Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-18T08:23:29.262Z Has data issue: false hasContentIssue false
  • English
  • Français

Factors in narratives to questions in the short-term life review interviews of terminally ill cancer patients and utility of the questions

Published online by Cambridge University Press:  24 February 2012

Michiyo Ando ,
Tatsuya Morita ,
Tatsuo Akechi  and
Kouchi Takashi
Michiyo Ando*
Affiliation:
Faculty of Nursing, St. Mary's College, Kurume City, Fukuoka, Japan
Tatsuya Morita
Affiliation:
Department of Palliative and Supportive Care, Palliative Care Team, and Seirei Hospice, Seirei Mikatahara General Hospital, Hamamatsu, Japan
Tatsuo Akechi
Affiliation:
Department of Psychiatry and Cognitive-Behavioral Medicine, University Graduate School of Medical Sciences, Nagoya City, Japan
Kouchi Takashi
Affiliation:
RJC Research Company, Tokyo, Japan
*
Address correspondence and reprint requests to: Michiyo Ando, St. Mary's College, Tsubukuhonmachi 422, Kurume City, Fukuoka, Japan. E-mail: andou@st-mary.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

Although the Short-Term Life Review elevated the spiritual well-being of terminally ill cancer patients in our previous study, we have not examined what patients reviewed for each question item of it. We examined factors in narratives to questions in the Short-Term Life Review interviews of terminally ill cancer patients and utility of the questions.

Method:

Thirty-four terminally ill cancer patients received the Short-Term Life Review interview in which there were two sessions. In the first session patients reviewed their lives, and an interviewer made a simple album of the patient based on patients' narrative. After 1 week, there was a second session. Qualitative analysis was conducted on patients' answers to each question using computational word mining, and factors were identified.

Results:

Twenty patients' narratives were analyzed. “Human relationships” was identified under “important things in life.” “Pleasant memories” were associated with “impressive memories.” “Illness” and “marriage and divorce” were related to “turning points in the life.” “Raising children and education” and “company or work” were identified as “roles in life.” “Achievements at work” were identified with “pride.” “Message to my children” was identified with “what I want to say to my family.” “To live sincerely” and “consideration for others” were identified as “advice for the next generation.” Patients reviewed few for topics such as “pride,” “what I want to say to my family,” “advice for the next generation,” and “summing up my life.”

Significance of results:

Factors such as human relationships, raising children, and education as a role and source of pride, and concerns about children's future, were associated with elevating spiritual well-being. Question to which that patients easily answered were selected.

