Initial experience with delivery of palliative care to terminal cancer patients

Süren, Mustafa; Okan, İsmail; Kaya, Ziya; Karaman, Serkan; Arıcı, Semih; Çömlekçi, Mevlüt; Ayan, Murat; Esen, Mehmet; Doğru, Serkan; Şahin, Aynur; Karaman, Tuğba

doi:10.3906/sag-1411-38

Cited by 5 publications

(7 citation statements)

References 14 publications

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“…A total of 65 studies based on 41 706 patients were included in the final analysis. 6 -8,24 -85 Two of the included articles 24,26 were identified from articles’ reference lists. The majority of the studies (45/69%) were prospective (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…8 The other study which reported 92.5% of prevalence had a very high rate of coexistent pain and fatigue. 70 On the other extreme, 2 studies which considered only severe insomnia reported very low prevalences (2.1% and 4.5%). 48,81…”

Section: Methodsmentioning

confidence: 99%

“…Two studies reported a very high prevalence of insomnia (>90%). 8,70 The study with the highest prevalence (100%) used a broader definition and included any case of insomnia regardless of its duration, severity, or clinical impact. 8 The other study which reported 92.5% of prevalence had a very high rate of coexistent pain and fatigue.…”

Section: Methodsmentioning

confidence: 99%

“…88 -90 Encountered prevalence variation (2.1%-100%) is remarkable and can be explained by the variety of study designs, used definitions, and evaluation instruments. For instance, prospective studies that considered a broader definition of insomnia, with inclusion of minor manifestations, reported higher prevalences 8,19,70 while those with more restrictive criteria registered lower ones. 48,81 Our systematic review also revealed that median prevalence was much higher in studies based on patients with cancer in comparison to noncancer patients (53.9% vs 41%).…”

Section: Methodsmentioning

confidence: 99%

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Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Nzwalo

Aboim²,

Joaquim

et al. 2020

Am J Hosp Palliat Care

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Introduction: The primary function of palliative care is to improve quality of life. The recognition and treatment of symptoms causing suffering is central to the achievement of this goal. Insomnia reduces quality of life of patients under palliative care. Knowledge about prevalence, associated factors, and treatment of insomnia in palliative care is scarce. Methodology: Literature review about the prevalence, predictors, and treatment options of insomnia in palliative care patients. Primary sources of investigation were identified and selected through Pubmed and Scopus databases. The research was complemented by reference search in identified articles and selected reviews. OpenGrey and Google Scholar were used for searching grey literature. Study quality analysis was based on the Newcastle-Ottawa Scale. Results: A total of 65 studies were included in the review. Most studies had acceptable /good quality. The prevalence of insomnia in the included studies ranged from 2.1% to 100%, with a median overall prevalence of 49.5%. Sociodemographic factors such as age; clinical characteristics such as functional status, disease stage, pain, and use of specific drugs, including opioids; psychological factors such as anxiety/depression; and spiritual factors such as feelings of well-being were identified as predictors. The treatment options identified were biological (pharmacological and nonpharmacological), psychological (visualization, relaxation), and spiritual (prayer). Conclusions: The systematic review showed that the prevalence of insomnia is high, with at least one in 3 patients affected in most studies. Insomnia’s risk factors and treatment in palliative care are both associated to physical, psychological, social, and spiritual factors, reflecting its true holistic nature.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Nzwalo

Aboim²,

Joaquim

et al. 2020

Am J Hosp Palliat Care

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“…A more direct approach with questions about whether palliative care team visits would help the bereaved family during the First Feast might be more appropriate. But, the recently implemented nature of palliative care services in Turkey and a relatively unknown palliative care approach hindered asking questions about palliative care directly (Suren et al, 2014). Rather, we questioned the prevalence and practice of the First Feast tradition in our region and the attitudes for and against the tradition.…”

Section: Discussionmentioning

confidence: 99%

An evaluation of the mourning tradition, the “First Feast,” in the context of palliative care: The possibility of incorporating cultural rituals into palliative care

et al. 2019

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ObjectiveGrief is intertwined with cultural and religious rituals that are highly appreciated in the quality standards of palliative care. Here, we aimed to investigate whether a cultural mourning ritual, the “First Feast,” can be used by palliative care teams to ease the grief response of the deceased patient's relatives.MethodA questionnaire with 23 questions about the prevalence of the First Feast tradition, the content, the pros and cons, and whether it would be useful for the grieving relatives of deceased patients was prepared and given to the palliative care patients’ relatives. The data were evaluated using the chi-square test.ResultA total of 427 participants were enrolled in the study; 60.7% were female and the mean age was 36 (±13.4). A total of 76.8% of the participants were from the Tokat region and 77.8% (n = 332) performed the First Feast tradition. A significant difference was observed among participants with Tokat origins and non-Tokat origins in terms of awareness of the tradition (84.8% and 69.7%, respectively; p = 0.001). Ninety-one percent of the participants acknowledged that the tradition helped to ease the grief response of the relatives.Significance of resultsThe First Feast, a mourning tradition performed in Tokat and other parts of Turkey, might be a useful auxiliary method for palliative care teams to help grieving families.

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Palliative Care in 2020 & Beyond Workshop: an expert symposium to develop palliative care advocacy in Turkey

Ahmed¹,

Kutluk²,

Kirazlı³

et al. 2022

Journal of Cancer Policy

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Initial experience with delivery of palliative care to terminal cancer patients

Cited by 5 publications

References 14 publications

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

Systematic Review of the Prevalence, Predictors, and Treatment of Insomnia in Palliative Care

An evaluation of the mourning tradition, the “First Feast,” in the context of palliative care: The possibility of incorporating cultural rituals into palliative care

Palliative Care in 2020 & Beyond Workshop: an expert symposium to develop palliative care advocacy in Turkey

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