Effectiveness of a pediatric palliative home care team as experienced by parents and health care professionals.

Détails

ID Serval
serval:BIB_4D8A7F036FC1
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Effectiveness of a pediatric palliative home care team as experienced by parents and health care professionals.
Périodique
Journal of Palliative Medicine
Auteur⸱e⸱s
Vollenbroich R., Duroux A., Grasser M., Brandstätter M., Borasio G.D., Führer M.
ISSN
1096-6218
1557-7740 (Electronic)
ISSN-L
1557-7740
Statut éditorial
Publié
Date de publication
2012
Volume
15
Numéro
3
Pages
294-300
Langue
anglais
Notes
Publication types: Evaluation Studies ; Journal ArticlePublication Status: ppublish
Résumé
OBJECTIVES: Little data are available on palliative home care for children. The objective of this study was to evaluate the effectiveness of a specialized pediatric palliative home care team (PPHCT) as experienced by parents and health care professionals (HCPs).
METHODS: Parents and HCPs involved in the care of terminally ill children who died and whom the PPHCT was in charge of were surveyed with questionnaires focusing on satisfaction with the PPHCT, satisfaction with the course of the dying phase, and the development of anxiety, depression, and prolonged grief disorder.
RESULTS: Forty-three parent dyads participated (return rate, 88%). Satisfaction with the PPHCT scored a median of 10 (numeric rating scale, 0-10). The child's death was predominantly experienced as very peaceful (median, 9); 71% died at home. According to parents, involvement of the PPHCT led to highly significant (p<0.001) improvements in the children's symptoms and quality of life, as well as in aspects of communication and administrative barrier reduction. Anxiety was detected in 25% of parents, depression in 19%, and prolonged grief disorder in 13%. HCPs (return rate, 83%) evaluated all investigated care domains (particularly cooperation/communication/family support) as being significantly improved (p<0.001). Thirty-five percent of HCPs felt uncertain concerning pediatric palliative care; 79% would welcome specific training opportunities.
CONCLUSIONS: Involvement of a PPHCT is experienced as a substantial improvement of care by parents and HCPs. Coordination of palliative care during the last phase of life appears to be an important quality factor for the home care of dying children and their families.
Mots-clé
Adolescent, Adult, Child, Child, Preschool, Consumer Satisfaction, Female, Health Personnel, Home Care Services, Humans, Infant, Male, Palliative Care, Parents, Patient Care Team, Questionnaires, Treatment Outcome, Young Adult
Pubmed
Web of science
Création de la notice
05/02/2013 8:48
Dernière modification de la notice
20/08/2019 14:02
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