Department of Internal Medicine in Nursing, Medical University, Chodźki 7 Street, 20-093 Lublin, Poland.
The Pontifical University of John Paul II, Kanonicza 25 Street, 31-002 Kraków, Poland.
Biomed Res Int. 2020 Aug 19;2020:7529718. doi: 10.1155/2020/7529718. eCollection 2020.
The objective of the presented research is to characterize hope in the situational dimension, i.e., health, in the patients with cancer in the terminal phase of the disease, being treated in hospices and palliative care centers. Hope is very important for all the patients, especially for patients with cancer in various phases of the disease. Giving up on oncologic therapy and causal treatment is often associated with a transition into palliative care. When death and a loss of values become a threat, the individual has got hope to rely on. . The study relies on the Test to Measure Hope in the Health Context (NCN-36) by B.L. Block. 246 patients in the terminal phase of cancer participated in the study.
The internal structure of hope of recovery in the patients' group was varied. The patients showed low levels of hope of recovery since they do not believe in the effectiveness of treatment. They were also not convinced of the effectiveness of modifications in dieting, lifestyle, or the use of nonconventional medicine. They trusted the doctor in charge and were moderately satisfied with the therapy in use. The intensity of hope of recovery was on the low level in the patients in the terminal phase of cancer. Age, sex, place of living, and marital status had a significant influence on the level of hope of recovery. Variables such as living on one's own or living with one's family, socioeconomic status, education, or profession did not affect the level of hope of recovery.
The presented results allowed as to conclude that the assessment of hope in terminally ill cancer patients can be considered as one of the important tools enabling the personalization and the improvement of palliative care.
本研究的目的是描述终末期癌症患者在情境维度（即健康）中的希望，这些患者正在临终关怀和姑息治疗中心接受治疗。希望对所有患者都非常重要，特别是对处于疾病各阶段的癌症患者。放弃肿瘤治疗和因果治疗通常与过渡到姑息治疗有关。当死亡和价值观的丧失成为威胁时，个体就有了依赖的希望。该研究依赖于 B.L. Block 的健康情境下测量希望的测试（NCN-36）。246 名处于癌症终末期的患者参与了这项研究。
患者组中恢复希望的内部结构是多样化的。由于患者不相信治疗的有效性，他们表现出较低的恢复希望水平。他们也不相信饮食、生活方式或非传统医学改变的有效性。他们信任主治医生，并对正在使用的治疗方法中度满意。处于癌症终末期的患者的恢复希望强度处于较低水平。年龄、性别、居住地和婚姻状况对恢复希望水平有显著影响。其他变量，如独自生活或与家人一起生活、社会经济地位、教育或职业，并不影响恢复希望水平。
本研究结果表明，评估终末期癌症患者的希望可以被视为实现姑息治疗个性化和改善的重要工具之一。
