Department of Psychology, Central University of Karnataka, Gulbarga, India.
Head of the Department, Department of Psychology, Central University of Karnataka, Gulbarga, India.
BMC Palliat Care. 2021 May 17;20(1):70. doi: 10.1186/s12904-021-00757-8.
Palliative care has proven over time that it can help prolong life spans with the use of hospices. The literature reports that most patients with cancer are diagnosed in the later stages and since there is no cure, they will require palliative care at some point during their illness. However, most developing countries, including India, have failed to establish hospices; as a result, large numbers of cancer patients are still deprived of palliative care. To initiate better access to hospices, it is important to understand the benefits of the same. Therefore, the present study aims to explore the advantages of hospice care from the perspectives of advanced cancer patients living in hospice centres.
The present study uses the method of exploratory research. Using purposive sampling, 8 participants living in a hospice in Bengaluru, India were selected and semi-structured interviews were conducted to collect data from the patients. This data was analysed using thematic analysis. Any underlying patterns were determined to identify the evident themes that emerged from the data.
After thematic analysis, 4 themes were identified, namely, pain management, altruism, a good death, and overall satisfaction. Within some themes, there were specific sub-themes that have been illustrated using direct quotes from the interviews.
The findings of this study suggest that hospice centres play an important role in helping patients to come out of the trauma during the advanced stages of cancer. A sense of relief can be given to the patient by implementing palliative care. This is possible by building more hospice centres in the country where all individuals, irrespective of their financial status, can opt for the service. Having palliative care will provide dignified death to the patients.
姑息治疗已被证明可以通过使用临终关怀来延长生命。文献报告称,大多数癌症患者在晚期被诊断出来,由于没有治愈方法,他们在疾病的某个阶段将需要姑息治疗。然而,包括印度在内的大多数发展中国家都未能建立临终关怀院;因此,大量癌症患者仍然无法获得姑息治疗。为了更好地获得临终关怀,了解其益处非常重要。因此,本研究旨在从居住在临终关怀中心的晚期癌症患者的角度探讨临终关怀的优势。
本研究采用探索性研究方法。使用目的抽样法,从印度班加罗尔的一家临终关怀中心选择了 8 名居住在那里的参与者,并对他们进行了半结构化访谈,以从患者那里收集数据。使用主题分析对这些数据进行分析。确定任何潜在的模式,以确定从数据中出现的明显主题。
经过主题分析,确定了 4 个主题,即疼痛管理、利他主义、善终和整体满意度。在某些主题中,有一些具体的子主题,这些子主题是通过引用访谈中的直接引语来说明的。
本研究的结果表明,临终关怀中心在帮助癌症晚期患者摆脱创伤方面发挥着重要作用。通过实施姑息治疗,可以给患者带来一种解脱感。在该国建立更多的临终关怀中心是可行的,这样所有个人,无论其财务状况如何,都可以选择这项服务。姑息治疗将为患者提供有尊严的死亡。