대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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단기 생애회고요법이 말기 암 환자의 영적 안녕, 우울 및 불안에 미치는 효과

Effects of a Short-term Life Review on Spiritual Well-being, Depression, and Anxiety in Terminally Ill Cancer Patients

  • 투고 : 2010.10.03
  • 심사 : 2012.02.05
  • 발행 : 2012.02.29
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초록

Purpose: This study was done to evaluate the effects of a short-term life review on spiritual well-being, depression, and anxiety in patients with terminal cancer. Methods: The study used a pre posttest quasi experimental design with a nonequivalent control group. Measurement instruments included the Functional Assessment of Chronic Illness Therapy-Spiritual scale (FACIT-Sp12) and the Hospital Anxiety and Depression Scale (HADS). Participants were 32 patients with terminal cancer who were receiving chemotherapy or palliative care at hospitals or at home. Eighteen patients were assigned to the experimental group and 14 to the control group. A sixty minute short-term life review session was held twice a week as the intervention with the experimental group. Results: There was a statistically significant increase in spiritual well-being in the experimental group compared to the control group. There were also significant decreases in depression and anxiety in the experimental group compared to the control group. Conclusion: The results indicate that a short-term life review can be used as a nursing intervention for enhancing the spiritual well-being of patients with terminal cancer.

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참고문헌

  1. Ando, M., Morita, T., Ahn, S. H., Marquez-Wong, F., & Ide, S. (2009). International comparison study on the primary concerns of terminally ill cancer patients in short-term life review interviews among Japanese, Koreans, and Americans. Palliative and Supportive Care, 7, 349-355. https://doi.org/10.1017/S1478951509990289
  2. Ando, M., Morita, T., Akechi, T., & Okamoto, T. (2010). Efficacy of shortterm life-review interviews on the spiritual well-being of terminally ill cancer patients. Journal of Pain and Symptom Management, 39, 993-1002. https://doi.org/10.1016/j.jpainsymman.2009.11.320
  3. Ando, M., Morita, T., Okamoto, T., & Ninosaka, Y. (2008). One-week short-term life review interview can improve spiritual well-being of terminally ill cancer patients. Psycho-oncology, 17, 885-890. https://doi.org/10.1002/pon.1299
  4. Ando, M., & Tsuda, A., & Moorey, S. (2006). Preliminary study of reminiscence therapy on depression and self-esteem in cancer patients. Psychological Report, 98, 339-346. https://doi.org/10.2466/pr0.98.2.339-346
  5. Ando, M., Tsuda, A., & Morita, T. (2007). Life review interviews on the spiritual well being of terminally ill cancer patients. Supportive Care in Cancer, 15, 225-231. https://doi.org/10.1007/s00520-006-0121-y
  6. Bohlmeijer, E., Smit, F., & Cuijpers, P. (2003). Effects of reminiscence and life review on late-life depression: A meta-analysis. International Journal of Geriatric Psychiatry, 18, 1088-1094. https://doi.org/10.1002/gps.1018
  7. Chang, W. S., & Lee, J. M. (2006). The effect of group reminiscence therapy on depression, quality of life and social behavior of patient with dementia. Journal of Welfare for the Aged, 34, 239-270.
  8. Chochinov, H. M., Hack, T., Hassard, T., Kristjanson, L. J., McClement, S., & Harlos, M. (2005). Dignity therapy: A novel psychotherapeutic intervention for patients near the end of life. Journal of Clinical Oncology, 23, 5520-5525. https://doi.org/10.1200/JCO.2005.08.391
  9. Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.
  10. Fisher, J. W., Francis, L. J., & Johnson, P. (2000). Assessing spiritual health via four domains of spiritual wellbeing: The SH4DI. Pastoral Psychology, 49, 133-145. https://doi.org/10.1023/A:1004609227002
  11. Haber, D. (2006). Life review: Implementation, theory, research, and therapy. International Journal of Aging and Human Development, 63, 153-171. https://doi.org/10.2190/DA9G-RHK5-N9JP-T6CC
  12. Hills, J., Paice, J. A., Cameron, J. R., & Shott, S. (2005). Spirituality and distress in palliative care consultation. Journal of Palliative Medicine, 8, 782-788. https://doi.org/10.1089/jpm.2005.8.782
  13. Jenko, M., Gonzalez, L., & Alley, P. (2010). Life review in critical care: Possibilities at the end of life. Critical Care Nurse, 30, 17-27. https://doi.org/10.4037/ccn2010122
  14. Jin, B. S., & Jeon, M. Y. (2000). The effect of a group reminiscence therapy on the psychological components of the senile dementia. Journal of the Korea Gerontological Society, 20, 183-194.
  15. Kemp, C. (2006). Spiritual care interventions. In B. R. Ferrell & N. Coyle (Eds.), Textbook of palliative nursing (pp. 595-604). New York, NY: Oxford University Press.
  16. Kim, K. B., Yun, J. H., & Sok, S. R. (2006). Effects of individual reminiscence therapy on older adults' depression, morale and quality of life. Journal of Korean Academy of Nursing, 36, 813-820. https://doi.org/10.4040/jkan.2006.36.5.813
  17. Kim, N. C., Yoo, Y. S., & Han, S. W. (2000). The effect of reminiscence with audio-visual stimulation on senile dementia. Journal of Korean Academy of Nursing, 30, 98-109. https://doi.org/10.4040/jkan.2000.30.1.98
  18. McClain, C. S., Rosenfeld, B., & Breitbart, W. (2003). Effect of spiritual wellbeing on end-of-life despair in terminally-ill cancer patients. Lancet, 361, 1603-1607. https://doi.org/10.1016/S0140-6736(03)13310-7
  19. Oh, S. M., Min, K. J., & Park, D. B. (1999). A study on the standardization of the hospital anxiety and depressed scale for Koreans. Journal of the Korean Neuropsychiatric Association, 38, 289-296.
  20. Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., McFadden, E. T., et al. (1982). Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology, 5, 649-655. https://doi.org/10.1097/00000421-198212000-00014
  21. Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (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. https://doi.org/10.1207/S15324796ABM2401_06
  22. Rades, D., Rudat, V., Veninga, T., Stalpers, L. J., Hoskin, P. J., & Schild, S. E. (2008). Prognostic factors for functional outcome and survival after re-irradiation for in-field recurrences of metastatic spinal cord compression. Cancer, 113, 1090-1096. https://doi.org/10.1002/cncr.23702
  23. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinaviaca, 67, 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
  24. Wilson, K. G., Chochinov, H. M., Skirko, M. G., Allard, P., Chary, S., Gagnon, P. R., et al. (2007). Depression and anxiety disorders in palliative cancer care. Journal of Pain and Symptom Management, 33, 118-129. https://doi.org/10.1016/j.jpainsymman.2006.07.016

