Perceptions of the meaning of life among Korean patients with advanced cancer: A mixed-methods study

被引:7
作者
Koh, Su-Jin [1 ]
Kang, Kyung-Ah [2 ]
Kim, Hyeyeong [1 ]
Cheon, Jaekyung [3 ]
Im, Hyeon-Su [1 ]
Lee, Jae-Hon [4 ]
Ock, Minsu [1 ]
Cho, Juhee [5 ,6 ]
Lee, Eun-Hye [2 ]
机构
[1] Ulsan Univ, Ulsan Univ Hosp, Coll Med, Dept Hematol & Oncol, Ulsan, South Korea
[2] Sahmyook Univ, Coll Nursing, 815 Hwarang Ro, Seoul 01795, South Korea
[3] CHA Univ, CHA Bundang Med Ctr, Dept Med Oncol, Seongnam, South Korea
[4] Western Univ, Schulich Sch Med & Dent, Dept Psychiat, London, ON, Canada
[5] Samsung Comprehens Canc Ctr, Canc Educ Ctr, Seoul, South Korea
[6] Sungkyunkwan Univ, SAIHST, Dept Clin Res Design & Evaluat, Seoul, South Korea
关键词
Advanced cancer patients; Cultural differences; Meaning of life; Mixed methods; BRIEF INDIVIDUAL PSYCHOTHERAPY; MANAGING CANCER; DIGNITY THERAPY; ONCOLOGY NURSES; OF-LIFE; DEPRESSION; SUPPORT; END; ATTACHMENT; CARE;
D O I
10.1017/S1478951522000979
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective This study aimed to explore perceptions of the meaning of life among Korean patients living with advanced cancer. Method The study employed a mixed-methods design, and 16 participants were included in the analysis. Qualitative data gathered from in-depth interviews were analyzed using Colaizzi's phenomenological method. Quantitative survey data were analyzed using descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test, and Spearman's rho correlation. Results Participants experienced both the existence of meaning and the will to find meaning in terms of four categories: "interpersonal relationships based on attachment and cohesion" (three themes - family as the core meaning of one's life, supportive and dependent interconnectedness with significant others, and existential responsibility embedded in familism), "therapeutic relationships based on trust" (one theme - communication and trust between the patient and medical staff), "optimism" (two themes - positivity embodied through past experiences and a positive attitude toward the current situation), and "a sense of purpose with advanced cancer" (two themes - the will to survive and expectations for the near future). The meaning in life questionnaire (MLQ) and the purpose in life scale (PIL) showed a significant positive correlation tendency with the functional assessment of chronic illness therapy-spiritual well-being scale (FACIT-Sp). The patient health questionnaire (PHQ-9) showed significant negative correlation tendency with both the MLQ-presence of meaning (MLQ-PM) and PIL-Initiative (PIL-I) questionnaires. Significance of results Finding meaning in life helps advanced cancer patients realize their will to live. It also acts as a coping mechanism that palliates negative experiences in the fight against the disease. In particular, among advanced cancer patients in the Korean culture, the dynamics of relationships with family and medical staff was a key axis that instilled optimism and will to live. These results suggest that considering the meaning of life in advanced cancer patients by reflecting Korean culture in the treatment process improves the quality of care.
引用
收藏
页码:658 / 669
页数:12
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