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KMID : 1035120180180040173
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Asian Oncology Nursing
2018 Volume.18 No. 4 p.173 ~ p.187
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An Integrative Review of Meaning-Centered Intervention Studies for Patients with Advanced or Terminal Cancer
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Kang Kyung-Ah
Han Suk-Jung
Kim Shin-Jeong
Lim Young-Sook
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Abstract
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Purpose: The purpose of this study was to review studies of Meaning-Centered Intervention (MCI) in advanced or terminal cancer patients using Whittemore and Knafl’s integrative review method.
Methods: We conducted a literature search using nine English or Korean electronic databases by using the keywords ‘meaning therapy OR meaning-centered intervention OR psychotherapy’. All studies were original articles about MCI in peer-reviewed journals from inception to August 2017. A risk of bias assessment tool for non-randomized studies was used for quality assessment.
Results: Seventeen studies matched the criteria. Thirteen studies assessed through RoBANS had a low risk of bias in most areas. The most frequently used tools were 8 group intervention sessions around 90 or 120 minutes in length. The outcome variables used in this study were quality of life, anxiety, depression, meaning of life, and spiritual well-being. The purpose of MCI was to improve the spiritual well-being and quality of life for patients by finding meaning in life even when faced with cancer.
Conclusion: In this study, spiritual care was identified as an important factor from the MCI applied evidence-based data. The MCI could be effective way to improve spiritual well-being for the patients with advanced or terminal cancer and their families.
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KEYWORD
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Neoplasms, Nursing, Patients, Review Literature
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