Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional study
BackgroundMore than 50,000 deaths in terms of cancer occur annually in Iranian hospitals. Determining the preferred place of end-of-life care and death for cancer patients in Iran is a quality marker for good end-of-life care and good death. The purpose of this study was to determine the preferred p...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.911397/full |
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| author | Armin Fereidouni Armin Fereidouni Mahmood Salesi Maryam Rassouli Fariba Hosseinzadegan Mohammad Javid Maryam Karami Maryam Elahikhah Salman Barasteh Salman Barasteh |
| author_facet | Armin Fereidouni Armin Fereidouni Mahmood Salesi Maryam Rassouli Fariba Hosseinzadegan Mohammad Javid Maryam Karami Maryam Elahikhah Salman Barasteh Salman Barasteh |
| author_sort | Armin Fereidouni |
| collection | DOAJ |
| description | BackgroundMore than 50,000 deaths in terms of cancer occur annually in Iranian hospitals. Determining the preferred place of end-of-life care and death for cancer patients in Iran is a quality marker for good end-of-life care and good death. The purpose of this study was to determine the preferred place of end-of-life care and death in cancer patients.MethodIn 2021, the current descriptive cross-sectional investigation was carried out. Using the convenience sample approach, patients were chosen from three Tehran referral hospitals (the capital of Iran). A researcher-made questionnaire with three parts for demographic data, clinical features, and two questions on the choice of the desired location for end-of-life care and the death of cancer patients served as the data collecting instrument. Data were analyzed using SPSS software version 18. The relationship between the two variables preferred place for end-of-life care and death and other variables was investigated using chi-square, Fisher exact test, and multiple logistic regression.ResultThe mean age of patients participating in the study was 50.21 ± 13.91. Three hundred ninety (69.6%) of the patients chose home, and 170 (30.4%) patients chose the hospital as the preferred place of end-of-life care. Choosing the home as a preferred place for end-of-life care had a significant relationship with type of care (OR = .613 [95% CI: 0.383–0.982], P = .042), level of education (OR = 2.61 [95% CI: 1.29–5.24], P = 0.007), type of cancer (OR = 1.70 [1.01–2.89], P = .049), and income level (Mediate: (OR: 3.27 (1.49, 7.14), P = .003) and Low: (OR: 3.38 (1.52–7.52), P = .003). Also, 415 (75.2%) patients chose home and 137 (24.8%) patients chose hospital as their preferred place of death. Choosing the home as a preferred place of death had a significant relationship with marriage (OR = 1.62 [95% CI: 1.02–2.57], P = .039) and time to diagnostic disease less than 6 months (OR = 1.62 [95% CI: 0.265–0.765], P = .002).ConclusionThe findings of the current research indicate that the majority of cancer patients selected their homes as the preferred location for end-of-life care and final disposition. Researchers advise paying more attention to patients’ wishes near the end of life in light of the findings of the current study. This will be achieved by strengthening the home care system using creating appropriate infrastructure, insurance coverage, designing executive instructions, and integration of palliative care in home care services. |
| first_indexed | 2024-12-11T19:21:44Z |
| format | Article |
| id | doaj.art-2aa71103940442cab121416cf6c73b7d |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-12-11T19:21:44Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-2aa71103940442cab121416cf6c73b7d2022-12-22T00:53:30ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-08-011210.3389/fonc.2022.911397911397Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional studyArmin Fereidouni0Armin Fereidouni1Mahmood Salesi2Maryam Rassouli3Fariba Hosseinzadegan4Mohammad Javid5Maryam Karami6Maryam Elahikhah7Salman Barasteh8Salman Barasteh9Quran and Hadith Research Center, Marine Medicine Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranDepartment of Operating Room Technology, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IranChemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, IranCancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranSchool of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, IranStudents Research Committee, Baqiyatallah University of Medical Sciences, Tehran, IranSchool of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IranStudents Research Committee, Baqiyatallah University of Medical Sciences, Tehran, IranHealth Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranNursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IranBackgroundMore than 50,000 deaths in terms of cancer occur annually in Iranian hospitals. Determining the preferred place of end-of-life care and death for cancer patients in Iran is a quality marker for good end-of-life care and good death. The purpose of this study was to determine the preferred place of end-of-life care and death in cancer patients.MethodIn 2021, the current descriptive cross-sectional investigation was carried out. Using the convenience sample approach, patients were chosen from three Tehran referral hospitals (the capital of Iran). A researcher-made questionnaire with three parts for demographic data, clinical features, and two questions on the choice of the desired location for end-of-life care and the death of cancer patients served as the data collecting instrument. Data were analyzed using SPSS software version 18. The relationship between the two variables preferred place for end-of-life care and death and other variables was investigated using chi-square, Fisher exact test, and multiple logistic regression.ResultThe mean age of patients participating in the study was 50.21 ± 13.91. Three hundred ninety (69.6%) of the patients chose home, and 170 (30.4%) patients chose the hospital as the preferred place of end-of-life care. Choosing the home as a preferred place for end-of-life care had a significant relationship with type of care (OR = .613 [95% CI: 0.383–0.982], P = .042), level of education (OR = 2.61 [95% CI: 1.29–5.24], P = 0.007), type of cancer (OR = 1.70 [1.01–2.89], P = .049), and income level (Mediate: (OR: 3.27 (1.49, 7.14), P = .003) and Low: (OR: 3.38 (1.52–7.52), P = .003). Also, 415 (75.2%) patients chose home and 137 (24.8%) patients chose hospital as their preferred place of death. Choosing the home as a preferred place of death had a significant relationship with marriage (OR = 1.62 [95% CI: 1.02–2.57], P = .039) and time to diagnostic disease less than 6 months (OR = 1.62 [95% CI: 0.265–0.765], P = .002).ConclusionThe findings of the current research indicate that the majority of cancer patients selected their homes as the preferred location for end-of-life care and final disposition. Researchers advise paying more attention to patients’ wishes near the end of life in light of the findings of the current study. This will be achieved by strengthening the home care system using creating appropriate infrastructure, insurance coverage, designing executive instructions, and integration of palliative care in home care services.https://www.frontiersin.org/articles/10.3389/fonc.2022.911397/fullpreferred place of deathpreferred place of carepalliative careend of lifecancerhospice |
| spellingShingle | Armin Fereidouni Armin Fereidouni Mahmood Salesi Maryam Rassouli Fariba Hosseinzadegan Mohammad Javid Maryam Karami Maryam Elahikhah Salman Barasteh Salman Barasteh Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional study Frontiers in Oncology preferred place of death preferred place of care palliative care end of life cancer hospice |
| title | Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional study |
| title_full | Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional study |
| title_fullStr | Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional study |
| title_full_unstemmed | Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional study |
| title_short | Preferred place of death and end-of-life care for adult cancer patients in Iran: A cross-sectional study |
| title_sort | preferred place of death and end of life care for adult cancer patients in iran a cross sectional study |
| topic | preferred place of death preferred place of care palliative care end of life cancer hospice |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.911397/full |
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