Comfort experience in palliative care: a phenomenological study

BMC Palliative Care

Research Article

João Apóstolo¹  Vitor Parola²  Adriana Coelho²  Miguel Escobar-Bravo³ 

[1] Health Sciences Research Unit: Nursing, Nursing School of Coimbra, The Portugal Centre for Evidence-Based Practice: an Affiliate Centre of the Joanna Briggs Institute, Coimbra, Portugal;Nursing School of Coimbra, Coimbra, Portugal;University of Lleida, Faculty of Nursing and Physiotherapy, Lleida, Spain;

关键词: Palliative care;    End of life care;    Inpatients;    Qualitative research;    Phenomenology;    Comfort;   

DOI  :  10.1186/s12904-016-0145-0

 received in 2015-12-01, accepted in 2016-07-27,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundPalliative care aims to provide maximum comfort to the patient. However it is unknown what factors facilitate or hinder the experience of comfort, from the perspective of inpatients of palliative care units. This lack of knowledge hinders the development of comfort interventions adjusted to these patients. The aim of this research is to describe the comfort and discomfort experienced by inpatients at palliative care units.MethodsA phenomenological descriptive study was undertaken. Ten inpatients were recruited from a Spanish palliative care unit and seven from a Portuguese palliative care unit. Data were collected using individual interviews and analysed following the method of Giorgi.ResultsFour themes reflect the essence of the lived experience: The Palliative Care as a response to the patient’s needs with advanced disease, attempt to naturalize advanced disease, confrontation with their own vulnerability, openness to the spiritual dimension.ConclusionsInformants revealed that they experience comfort through humanized care, differentiated environment, symptomatic control, hope and relationships. The discomfort emerges from the losses and powerlessness against their situation. Even if such findings may seem intuitive, documenting them is essential because it invites us to reflect on our convictions about what it means to be comfortable for these patients, and allows incorporating this information in the design of focused interventions to maximize the comfort experience.

【 授权许可】

CC BY   
© The Author(s). 2016