scale version 2 (PPSv2) scores equal to or less than 60% and meeting other inclusion criteria, to complete the Hospice Comfort Questionnaire (HCQ) (Patient) and Verbal Rating Scales (VRSs). Every fifth subject of quantitative phase (N = 20) was invited and interviewed in depth following the Semi-Structured Interview Guide.
520 $a Descriptive statistics analyzed the quantitative data. The findings showed that Thai older patients with advanced cancer experienced comfort between a moderate and almost high comfort level of the HCQ (Patient) (M = 4.29, SD = +/-.50) and between a moderate and fairly high comfort level of the VRSs (M = 6.25, SD = +/-2.09). In addition, the HCQ (Patient) and the VRSs had psychometric properties. Content analysis analyzed the qualitative data. Three domains emerged: Discomfort, Comfort, and an Additional domain. Discomfort of Thai older patients with advanced cancer encompassed four contexts: physical-physiological (sleep disturbance and pain), psycho-spiritual (worry and/or fear about the illness and symptoms), socio-cultural (no reporting/communication of existing discomfort), environmental (the setting---the patient's room and the restrooms). Four categories of comfort emerged: Relief, Ease, Transcendence, and Inadequate comfort. Intervening variables, nursing comfort care, nurses (including other healthcare personnel), improvement for comfort care, and comparison between the hospital and the (participant's) house emerged as an additional domain. There were three main comfort providers: nurses, patients' relatives, and the patient him/herself through health-seeking behaviors. In addition, patients comforted each other. The findings showed that nurses focused on providing physical-physiological care such as pain relief. The relatives were the main providers of psychological comfort care. Most patients still needed to comfort themselves and seek transcendence during the end-of-life treatment. These findings provide guidance to develop effective comfort care. Future studies are needed to improve the quality of comfort care.
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