Impact of advance care planning on the End-of-Life Care in the inpatient ward, Sam Roi Yod Hospital, Sam Roi Yod District, Prachuap Khiri Khan Province

Abstract

This research is a quasi-experimental research using a posttest-only design with nonequivalent groups to compare satisfaction with services. And compare the quality of life of terminally ill patients before and after using the integrated end-of-life care model. The results were measured once 2 weeks after the planned discharge. Compare before and after the experiment using Independent t-test statistics and compare the difference in mean scores. The sample group totaled 30 people, consisting of a pre-experiment group and a post-experiment group of 15 people each.

          The results of the study found that average score of overall nursing service satisfaction between before and after using the integrated end-of-life care model The group before the experiment had different mean scores than after the experiment. Statistically significant (p-value 0.001; 95%CI: -26.53 to -19.61) mean post-discharge quality of life score for overall quality of life. Between before and after using the integrated end-of-life care model, it was found that the pre-experiment group had different mean scores than after the experiment. Statistically significant (p-value 0.001; 95%CI: -47.56 to -26.57) it can be seen that advance care planning affects care at the end of life in this ward. It can increase service satisfaction and improve the quality of life of patients.