Psycho-oncology Unit,Duran i Reynals Hospital,Institut Catala d'Oncologia,L'Hospitalet de Llobregat,Barcelona,Spain.
Mutuam-EAPS Barcelona; Stress and Health Research Group,Faculty of Psychology,Universitat Autonoma de Barcelona,Barcelona,Spain.
Palliat Support Care. 2018 Dec;16(6):643-647. doi: 10.1017/S1478951518000548. Epub 2018 Oct 1.
The main objective of this study is to establish emotional benefits of promoting and maintaining meaning in palliative care patients in the final weeks of life and to assess the benefits of including the compassion and self-compassion constructs in the Meaning-Centered Psychotherapy Model (MCP).
Fifty-one cancer inpatients were randomly assigned to one of the three brief interventions for cancer patients in the end of life: the MCP-palliative care version, the MCP-compassionate palliative care (MCP-CPC), or standard counseling. Feasibility, acceptability, and utility were assessed in each condition. Likewise, patients' opinions about the effectiveness of interventions' elements were also collected.ResultOf the 51 patients that began one of the three interventions, 30 completed the three-session interventional program, as well as the pre- and posttreatment questionnaires. No significant differences were found between therapies in terms of the positive feedback of patients regarding the structure, focus, and length of the all three psychotherapeutic interventions. The most helpful elements or constructs reported by patients were meaning, self-compassion, compassion, legacy, and courage and commitment.Significance of resultsAn abbreviated version of MCP-CPC tailored to the needs of palliative care patients appears to be feasible, acceptable, and helps patients cope with the process of dying. Further research in bigger samples is needed to establish evidence for the feasibility, acceptability, and utility of a brief MCP-CPC for palliative care patients in their last weeks of life. More proposals of further elements are also needed to improve the results. Such research can create or refine previous treatment approaches which improve the quality of life and psychological distress in patients with advanced cancer.
本研究的主要目的是在生命的最后几周确定在姑息治疗患者中促进和维持意义的情感益处，并评估在意义中心心理治疗模型（MCP）中纳入同情和自我同情结构的益处。
51 名癌症住院患者被随机分配到三种临终癌症患者的简短干预措施之一：姑息治疗版 MCP、有同情心的姑息治疗版 MCP（MCP-CPC）或标准咨询。在每种情况下都评估了可行性、可接受性和实用性。同样，还收集了患者对干预措施要素有效性的意见。
在开始三种干预措施之一的 51 名患者中，有 30 名完成了三阶段干预计划以及治疗前后的问卷。三种心理治疗干预措施的结构、重点和长度方面，患者对疗法的积极反馈没有差异。患者报告的最有帮助的要素或结构是意义、自我同情、同情、遗产和勇气与承诺。
针对姑息治疗患者需求定制的 MCP-CPC 缩写版似乎是可行的、可接受的，并且有助于患者应对临终过程。需要在更大的样本中进行进一步研究，以确定简短的 MCP-CPC 对生命最后几周的姑息治疗患者的可行性、可接受性和实用性的证据。还需要更多的改进建议来提高结果。此类研究可以创建或完善先前的治疗方法，从而提高晚期癌症患者的生活质量和心理困扰。
