Nilmanat Kittikorn, Promnoi Chantra, Phungrassami Temsak, Chailungka Pachariya, Tulathamkit Kandawasri, Noo-urai Prachuap, Phattaranavig Sasiwimon
Author affiliations: Faculty of Nursing, Hat Yai Campus (Dr Nilmanat and Ms Promnoi); Division of Therapeutic Radiology, Songklanagarind Hospital, Faculty of Medicine (Dr Phungrassami and Mss Tulathamkit, Noo-urai, and Phattaranavig); Faculty of Nursing, Pattani Campus (Ms Chailungka), Prince of Songkla University, Thailand.
Cancer Nurs. 2015 May-Jun;38(3):224-31. doi: 10.1097/NCC.0000000000000169.
Cancer is a leading cause of death in Thailand; however, little research is available that describes the end-of-life experiences of cancer patients. Data presented here are part of a descriptive qualitative study that investigated dying experiences in patients with advanced cancer. Two core themes were identified-living with suffering and moving beyond suffering. In this publication, we focus on 1 of the core themes: moving beyond suffering.
The objective of this study was to explore how Thai persons with advanced cancer move beyond suffering at the end of their life.
A series of interviews and observations were conducted on 15 patients with terminal advanced cancer. The informants were followed through from the point of referral at the hospital to their death at home or in hospital. An inductive qualitative analysis was applied.
Thai persons with advanced cancer tried to find ways to go on living with suffering. Three themes emerged from the interview data: adopting religious doctrine, being hopeful, and being surrounded by the love and care of the family.
This study highlights the roles of religious faith and spirituality in helping Thai patients transcend suffering and move on toward their end of life.
Nurses need to be sensitive toward the religious faiths of their patients and provide culturally appropriate care for them. Nursing interventions to maintain hope and connectedness should be promoted by respecting the patients' expressions of hope and supporting the involvement of family members in end-of-life care.
癌症是泰国主要的死亡原因之一；然而，关于癌症患者临终体验的研究却很少。本文所呈现的数据是一项描述性定性研究的一部分，该研究调查了晚期癌症患者的临终体验。研究确定了两个核心主题——与痛苦共存和超越痛苦。在本出版物中，我们聚焦于其中一个核心主题：超越痛苦。
本研究的目的是探讨泰国晚期癌症患者如何在生命末期超越痛苦。
对15名晚期癌症末期患者进行了一系列访谈和观察。从患者在医院被转诊开始，一直跟踪到他们在家中或医院去世。采用归纳定性分析方法。
泰国晚期癌症患者试图寻找与痛苦共存的方式。访谈数据中出现了三个主题：信奉宗教教义、心怀希望以及被家人的爱和关怀所包围。
本研究强调了宗教信仰和精神性在帮助泰国患者超越痛苦并走向生命终点方面的作用。
护士需要对患者的宗教信仰保持敏感，并为他们提供符合文化背景的护理。应通过尊重患者表达的希望并支持家庭成员参与临终护理，来推广维持希望和保持联系的护理干预措施。
