Department of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China.
Department of Respiratory Medicine, Hongkou Branch of Changhai Hospital, Naval Medical University, Shanghai, China.
Int J Qual Stud Health Well-being. 2022 Dec;17(1):2028348. doi: 10.1080/17482631.2022.2028348.
This qualitative study explores the meaning of life and end-of-life coping strategies among patients in China with advanced lung cancer.
We conducted in-depth interviews with 21 hospitalized patients with advanced lung cancer and analysed the data using the 7-step Colaizzi method.
The analysis revealed themes in patients' experiences and feelings about living with a terminal illness. These include: 1) The core of the meaning of life is "self-iteration," which includes self-recognition and cherishing life; 2) The existence form of the meaning of life is "yu-wei," including self-reliance and altruism; 3) The meaning of life is embodied in three levels: the past, present, and future. The past includes gratitude, guilt and remorse, and avoidance; the present includes using the support system, positive response, independence, and integrity; the future includes accompanying relatives, preparing for death, living a high quality of life, and worrying.
Meaning of life is a multidimensional and diverse concept among patients with advanced lung cancer. Medical care providers and family members can provide targeted professional guidance and psychological support according to patients' characteristics to help them discover their meaning of life, improve their quality of life, and achieve a positive end-of-life perspective.
本质性研究探索了中国晚期肺癌患者的生命意义和临终应对策略。
我们对 21 名住院的晚期肺癌患者进行了深入访谈，并使用 7 步 Colaizzi 方法对数据进行了分析。
分析揭示了患者在患有绝症时的生活经历和感受的主题，包括：1）生命意义的核心是“自我迭代”，包括自我认知和珍惜生命；2）生命意义的存在形式是“余味”，包括自立和利他主义；3）生命的意义体现在过去、现在和未来三个层面。过去包括感恩、内疚和悔恨、回避；现在包括利用支持系统、积极应对、独立和完整；未来包括陪伴亲属、准备死亡、高质量生活和担忧。
生命意义是晚期肺癌患者的一个多维和多样化的概念。医护人员和家属可以根据患者的特点提供有针对性的专业指导和心理支持，帮助他们发现生命的意义，提高生活质量，并实现积极的临终观。
