A Study Of The Effects On Paitents With Advanced Cancer By Hospice Volunteer Service

Objective:1. Understand the status of the end of life of patients with advanced cancer at home.2By the method of investigation, evaluation of the impact of hospice volunteerservice terminal cancer patients.3. Explore volunteers how to better play the role of social support in hospice careproject, and make recommendations for its development.Study subjects:By participating in the School of Humanities, my school hosted "Hospice(Hospice) Social Work Demonstration Project, Shanxi subprojects," hospicecooperation with Shanxi Tumor Hospital, as a volunteer involved in the projectimplementation, monitoring visits fifty-four home late cancer patients fullyunderstand the basic situation of patients, communication with patients and theirfamilies, with the consent of, the use of convenience sampling method, select thethirty patients as research subjects.Methods:1, QuestionnairesQuestionnaire retrospective study, the use of the National Hospice PMO directedthe survey, including: basic situation of the patient; degree of distress in the pastmonth to bring you the following questions; Quality of Life Scale; feelings SupportScale; Self-Esteem Scale; meaning of life scales, respectively, before the study ofnature as a pretest, posttest, the time interval of four months.2, Intervention studiesTerminal cancer patients after receiving help Shanxi Tumor Hospital Hospicehospital, scheduled to take pain medication, get some pain relief, hospice volunteers through case interviews, family meetings, care for minor children, group activities,such as a life review series of personalized human care services, to provide eachpatient at least eight times, each1.5-2hours on-site service, to help resolvepsychological distress in patients, family members, coordinating relations and buildself-esteem and self-improvement of living faith and other purposes.Results:1The impoverished terminal cancer patient had poor life quality.2Terminal cancer patient’s life situation on the occupation and marital status ofthese two factors significantly different (P>0.05), while in gender, age, educationlevel, family income, whether religious, physical condition, the disease the level ofunderstanding and discussing with the family over whether to death or somethingbehind the existence of significant differences in terms of (P <0.05).3living areas plagued scores higher in males than females (P <0.05), theremaining scores are higher in women than men, more men than women describedproblems, while women in the quality of life, feelings of support and self-esteem,the meaning of life aspects are better than men.4various scales of different ages (more than60years and less than60years oldin two stages) score differences were statistically significant (P <0.05), in which thelow level of distress in patients aged short high above the patient’s age plagueddegree. And quality of life, feelings of support, self-esteem, respect the meaning oflife is better than the low ages.5education level, the higher the education level, the less troubled life,self-esteem, and the meaning of life is better.6monthly family incomes, higher family income, quality of life, feelings ofsupport, self-esteem, the meaning of life is better; differences in cancer patientsDistress Scale different monthly income of no statistical significance.7religious aspect, there is no faith belief patients than in patients with multiple problems, quality of life and the meaning of life in patients with inferior good faith;Have faith and self-esteem to feel the support scale scores showed no statisticallysignificant effects.8physical aspects of the situation, the better physical condition, the fewerproblems, quality of life, feelings of support, self-esteem, the better; meaning of lifefor cancer patients with different body condition scores of the difference was notstatistically significant.9understand the extent of the disease, to fully understand the diagnosis andprognosis of patients with less distress, high quality of life, do not understand thediagnosis and prognosis of patients’ troubled, low quality of life. Support Scale,Self-Esteem Scale, the meaning of life scores between the groups was not statisticallysignificant difference10. The family to talk about death and funeral, the depth or quality of life talkedabout death and the meaning of life for cancer patients Scale funeral scores are high,but not discussed life and death or funeral of two scales for cancer patients scores arerelatively low; distress Scale, feel support Scale, Self-Esteem Scale differencebetween the groups was not statistically significant.11After four months of hospice volunteer services, the majority of patientsHospice volunteers have a thorough understanding of the project and more than90%of terminal cancer patients can hope for sustained social services.12By contrast Hospice volunteer service before and after the volunteers canraise Mingling life for cancer patients since the end of terminal cancer patients findsupport scale, before and after the Self-Esteem Scale, the meaning of life scale tomeasure the difference was statistically significant, said to the positive impact.Conclusions:1, hospice volunteer services can have a positive impact on the role of life inpatients with advanced cancer. 2, the establishment of an organized hospice volunteer team, through reasonableservice content and services, to provide continuity of cancer patients with advancedservices that help cancer patients better face the end of life, happy to finish the finaljourney of life.3, the government should increase its focus on advanced cancer patients.