Ando Michiyo, Morita Tatsuya, Okamoto Takuya, Ninosaka Yasuyoshi
Faculty of Nursing, St. Mary's College, Kurume, Fukuoda, Japan.
Psychooncology. 2008 Sep;17(9):885-90. doi: 10.1002/pon.1299.
The primary aim of this study was to assess the efficacy of the Short-Term Life Review on the spiritual well-being, as well as anxiety, depression, suffering, and happiness of terminally ill cancer patients.
Thirty patients reviewed their lives in the first session and they confirmed the contents in the album based on the life review in the second session. Duration of the treatment was one week. Measurement instruments included Functional Assessment Chronic Illness Therapy-Spiritual (FACIT-Sp), Hospital Anxiety and Depression Scale (HADS), Numeric Rating Scales of Suffering (from 0 to 6) and Happiness (from 1 to 7).
After the therapy, the mean FACIT-Sp scores increased from 16+/-8.2 to 24+/-7.1, anxiety score significantly decreased from 6.8+/-4.7 to 3.0+/-2.2, depression score significantly decreased from 10.2+/-4.7 to 6.6+/-4.1, suffering score significantly decreased from 3.4+/-1.9 to 1.8+/-1.4, and happiness score significantly increased from 4.6+/-1.9 to 5.6+/-1.6. Total HADS scores significantly decreased from 17+/-8.6 to 9.5+/-5.4.
The Short-Term Life Review is feasible and may be effective in improving the spiritual and psychosocial well-being of terminally ill cancer patients.
本研究的主要目的是评估短期生命回顾对晚期癌症患者精神健康以及焦虑、抑郁、痛苦和幸福感的疗效。
30名患者在第一阶段回顾了他们的生活,并在第二阶段根据生命回顾确认了相册中的内容。治疗持续时间为一周。测量工具包括慢性病治疗功能评估-精神量表(FACIT-Sp)、医院焦虑抑郁量表(HADS)、痛苦数字评定量表(0至6分)和幸福数字评定量表(1至7分)。
治疗后,FACIT-Sp平均得分从16±8.2提高到24±7.1,焦虑得分从6.8±4.7显著降低到3.0±2.2,抑郁得分从10.2±4.7显著降低到6.6±4.1,痛苦得分从3.4±1.9显著降低到1.8±1.4,幸福得分从4.6±1.9显著提高到5.6±1.6。HADS总分从17±8.6显著降低到9.5±5.4。
短期生命回顾是可行的,可能有助于改善晚期癌症患者的精神和心理社会健康状况。