Characteristics of Palliative Patients, Insights of Patients and Families, and the Impact of Estimated Survival Time on Therapy Decisions

Shatri, Hamzah; Putranto, Rudi; Irawan, Cosphiadi; Adli, Mizanul; Elita, Dina

Jurnal SINTA 1

Characteristics of Palliative Patients, Insights of Patients and Families, and the Impact of Estimated Survival Time on Therapy Decisions

ACTA MEDICA INDONESIANA · Vol. 51 No. 2 (2019)

ISSN: 2338-2732, 0125-9326
Terbit: 2019-08-05
Penerbit: The Indonesian Society of Internal Medicine
Bahasa: eng

Abstrak

Background: chronic and terminal diseases require holistic therapy that covers the biopsychosocial aspect, and it can be found in palliative therapy. Patients who receive palliative therapy exhibit very diverse profiles. As such, researchers are keen to study the general characteristics of palliative patients. In addition, researchers will also assess the patient’s and their family’s insight that influences the success of the therapy and the impact of estimated survival time in making treatment decisions. Methods: this research used cross-sectional descriptive analytic study and secondary data of 300 palliative patients who consult to Psychosomatic Palliative Team at Dr. Cipto Mangunkusumo Hospital. The data were processed using SPSS version 25. The data processed included: sociodemographic characteristics, length of stay, incidence of death in hospital, DNR cases, the patient’s and their family’s insight, and the impact of estimated survival time on treatment decisions. Results: most palliative patients were women (52.0%) aged 51 - 60 years (27.0%), unemployed (29.0%), and suffered from cancer (55.3%). In addition, the patients were generally treated for less than 1 month (83.6%), died in the hospital (37.3%), and consented to DNR orders (36.7%). These DNR cases are highly correlated to the family’s understanding regarding the prognosis of the patient’s condition (p = 0.022). The family’s understanding of the diagnosis, prognosis, and treatment goals (92.3%, 81.3%, and 87.7%) was better than the patient’s (79.0%, 64.0%, and 69.7%). Furthermore, no link was found between the therapy choice (optimal, withholding, and withdrawing therapies) with the patient’s estimated survival time (p = 0.174). Conclusion: female, elderly, and cancer patients most often get palliative therapy. The consent for DNR orders to palliative patient is notably frequent. Currently, the family’s insight is much better than the patient’s, which means that health care providers need to improve patient education and information. In addition, patients and families generally still opt for optimal therapy despite low estimated survival time.

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Rekan penulis	Organisasi	Artikel bersama
Edward Faisal	Afiliasi tidak diketahui	19
Ikhwan Rinaldi	Afiliasi tidak diketahui	13
Siti Setiati	Afiliasi tidak diketahui	11
Murdani Abdullah	Afiliasi tidak diketahui	10
Cleopas Martin Rumende	Afiliasi tidak diketahui	10
Kuntjoro Harimurti	Afiliasi tidak diketahui	8
Iris Rengganis	Afiliasi tidak diketahui	8
Alvina Widhani	Afiliasi tidak diketahui	8
Ratih Arianita Agung	Afiliasi tidak diketahui	8
Imam Subekti	Afiliasi tidak diketahui	7
Em Yunir	University of Indonesia	7
Pringgodigdo Nugroho	Afiliasi tidak diketahui	7
Vera Abdullah	Afiliasi tidak diketahui	7
Dadang Makmun	Afiliasi tidak diketahui	6
Idrus Alwi	Afiliasi tidak diketahui	6
Raden Irawati Ismail	Afiliasi tidak diketahui	6
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Vinandia Irvianita	Afiliasi tidak diketahui	6
Eka Ginanjar	Afiliasi tidak diketahui	6
Rudy Hidayat	Afiliasi tidak diketahui	5
Achmad Fauzi	Afiliasi tidak diketahui	4
Petrin R Lukman	Afiliasi tidak diketahui	4
Leonard Nainggolan	Afiliasi tidak diketahui	4
Muchtaruddin Mansyur	Afiliasi tidak diketahui	3
Rahmat Cahyanur	Afiliasi tidak diketahui	3
Dono Antono	Afiliasi tidak diketahui	3
Sally Aman Nasution	Afiliasi tidak diketahui	3
Ari Fahrial Syam	Afiliasi tidak diketahui	3
Maruhum Bonar Hasiholan Marbun	Afiliasi tidak diketahui	3
Aru W Sudoyo	Afiliasi tidak diketahui	2
Djumhana Atmakusumah	Afiliasi tidak diketahui	2
Abdulmuthalib Abdulmuthalib	Afiliasi tidak diketahui	2
Lisnawati Lisnawati	Universitas Teknologi Sumbawa	2
Ika P Wijaya	Afiliasi tidak diketahui	2
Gurmeet Singh	Afiliasi tidak diketahui	2