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  2. Anxiety and Spiritual Well-Being in Nursing Students: A Cross-Sectional Study vol.35, pp.3, 2012, https://doi.org/10.1177/0898010116655004
  3. The effects of life review interventions on spiritual well-being, psychological distress, and quality of life in patients with terminal or advanced cancer: A systematic review and meta-analysis of ran vol.31, pp.10, 2012, https://doi.org/10.1177/0269216317705101
  4. Verbal responses, depressive symptoms, reminiscence functions and cognitive emotion regulation in older women receiving individual reminiscence therapy vol.27, pp.13, 2012, https://doi.org/10.1111/jocn.14156
  5. Spiritual Well-being Among Palliative Care Patients With Different Religious Affiliations: A Multicenter Korean Study vol.56, pp.6, 2012, https://doi.org/10.1016/j.jpainsymman.2018.09.001
  6. Development of a One-item Screening Question to Assess Spiritual Well-Being for Advanced Cancer Inpatients in Korea vol.62, pp.5, 2021, https://doi.org/10.1016/j.jpainsymman.2021.05.005
  7. Effects of a Mind Map-Based Life Review Program on Anxiety and Depressive Symptoms on Cancer Patients Undergoing Chemotherapy : A Randomized Controlled Trial vol.45, pp.1, 2012, https://doi.org/10.1097/ncc.0000000000000874