Effect of Promoting Life Review on Spiritual Well-Being Among Cancer Patients

  • พรพิมล ชัยสา Registered Nurse Practitioner Level (Education), Boromarajonani College of Nursing Buddhachinaraj
  • พิกุล พรพิบูลย์ Assistant Professor, Faculty of Nursing, Chiang Mai University
  • สุดารัตน์ สิทธิสมบัติ Associate Professor, Faculty of Nursing, Chiang Mai University
Keywords: Promoting Life Review, Spiritual Well-Being, Cancer Patients

Abstract

Cancer patients may experience serious issues including physical, psychosocial, and spiritual problems. While interventions for relieving cancer-related physical and psychosocial suffering have been studied, there are very few studies on the effect of interventions on the spiritual well-being of cancer patients. This quasi-experimental research aimed to test the effect of life review on the spiritual well-being of cancer patients. The purposively selected participants were  34 cancer patients who received health services at a provincial hospital. 17 participants were assigned to the experimental group and participated in life review intervention, while the other 17 participants were assigned to the control group and received usual care. The life review intervention was developed by the researcher and consisted of 3 steps including 1) building a relationship, 2) reviewing special events in the person’s life, and 3) summarizing the results of life review. Spiritual well-being was evaluated as an effect of life review. The Thai version of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being developed by Cella (2010) was used to collect data. Data were analyzed by using t-test.

          The study results revealed that:

  1. After participating in the life review intervention, participants in the experimental group had a significantly higher mean score of spiritual well-being than those in the control group (p<.05).
  2. Among participants of the experimental group, the mean score of spiritual well-being after participating in the life review intervention was significantly higher than before participating in the intervention (p<.05).

          The findings of this study confirm the effectiveness of life review intervention among cancer patients. This intervention should be used in clinical practice to enhance the spiritual well-being of cancer patients. Further study should be done on a larger scale and across longer periods to ensure the sustainability of the result. 

References

American Cancer Society. (2014). Signs and symptoms of cancer [Electronic version]. Retrieved April 23, 2014, from http://www.cancer.org/cancer/cancerbasics/signs-and-symptoms-of-cancer

Ando, M., Tsuda, A., & Morita T. (2007). Life review interviews on the spiritual well-being of terminally ill cancer patients. Support care cancer, 15, 225–231. doi : 10.1007/s00520-006-0121-y.

Ando, M., Tsuda, A., Okamoto T., & Ninosaka Y. (2008). One-week short-term life review can impove spiritual well-being of terminally ill cancer patients. Psycho-oncology, 17, 885–890. doi : 10.1002/pon.1299

Ando, M., Tsuda, A., Morita T., Akechi T., & Okamoto T. (2010). Efficacy of short-term life -review interviews on the spiritual well-being of terminally ill cancer patients. Journal of pain and symptom management, 39(6), 993-1002. doi : 10.1016/ j.jpainsymman.2009.11.320

Balboni, A. T., Vanderwerker, C. L., Block D. S., Paulk M. E., Lathan S. C., Peteet R. J., & Prigerson, G. H. (2007). Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. Journal of clinical oncology, 25,550-560. doi : 10.1200/JCO.2006.07.9046

Butler, R. N. (1963). The life review: an interpretation of reminiscence in the aged. Psychiatry, 26, 65-75.

Bumrongros, J. (2009). Effects of life review on depression in elderly people in the community. (Master of Nursing Science Program in Nursing Science). Graduate School, Khon Kaen University. (in Thai)

Cella, D. (2010). Functional assessment of chronic illness therapy - spiritual well-being; the 12-item spiritual well-being scale: facit -sp-12 [Electronic version]. Retrieved April 23, 2014, from http://www.facit.org/facitorg/questionnaires

Chow, K. R. (2005). Life’s quest for spiritual well-being : A holistic and gerontological nurse perspective [Electronic version]. Retrieved April 23, 2014, from http://www.nsna.org/portals/0/skins/nsna/pdf/imprint_septoct05_geriatric_chow.pdf

Doka,J.K.(2002).Age,death, and life review [Electronic version]. Retrieve April 23, 2014, from http://www.hospicefoundation.org/pages/page.asp?page_id=171322

Jongwisan, R. (2014). Development and evaluation of spiritual health indicators for development. (15) Spiritual development. Bangkok : Sodsri-Saritwong Foundation. (in Thai).

Khemtong, S. (2014). Personal contact.
National Cancer Institute. (2013). Hospital-based cancer registry. Bangkok : Union Ultraviolet. (in Thai).

McClain, S. C. ,Rosenfeld, B., Breitbar W. (2003). Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. lancet. 361, 1603-1607. doi : 10.1016/S0140-6736(03)13310-7

National Cancer Institute. (2013). Getting help for your symptoms Electronic version]. Retrieved April 23, 2014, from http://www.cancer.gov/cancertopics/coping/advancedcancer/page4

Shepard, H. C., Carter, W. E., & Gaventa C. W. (2009). Spiritual supports: a definition [Electronic version]. Retrieved April 23, 2014, from http://www.episcability.org/Ministry/spiritual-supports.html

Thongprateep, T. (2009). One dimension of nursing. Bangkok : Chulalongkorn University. (in Thai).

Tontitrakul, W. (2009). Factors related to the spiritual well-being of cancer patients.
(Master of Nursing Science Program in Nursing Science). Graduate School,
Chulalongkorn University. (in Thai)
Published
2019-09-27
Section
บทความวิจัย