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Knowledge and Attitude Toward Geriatric Palliative Care among Health Professionals in Vietnam.

Authors
  • Thi Thanh Vu, Huyen1, 2
  • Hoang Nguyen, Long3
  • Xuan Nguyen, Thanh4, 5, 6
  • Thi Hoai Nguyen, Thu4, 5
  • Ngoc Nguyen, Tam4, 5
  • Thi Thu Nguyen, Huong4, 5
  • Trung Nguyen, Anh4, 5
  • Pham, Thang4, 5
  • Tat Nguyen, Cuong7
  • Xuan Tran, Bach8, 9
  • A Latkin, Carl9
  • S H Ho, Cyrus10
  • C M Ho, Roger3, 11, 12
  • 1 Gerontology department, Hanoi Medical University, Hanoi 100000, Vietnam. [email protected]
  • 2 Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam. [email protected]
  • 3 Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 770000, Vietnam.
  • 4 Gerontology department, Hanoi Medical University, Hanoi 100000, Vietnam.
  • 5 Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam.
  • 6 Dinh Tien Hoang Institute of Medicine, Hanoi 100000, Vietnam.
  • 7 Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam.
  • 8 Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam.
  • 9 Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
  • 10 Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore. , (Singapore)
  • 11 Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore. , (Singapore)
  • 12 Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119077, Singapore. , (Singapore)
Type
Published Article
Journal
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Publication Date
Jul 25, 2019
Volume
16
Issue
15
Identifiers
DOI: 10.3390/ijerph16152656
PMID: 31349576
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study assessed the knowledge and attitude toward palliative care for the elderly among health professionals in a tertiary geriatric hospital in Vietnam and explored their determinants. Cross-sectional data were obtained on 161 geriatric health professionals at the National Geriatric Hospital. Modified-Palliative Care Knowledge Test and Frommelt Attitudes Toward Care of the Dying instruments were used to measure knowledge and attitude toward geriatric palliative care. As a result, 40.5% physicians and 74.2% nurses showed insufficient knowledge about geriatric palliative care (p < 0.05). The lowest score was for dyspnea, following by gastrointestinal and pain problems. No significant difference was found regarding the attitude between physicians and nurses (p > 0.05). Health professional category, age, and years of experience were found to be associated with knowledge about palliative care. Meanwhile, only knowledge score had correlations with total attitude score (Coef. = 0.2; 95%CI = 0.1-0.3), attitude toward patients (Coef. = 0.1; 95%CI = 0.0-0.1) and toward patients' family (Coef. = 0.1; 95%CI = 0.0-0.1). This study highlights a significant knowledge gap and preferable attitude toward palliative care for the elderly among physicians and nurses in the geriatric hospital. Intensive training about geriatric palliative care, focusing on pain, dyspnea and gastrointestinal issue management, should be performed to ensure the quality of palliative care services, especially in nurses.

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