The Efficacy of Hospice Care for Terminally Ill Emergency Patients During the Coronavirus 2019 Pandemic

Figures & data

Table 1 Comparison of General Data Between the Two Groups

Project	Intervention (n=44)	Control (n=42)	t/χ^2	P
Gender (male/female)	24/20	21/21	0.178	0.673
Age (years)	52.25±6.21	54.31±6.69	1.481	0.142
Primary disease
Severe pulmonary infection	7 (15.91)	6 (14.29)	0.401	0.982
COPD Acute exacerbation	11 (25.00)	9 (21.43)
Pulmonary embolism	9 (20.45)	10 (23.81)
Acute heart failure	8 (18.18)	9 (21.43)
Advanced cancer	9 (20.45)	8 (19.05)
Complications
Hypertension	9 (20.45)	12 (28.57)	0.767	0.381
Diabetes	11 (25.00)	8 (19.05)	0.442	0.506
COPD	4 (9.09)	5 (11.90)	0.005	0.941
Hypertension and Diabetes	5 (11.36)	7 (16.67)	0.594	0.483
Medical expense
At one’s own expense	8 (18.18)	9 (21.43)	0.143	0.706
Social security	36 (81.82)	33 (78.57)

Abbreviation: COPD, chronic obstructive pulmonary disease.

Table 2 Comparison of End-of-Life Between Two Groups (, d)

Group	n	Terminal Stage	Average value
Intervention	44	5˜42	18.99±3.22
Control	42	2˜40	15.10±4.10
t			4.950
P			<0.001

Notes: The terminal period refers to the 10–14 days before the death. In this paper, the terminal period refers to the calculation of the length of time after the patient enters the intensive care unit for treatment and nursing, and the termination of the patient’s death (telephone follow-up for discharged patients).

Table 3 Comparison of Psychological Distress Between the Two Groups (, Score)

Group	n	DT		t	P	PL		t	P
		Before Intervention	After Intervention			Before Intervention	After Intervention
Intervention	44	7.11±1.10	3.79±1.01	14.747	<0.001	146.32±12.35	82.36±8.10	28.726	<0.001
Control	42	6.87±1.32	5.00±1.48	6.190	<0.001	150.10±15.47	120.32±11.10	10.136	<0.001
t		0.918	4.446			1.255	18.176
P		0.361	<0.001			0.213	<0.001

Abbreviations: DT, distress thermometer; PL, psychological pain-related factor questionnaire.

Table 4 Comparison of Comfort Between Two Groups (, Score)

Time	Group	n	Physiology	Society and Culture	Environment	Psychological Spirit
Before intervention	Intervention	44	9.12±1.25	13.85±2.11	18.36±2.00	18.25±3.68
	Control	42	8.56±1.36	14.79±2.36	17.78±2.36	19.12±3.87
	t		1.989	1.949	1.232	1.069
	P		0.051	0.055	0.222	0.288
After intervention	Intervention	44	12.32±2.22	22.52±3.00	24.11±1.98	27.65±4.11
	Control	42	10.11±2.01	18.77±2.75	20.33±2.11	22.78±2.85
	t		4.832	6.034	8.571	6.357
	P		<0.001	<0.001	<0.001	<0.001

Table 5 Two Groups Were Compared in Terms of Their Sense of Dignity (, Score)

Time	Group	n	Survival Puzzle	Symptom Distress	Independence	Spiritual Peace
Before intervention	Intervention	44	3.00±1.01	3.21±1.12	2.24±0.85	2.21±0.72
	Control	42	3.11±1.20	3.02±1.10	2.32±0.92	2.32±0.83
	t		0.461	0.793	0.419	0.657
	P		0.646	0.430	0.676	0.513
After intervention	Intervention	44	2.00±0.74	2.10±0.98	1.39±0.62	1.00±0.54
	Control	42	2.85±0.83	2.76±0.88	1.75±0.73	1.63±0.62
	t		5.018	3.231	2.469	5.032
	P		<0.001	0.002	0.016	<0.001

Table 6 Coping Styles Were Compared Between the Two Groups (, Score)

Time	Group	n	Yield	Avoid	Face	Total Score
Before intervention	Intervention	44	16.32±3.06	23.13±4.15	13.47±4.07	53.36±5.15
	Control	42	15.19±3.74	21.85±4.36	14.77±4.28	52.13±4.86
	t		1.537	1.395	1.444	1.166
	P		0.128	0.167	0.153	0.247
After intervention	Intervention	44	6.25±1.47	8.09±1.36	28.28±2.16	42.28±3.53
	Control	42	10.17±2.07	15.15±2.48	22.25±3.32	48.43±4.12
	t		10.162	16.469	10.029	7.445
	P		<0.001	<0.001	<0.001	<0.001