title: [Development and evaluation of "Hospice Smart Patient" service program].
abstract: OBJECTIVE
  The purpose of this study was to develop and implement the Hospice Smart Patient Program and to evaluate its effectiveness.
  
  
  METHODS
  It was quasi-experimental non-equivalent pre-post study. Breast cancer patients who underwent surgery, chemotherapy or radiotherapy, or who needed palliative care, participated in the study. Participants were divided into two groups, experimental and control groups based on their preferences. The program was developed after literature review and discussion among experts on hospice and palliative care. Participants who were in the experimental group received either face-to-face or phone "Hospice Smart Patient" Service at least once a week for 5 months.
  
  
  RESULTS
  There was a significant difference in quality of life and communication skill between the two groups after the service was provided. In addition, participants in experimental group showed improved decision making skills, mastery sense, and understanding of hospice and palliative care, which would be beneficial in improving their quality of life.
  
  
  CONCLUSIONS
  We have concluded that the "Hospice Smart Patient" Program is useful for cancer patients in decision making, improving self-control and choosing hospice care to improve their quality of life.
authors.affiliation: College of Nursing, The Catholic University of Korea, Seoul, Korea.
authors.forename: Chai-Soon
authors.initials: CS
authors.lastname: Park
authors.forename: Yang-Sook
authors.initials: YS
authors.lastname: Yoo
authors.forename: Dong-Won
authors.initials: DW
authors.lastname: Choi
authors.forename: Hyun-Jeong
authors.initials: HJ
authors.lastname: Park
authors.forename: Ji-In
authors.initials: JI
authors.lastname: Kim
mesh_terms: D001943:Breast Neoplasms / Q000188:drug therapy / Q000523:psychology* / Q000601:surgery; D003142:Communication; D003657:Decision Making; D005260:Female; D006738:Hospices; D006801:Humans; D008875:Middle Aged; D010166:Palliative Care; D016730:Program Development; D015397:Program Evaluation; D011788:Quality of Life