“…These results were shown in the following items including family members often interfere by doctors' work, patients give up on themselves while health care providers give up on them, patients mostly mourn their own coming death, and doctors should be detached emotionally if they are to work in the best interest of terminal cancer patients. It might be because most patients at the end of life develop psychological and psychiatric symptoms either alone or in combination with physical symptoms (Kaasa et al, 1993).…”
Background: Our objective was to determine the knowledge and attitudes of Thai generalists (general physicians) toward palliative terminal cancer care (PC) in a primary care setting. Materials and Methods: We performed a cross-sectional descriptive survey using a self-administered questionnaire. The total number of completed and returned questionnaires was 63, giving a 56% response rate. Data analysis was based on these (Cronbach's alpha=0.82) and percentages and mean values were assessed using the Fisher's exact test to determine the correlation of variables. Results: Overall, attitude and knowledge levels were slightly satisfactory. Results indicated that general physicians had moderate scores in both attitudes (84.1%) and knowledge (55.7%) regarding palliative terminal cancer care. However, they had insufficient knowledge regarding truth telling, pain control and management with morphine, emergency management in terminal cancer care and treatment of fluid intake in terminal stages. Attitude and knowledge scores were statistically correlated (p=0.036). Knowledge scores were further positively associated with being taught palliative care in their medical curriculum (p=0.042). Conclusions: Formal education in palliative care and development of palliative care services are very much needed in Thailand to provide holistic care to terminally ill patients.
“…These results were shown in the following items including family members often interfere by doctors' work, patients give up on themselves while health care providers give up on them, patients mostly mourn their own coming death, and doctors should be detached emotionally if they are to work in the best interest of terminal cancer patients. It might be because most patients at the end of life develop psychological and psychiatric symptoms either alone or in combination with physical symptoms (Kaasa et al, 1993).…”
Background: Our objective was to determine the knowledge and attitudes of Thai generalists (general physicians) toward palliative terminal cancer care (PC) in a primary care setting. Materials and Methods: We performed a cross-sectional descriptive survey using a self-administered questionnaire. The total number of completed and returned questionnaires was 63, giving a 56% response rate. Data analysis was based on these (Cronbach's alpha=0.82) and percentages and mean values were assessed using the Fisher's exact test to determine the correlation of variables. Results: Overall, attitude and knowledge levels were slightly satisfactory. Results indicated that general physicians had moderate scores in both attitudes (84.1%) and knowledge (55.7%) regarding palliative terminal cancer care. However, they had insufficient knowledge regarding truth telling, pain control and management with morphine, emergency management in terminal cancer care and treatment of fluid intake in terminal stages. Attitude and knowledge scores were statistically correlated (p=0.036). Knowledge scores were further positively associated with being taught palliative care in their medical curriculum (p=0.042). Conclusions: Formal education in palliative care and development of palliative care services are very much needed in Thailand to provide holistic care to terminally ill patients.
“…The exclusion of physical items is important in studies where patients' symptoms might affect their quality of life. The GHQ has been extensively used and validated within general populations (15)(16)(17), and also in studies involving cancer patients (18,19). Each item has four response categories ranging from 'better than usual' to 'much less than usual'.…”
Section: The General Health Questionnaire (Ghq-20)mentioning
“…10 Поједини пацијенти су погођени перзистентним симптомима који немају јасан медицински узрок и нису повезане са неким коморбидитетним стањима, што указује да они нису само онколошки пацијенти, већ и да захтевају конслутације са осталим здравственим стурчњацима. 11 Kao један од најучесталијих психијатријских поремећаја код ових пацијената требало би издвојити депресију и повећати пажњу при њеној дијагностици.…”
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.