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A pilot study of transformation, attributed meanings to the illness, and spiritual well-being for terminally ill cancer patients

Published online by Cambridge University Press:  13 November 2008

Michiyo Ando ,
Tatsuya Morita ,
Virginia Lee  and
Takuya Okamoto
Michiyo Ando*
Affiliation:
Faculty of Nursing, St. Mary's College, Kurame City, Fukuoka, Japan
Tatsuya Morita
Affiliation:
Department of Palliative and Supportive Care, Palliative Care Team and Seirei Hospice, Seirei Mikatahara General Hospital, Hamamatsu-shi Shizuoka, Japan
Virginia Lee
Affiliation:
Department of Nursing Research, McGill University Health Centre, Montreal, Canada
Takuya Okamoto
Affiliation:
Palliative Care Unit, Toyo Onsen Hospital, Tokyo, Japan
*
Address correspondence and reprint requests to: Michiyo Ando, St. Mary's College, Tsubukuhonmachi 422, Kurume city, Fukuoka, Japan. E-mail: [email protected]
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Abstract

Objective:

The present study investigated what types of transformation terminally ill cancer patients experienced from diagnosis until the terminal stage, what meanings terminally ill cancer patients attributed to their illness, and whether or not those who attributed positive meaning to their illness achieved high levels of spiritual well-being as a preliminary study.

Method:

Ten terminally ill cancer patients in the hospice wards of two general hospitals participated. A clinical psychologist conducted a semistructured interview with the patients individually for about 60 min. Patients completed the FACIT-Sp and HADS before the interview and talked about the meanings of cancer experience. The contents of the interviews were analyzed qualitatively. Patients were separated into high and low levels of spiritual-well being by the median of FACIT-Sp scores.

Results:

Three types of transformation were extracted: “group with peaceful mind,” “group with both positive attitude and uneasy feeling,” and “groups with uneasy feeling.” As attributed meanings to the illness, five categories were extracted: “positive meaning,” “natural acceptance,” “negative acceptance,” “search for meaning,” and “regret and sorrow.” Patients in the high level spiritual well-being group attributed the meaning of illness to “positive meaning” and “natural acceptance,” and those in the low level spiritual well-being group attributed it to “regret and sorrow” and “search for meaning.”

Significance of results:

Some Japanese terminally ill cancer patients experienced positive transformation, and patients who attributed “positive meaning” and “natural acceptance” to their illness experience achieved high levels of spiritual well-being.

Keywords

Attributed meaningSpiritual well-beingTerminally ill cancer patients
Type
Original Articles
Information
Palliative & Supportive Care , Volume 6 , Issue 4 , December 2008 , pp. 335 - 340
Copyright
Copyright © Cambridge University Press 2008

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