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Metadata asli (oai_dc)

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	<dc:title xml:lang="en-US">Characteristics of Palliative Patients, Insights of Patients and Families, and the Impact of Estimated Survival Time  on Therapy Decisions</dc:title>
	<dc:creator>Shatri, Hamzah</dc:creator>
	<dc:creator>Putranto, Rudi</dc:creator>
	<dc:creator>Irawan, Cosphiadi</dc:creator>
	<dc:creator>Adli, Mizanul</dc:creator>
	<dc:creator>Elita, Dina</dc:creator>
	<dc:subject xml:lang="en-US">Characteristics</dc:subject>
	<dc:subject xml:lang="en-US">do not resuscitate (DNR)</dc:subject>
	<dc:subject xml:lang="en-US">Insight</dc:subject>
	<dc:subject xml:lang="en-US">Palliative</dc:subject>
	<dc:subject xml:lang="en-US">Therapy Options</dc:subject>
	<dc:description xml:lang="en-US">Background: chronic and terminal diseases require holistic therapy that covers the biopsychosocial aspect, and it can be found in palliative therapy. Patients who receive palliative therapy exhibit very diverse profiles. As such, researchers are keen to study the general characteristics of palliative patients. In addition, researchers will also assess the patient’s and their family’s insight that influences the success of the therapy and the impact of estimated survival time in making treatment decisions. Methods: this research used cross-sectional descriptive analytic study and secondary data of 300 palliative patients who consult to Psychosomatic Palliative Team at Dr. Cipto Mangunkusumo Hospital. The data were processed using SPSS version 25. The data processed included: sociodemographic characteristics, length of stay, incidence of death in hospital, DNR cases, the patient’s and their family’s insight, and the impact of estimated survival time on treatment decisions. Results: most palliative patients were women (52.0%) aged 51 - 60 years (27.0%), unemployed (29.0%), and suffered from cancer (55.3%). In addition, the patients were generally treated for less than 1 month (83.6%), died in the hospital (37.3%), and consented to DNR orders (36.7%). These DNR cases are highly correlated to the family’s understanding regarding the prognosis of the patient’s condition (p = 0.022). The family’s understanding of the diagnosis, prognosis, and treatment goals (92.3%, 81.3%, and 87.7%) was better than the patient’s (79.0%, 64.0%, and 69.7%). Furthermore, no link was found between the therapy choice (optimal, withholding, and withdrawing therapies) with the patient’s estimated survival time (p = 0.174). Conclusion: female, elderly, and cancer patients most often get palliative therapy. The consent for DNR orders to palliative patient is notably frequent. Currently, the family’s insight is much better than the patient’s, which means that health care providers need to improve patient education and information. In addition, patients and families generally still opt for optimal therapy despite low estimated survival time.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2019-08-05</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/1095</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 51 No. 2 (2019): Acta Medica Indonesiana; 151</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/1095/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2019 Acta Medica Indonesiana</dc:rights>
</oai_dc:dc>