Keywords

Short-term life reviewTerminally ill patientsEnd-of-life concerns
Type
Original Articles
Information
Palliative & Supportive Care , Volume 10 , Issue 2 , June 2012 , pp. 83 - 90
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Ando, M., Morita, T., Akechi, T., et al. (2010). Efficacy of Short-Term Life Review interviews on the spiritual well-being of terminally ill cancer patients. Journal of Pain and Symptom Management, 40, 453–459.CrossRefGoogle Scholar
Ando, M., Morita, T., Okamoto, T., et al. (2008). One week STLR interview can improve spiritual well-being of terminally ill cancer patients. Psycho-Oncology, 17, 885–890.CrossRefGoogle Scholar
Bohlmeijer, E., Roemer, M., Cuijpers, P., et al. (2007). The effects of reminiscence on psychological well-being in older adults: a meta analysis. Aging and Mental Health, 11, 291–300.CrossRefGoogle ScholarPubMed
Breitbart, W., Gibson, C., Poppito, S.R., et al. (2004). Psychotherapeutic interventions at the end of life: A focus on meaning and spirituality. Canadian Journal of Psychiatry, 49, 366–372.CrossRefGoogle ScholarPubMed
Cappeliez, P. & O'Rourke, N. (2002). Personality traits and existential concerns as predictors of the functions of reminiscence in older adults. Journal of Gerontology, 57B, 116–123.CrossRefGoogle Scholar
Chao, S.Y., Chen, C.R., Liu, H.Y., et al. (2008). Meet the real elders: Reminiscence links past and present. Journal of Clinical Nursong, 17, 2647–2653.CrossRefGoogle ScholarPubMed
Chochinov, H.M., Hack, T., Hassard, T., et al. (2005). Dignity therapy: A novel psychotherapeutic intervention for patients near the end of life. Journal of Clinical Oncology, 23, 5520–5525.CrossRefGoogle ScholarPubMed
De Vries, B., Birren, J.E. & Deutchman, D.E. (1995). Method and use of the guided autobiography. In The Art and Science of Reminiscing: Theory, Research, Methods, and Applications. Haight, B. & Webster, J.D., (eds.), Washington, D.C.: Taylor & Francis.Google Scholar
Haight, B.K. (1998). The therapeutic role of a structured life review process in homebound elderly subjects. Journal of Gerontology, 43, 40–44.CrossRefGoogle Scholar
Houmann, L., Rydahl-Hansen, S., Chochinov, H.M., et al. (2010). Testing the feasibility of the Dignity Therapy interview: adaptation for the Danish culture. BMC Palliative Care, 9, 21.CrossRefGoogle ScholarPubMed
Japan Information Processing Service. (2003). Word Minor. Tokyo: Japan Electronic Calculation Company.Google Scholar
Jones, E.D. (2006). Reminiscence therapy for older women with depression: Effects of nursing intervention classification in assisted-living long-term care. Journal of Gerontological Nursing, 29, 26–33.CrossRefGoogle Scholar
Lee, V., Cohe, S.R., Edgar, L., et al. (2006). Meaning making intervention during brest or colorectal cancer treatment improves selfesteem, optimism, and self-efficacy. Social Science & Medicine, 62, 3133–3145.CrossRefGoogle ScholarPubMed
McClain, C.S., Rosenfeld, B. & Breitbart, W. (2003). Effect of spiritual well-being on end-of-life despair in terminally-ill patients. Lancet, 361, 1603–1607.CrossRefGoogle Scholar
Miyashita, M., Sanjyo, M., Morita, T., et al. (2007). Good death in cancer care: A nationwide quantitative study. Annals of Oncology, 18, 1090–1097.CrossRefGoogle Scholar
Murata, H. & Morita, T. (2006) Conceptualization of psycho-existential suffering by the Japanese Task Force: The first step of a nationwide project. Palliative & Supportive Care, 4, 276–285.CrossRefGoogle ScholarPubMed
Nelson, C.J., Rosenfeld, B., Breitbart, W., et al. (2002). Spirituality, religion, and depression in the terminally ill. Psychosomatics, 43, 213–220.CrossRefGoogle ScholarPubMed
Noguchi, W., Ono, T., Morita, T., et al. (2004). An investigation of the reliability and validity of the Japanese version of the Functional Assessment of Chronic Illness Therapy–Spiritual (FACIT-sp). Japan Journal of General Hospital Psychiatry, 16, 42–47.Google Scholar
Oken, M.M., Creech, R.H., Tormey, D.C., et al. (1982) Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology, 5, 649–655.CrossRefGoogle ScholarPubMed
Ohsumi, N. (2006). Word Minor Case Studies. Washington, D.C.: Society for Word Minor Studies.Google Scholar
Peterman, A.H., Fitchett, G., Brady, M.J., et al. (2002) Measuring spiritual well-being in people with cancer: The Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp). Annals of Behavioral Medicine, 24, 49–58.CrossRefGoogle ScholarPubMed
Stinson, C.K. (2009) Structured reminiscence: an intervention for older adults. Journal of Continuing Education in Nursing, 40, 521–528.CrossRefGoogle ScholarPubMed
Stinson, C.K. & Kirk, E. (2006) Structured reminiscence: an intervention to decrease depression and increase self-transcendence in older women. Journal of Clinical Nursing, 5, 208–218.CrossRefGoogle Scholar