Identifying palliative care needs of patients with non-communicable diseases in Indonesia using the SPICT tool: a descriptive cross-sectional study

Christantie Effendy,Jony Francisco Dos Santos Silva,Retna Siwi Padmawati

doi:10.1186/s12904-021-00881-5

Christantie Effendy, Jony Francisco Dos Santos Silva + Show 1 more

Open Access

https://doi.org/10.1186/s12904-021-00881-5

Copy DOI

Journal: BMC palliative care	Publication Date: Jan 24, 2022
Citations: 9	License type: open-access

Affiliation: Universitas Gadjah Mada, Universidade da Paz

Abstract

BackgroundIn Indonesia, Non-Communicable Diseases (NCD) are a contributing factor to mortality with most cases involving heart disease, cancer, chronic lung disease and diabetes. Accordingly, the identification of palliative care needs is very important as a first step in providing palliative care for these patients with NCD. However, currently there is no national standardized tool nor guidance system for identifying palliative care needs of NCD patients in Indonesia. The Supportive and Palliative Care Indicators Tool (SPICT) has been used worldwide for screening palliative care needs. This study aimed to identify palliative care needs in NCD patients using the SPICT tool.MethodsThis descriptive study used a cross-sectional design. Sampling technique used convenience sampling with a total sample of 124 adult patients with NCD in Dr. Sardjito Hospital Yogyakarta. Data collection used the Indonesian version of the SPICT. Data analyses used descriptive statistics and chi-square tests with p < 0,05 set as significant. Additionally, the prevalence of patients requiring palliative care was also calculated.ResultsThe patients with NCD requiring palliative care who were screened using the SPICT tool were 61.3%. The nurses identified only 17.7%, while the physicians identified only 9.7%. The overall agreement of the clinician’s assessments to the researchers was < 32%. Meanwhile, agreement with nurses was 31 and 25% with the physicians.ConclusionsThese results highlight that by using the SPICT tool, recognition of hospitalized patients with NCD needing palliative care increased from 10 to 18% to > 61%. The Indonesian version of the SPICT tool can help the clinicians to reach meet agreement in identifying hospitalized patients who need palliative care as the first step in addressing palliative interventions for patients with NCD. It can provide several benefits in screening patients with NCD from the beginning of diagnosis.

Highlights

The highest mortality of Non-Communicable Diseases (NCD) is caused by cardiovascular disease (CVD), cancer, chronic lung disease, and diabetes, followed by other chronic diseases [1]
The reliability test used the Kuder-Richardson (KR) scale, and obtained KR = 0.97. These results indicated that the Indonesian version of Supportive and Palliative Care Indicators Tool (SPICT) is valid and reliable for use in screening patients who need palliative care
Most of the respondents live in the DIY or Special Region of Yogyakarta (58.9%) and work as housewives (33.9%)

Summary

Introduction

The highest mortality of NCD is caused by cardiovascular disease (CVD), cancer, chronic lung disease, and diabetes, followed by other chronic diseases [1] This trend includes Indonesia, which is experiencing a high burden of NCDs [2]. Effendy et al BMC Palliative Care (2022) 21:13 nationally, the risk factors and morbidity of NCDs show a tendency for patients with NCD to deteriorate toward end-stage diseases [2,3,4,5]. This pathogenesis can result in progressive declining of functional systems with the accompanying physical, mental and social disorders [6]. Delays in identifying patients’ palliative care needs will have a negative impact on their quality of life [14]

Objectives

Results

Discussion

Conclusion