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Original Article
Effects of a Short-term Life Review on Spiritual Well-being, Depression, and Anxiety in Terminally Ill Cancer Patients
Sung Hee Ahn, Young Lan An, Yang Sook Yoo, Michiyo Ando, Soo Jin Yoon
Journal of Korean Academy of Nursing 2012;42(1):28-35.
DOI: https://doi.org/10.4040/jkan.2012.42.1.28
Published online: February 29, 2012

1Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

2Director, Hospice Coaching Center, Seoul, Korea.

3Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea.

4Professor, St. Mary's Nursing College, Fukuoka, Japan.

5Team leader, Mohyun Hospice Center, Seoul, Korea.

Address reprint requests to: Ahn, Sung Hee. College of Nursing, The Catholic University of Korea, 505 Banpo-dong Seocho-gu, Seoul 137-701, Korea. Tel: +82-2-2258-7409, H·P: 010-9975-1299, Fax: +82-2-2258-7772, shahn@catholic.ac.kr
• Received: October 3, 2010   • Accepted: February 5, 2012

© 2012 Korean Society of Nursing Science

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  • Purpose
    This study was done to evaluate the effects of a short-term life review on spiritual well-being, depression, and anxiety in patients with terminal cancer.
  • Methods
    The study used a pre posttest quasi experimental design with a nonequivalent control group. Measurement instruments included the Functional Assessment of Chronic Illness Therapy-Spiritual scale (FACIT-Sp12) and the Hospital Anxiety and Depression Scale (HADS). Participants were 32 patients with terminal cancer who were receiving chemotherapy or palliative care at hospitals or at home. Eighteen patients were assigned to the experimental group and 14 to the control group. A sixty minute short-term life review session was held twice a week as the intervention with the experimental group.
  • Results
    There was a statistically significant increase in spiritual well-being in the experimental group compared to the control group. There were also significant decreases in depression and anxiety in the experimental group compared to the control group.
  • Conclusion
    The results indicate that a short-term life review can be used as a nursing intervention for enhancing the spiritual well-being of patients with terminal cancer.
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Table 1
Homogeneity Test for General Characteristics, Performance Status, and Outcome Variables of Participants (N=32)
jkan-42-28-i001.jpg

*Fisher's exact test; Wilcoxon signed rank sum test;

Exp.=Experimental group; Cont.=Control group; ECOG-PSR=Eastern cooperative oncology group - performance status Rating; HADS=Hospital anxiety and depression scale; 1=Fully ambulatory with symptoms; 2=Requiring rest for 1 to 49% of the waking day; 3=Requiring rest 50 to 99% of the waking day; 4=Requiring complete bed rest.

Table 2
Composition for Short-Term Life Review
jkan-42-28-i002.jpg
Table 3
Effects of Short-term Life Review on Spiritual Well-being, Anxiety, and Depression
jkan-42-28-i003.jpg

a, b, c, d=Significant difference between the same αbetic letters;

Exp.=Experimental group; Cont.=Control group; G=Group; T=Time.

Figure & Data

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        Effects of a Short-term Life Review on Spiritual Well-being, Depression, and Anxiety in Terminally Ill Cancer Patients
        J Korean Acad Nurs. 2012;42(1):28-35.   Published online February 29, 2012
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      Effects of a Short-term Life Review on Spiritual Well-being, Depression, and Anxiety in Terminally Ill Cancer Patients
      Effects of a Short-term Life Review on Spiritual Well-being, Depression, and Anxiety in Terminally Ill Cancer Patients

      Homogeneity Test for General Characteristics, Performance Status, and Outcome Variables of Participants (N=32)

      *Fisher's exact test; Wilcoxon signed rank sum test;

      Exp.=Experimental group; Cont.=Control group; ECOG-PSR=Eastern cooperative oncology group - performance status Rating; HADS=Hospital anxiety and depression scale; 1=Fully ambulatory with symptoms; 2=Requiring rest for 1 to 49% of the waking day; 3=Requiring rest 50 to 99% of the waking day; 4=Requiring complete bed rest.

      Composition for Short-Term Life Review

      Effects of Short-term Life Review on Spiritual Well-being, Anxiety, and Depression

      a, b, c, d=Significant difference between the same αbetic letters;

      Exp.=Experimental group; Cont.=Control group; G=Group; T=Time.

      Table 1 Homogeneity Test for General Characteristics, Performance Status, and Outcome Variables of Participants (N=32)

      *Fisher's exact test; Wilcoxon signed rank sum test;

      Exp.=Experimental group; Cont.=Control group; ECOG-PSR=Eastern cooperative oncology group - performance status Rating; HADS=Hospital anxiety and depression scale; 1=Fully ambulatory with symptoms; 2=Requiring rest for 1 to 49% of the waking day; 3=Requiring rest 50 to 99% of the waking day; 4=Requiring complete bed rest.

      Table 2 Composition for Short-Term Life Review

      Table 3 Effects of Short-term Life Review on Spiritual Well-being, Anxiety, and Depression

      a, b, c, d=Significant difference between the same αbetic letters;

      Exp.=Experimental group; Cont.=Control group; G=Group; T=Time.


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