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How Do We Start Palliative Care for Patients With End-Stage Liver Disease?

Authors
 Sookyung Kim  ;  Kyunghwa Lee  ;  Changhwan Kim  ;  Jahyun Choi  ;  Sanghee Kim 
Citation
 GASTROENTEROLOGY NURSING, Vol.45(2) : 101-112, 2022-04 
Journal Title
GASTROENTEROLOGY NURSING
ISSN
 1042-895X 
Issue Date
2022-04
MeSH
End Stage Liver Disease* / therapy ; Family ; Fatigue ; Humans ; Palliative Care* ; Quality of Life
Abstract
Patients with end-stage liver disease undergo repetitive patterns of recovery and deterioration and are burdened with uncertainty. Although quality of life is low in patients with end-stage liver disease and their family members, few studies have been conducted to identify what palliative care should be provided for them. This integrative review aimed to explore palliative care for patients with end-stage liver disease, focusing on the components and outcome measurements for further research. After searching for studies on palliative care for end-stage liver disease published between 1995 and 2017, 12 studies that met the inclusion criteria were analyzed. The common components of palliative care for patients with liver disease were: (a) an interdisciplinary approach, (b) early palliative care, (c) discussion goals of care with patient and family members, (d) symptom management, and (e) psychosocial support. It was reported that patients who were provided palliative care had improved itching, well-being, appetite, anxiety, fatigue, and depression, increased the number of do-not-resuscitate orders, palliative care consultations, and decreased length of stay. These findings could guide the development of palliative care for end-stage liver disease patients.
Files in This Item:
T202201102.pdf Download
DOI
10.1097/SGA.0000000000000611
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sanghee(김상희) ORCID logo https://orcid.org/0000-0002-9806-2757
Kim, Sookyung(김수경)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188417
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