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KMID : 1147820120010010055
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Journal of Naturopathy
2012 Volume.1 No. 1 p.55 ~ p.64
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A Study on the Healing and Development of Reality Therapy Program for Hospice
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Chun Jun-Hyep
Byun Mee-Kyung
Sim Soo-Kyung
Lee Hyung-Hwan
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Abstract
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This study was aimed to develop a new reality therapy (Hospice Reality Therapy: HRT) program for hospice to reduce pains and insomnia of terminal cancer patients by applying the reality therapy originated by Glasser and its efficacy of a newly developed program. The HRT program was developed through two processes in principle. First, the existing reality therapies contained in the literature were searched and reviewed by the expertise of reality therapy and counsellors for perfection through revision and complementation. Major contents of the program were the composition of counselling environment, Want, Doing, Evaluation and plan, which were major concepts of the reality therapy. The specific features of the HRT program were as follows; First, it was based on the reality therapy and selection theory of Glasser, of which efficacy has been verified by researchers. Second, the core concepts of reality therapy and selection theory were hierarchically and systematically organized and integrated in terms of composition of program contents. Third, the operation method of the program coincides with core contents or issues of the reality therapy and selection theory. Fourth, the contents that have been learned and practiced could be applied to hospice for terminal cancer patients to emphasize the applicability to participants. For a examination of the efficacy when using the HRT program, the research design used in this process was an experimental design of pre-test, post-test and follow up-test. And, the participants were tension, terminal cancer patients in an experiment group who had been suffering severely from pain and insomnia due to terminal cancer. The program was processed eight times in total, 50 minutes per time, once a week for three months to examine the pain scale and the insomnia scale. This examination indicated pain reduction and insomnia reduction in the experimental group, which continued up to four weeks after the completion of the program. It was concluded that the HRT program developed in this study, a reality therapy program for terminal cancer patients, was effective for pain reduction and insomnia reduction. Furthermore, it is necessary to continue to use this program for health.
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KEYWORD
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cancer patients, reducing pain, reducing insomnia, hospice, reality therapy, program
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