Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-10T12:15:39.411Z Has data issue: false hasContentIssue false
  • English
  • Français

Art therapy for terminal cancer patients in a hospice palliative care unit in Taiwan

Published online by Cambridge University Press:  13 February 2012

Ming-Hwai Lin ,
Shwu-Lan Moh ,
Yu-Cheng Kuo ,
Pin-Yuan Wu ,
Chiung-Ling Lin ,
Mei-Hui Tsai ,
Tzeng-Ji Chen  and
Shinn-Jang Hwang
Ming-Hwai Lin
Affiliation:
Division of Hospice Palliative Care, Departments of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan National Yang-Ming University School of Medicine, Taipei, Taiwan
Shwu-Lan Moh
Affiliation:
Hospice Palliative Care Unit, Taipei Veterans General Hospital, Taipei, Taiwan
Yu-Cheng Kuo
Affiliation:
Hospice Palliative Care Unit, Taipei Veterans General Hospital, Taipei, Taiwan
Pin-Yuan Wu
Affiliation:
Division of Hospice Palliative Care, Departments of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan National Yang-Ming University School of Medicine, Taipei, Taiwan
Chiung-Ling Lin
Affiliation:
Departments of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan
Mei-Hui Tsai
Affiliation:
Department of Social Work, Taipei Veterans General Hospital, Taipei, Taiwan
Tzeng-Ji Chen
Affiliation:
Division of Hospice Palliative Care, Departments of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan National Yang-Ming University School of Medicine, Taipei, Taiwan
Shinn-Jang Hwang*
Affiliation:
Division of Hospice Palliative Care, Departments of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan National Yang-Ming University School of Medicine, Taipei, Taiwan
*
Address correspondence and reprint requests to: Shinn-Jang Hwang, Fellow of the American College of Gastroenterology, Departments of Family Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Rd. Taipei 11217, Taiwan. E-mail: sjhwang@vghtpe.gov.tw
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

Even though terminal cancer patients receive help from a hospice palliative care team, they have to suffer the pressure of death with deteriorating conditions. This study aims to evaluate the effect of art therapy for these terminal cancer patients.

Method:

The patients involved were terminal cancer patients who were under the care of team members, which included physicians, nurses, social workers, clergy, art therapists, and volunteers in a hospice palliative care unit in Taiwan. The art therapy in our study took the form of visual fine art appreciation and hands-on painting. The effects of the art therapy were evaluated according to patients' feelings, cognitions, and behaviors.

Results:

There were 177 patients (105 males and 72 females; mean age: 65.4 ±15.8 years) in the study. Each patient received a mean of 2.9 ± 2.0 sessions of the art therapy and produced a mean of 1.8 ± 2.6 pieces of art. During the therapy, most patients described their feelings well, and created art works attentively. Patients expressed these feelings through image appreciation and hands-on painting, among which the landscape was the most common scene in their art. After the therapy, the mean score of patients' artistic expressions (one point to each category: perception of beauty, art appreciation, creativity, hands-on artwork, and the engagement of creating artwork regularly) was 4.0 ± 0.7, significantly higher than the score before therapy (2.2 ± 1.4, p < 0.05). During the therapy, 70% of patients felt much or very much relaxed in their emotional state and 53.1% of patients felt much or very much better physically.

Significance of results:

Terminal cancer patients in a hospice palliative care unit in Taiwan may benefit from art therapy through visual art appreciation and hands-on creative artwork.

Keywords

Art therapyHospicesPaintingPalliative careTerminal cancer patients
Type
Original Articles
Information
Palliative & Supportive Care , Volume 10 , Issue 1 , March 2012 , pp. 51 - 57
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Ferrell, B.R. (2005). Overview of the domains of variables relevant to end-of-life care. Journal of Palliative Medicine, 8, Suppl 1, S22–29.CrossRefGoogle ScholarPubMed
Forzoni, S., Perez, M., Martignetti, A., et al. (2010). Art therapy with cancer patients during chemotherapy sessions: An analysis of the patients' perception of helpfulness. Palliative and Supportive Care, 8, 41–48.CrossRefGoogle Scholar
Frampton, D.R. (1986). Restoring creativity to the dying patient. British Medical Journal (Clinical Research Ed.), 293, 1593–1595.CrossRefGoogle ScholarPubMed
Gabriel, B., Bromberg, E., Vandenbovenkamp, J., et al. (2001). Art therapy with adult bone marrow transplant patients in isolation: A pilot study. Psychooncology, 10, 114–123.CrossRefGoogle ScholarPubMed
Hawkins, N. (1993). A new outlook for rehabilitation: Creative art therapy. Caring, 12, 80–84.Google ScholarPubMed
Kaye, C. (1997). State of the art. In The Arts in Health Care, a Palette of Possibilities. Kaye, C. & Blee, T. (eds.), pp. 7–20. London: Jessica Kingsley.Google Scholar
Kennett, C.E. (2000). Participation in a creative arts project can foster hope in a hospice day centre. Palliative Medicine, 14, 419–425.CrossRefGoogle Scholar
Kuo, Y.C., Moh, S.L., Chen, C.Y., et al. (2002). Fine art therapy in terminal cancer patients. Journal of Formosa Medical Association, 6, 839–847.Google Scholar
Lin, M.H., Wu, P.Y., Tsai, S.T., et al. (2004). Hospice palliative care for patients with hepatocellular carcinoma in Taiwan. Palliative Medicine, 18, 93–99.CrossRefGoogle ScholarPubMed
Luzzatto, P., Sereno, V. & Capps, R. (2003). A communication tool for cancer patients with pain: the art therapy technique of the body outline. Palliative and Supportive Care, 1, 135–142.CrossRefGoogle ScholarPubMed
Mayo, S. (1996). Symbol, metaphor and story. The function of group art therapy in palliative care. Palliative Medicine, 10, 209–216.CrossRefGoogle ScholarPubMed
McIntyre, B.B. (1992). Art therapy with bereaved children. Caring, 11, 62–67.Google ScholarPubMed
Michele, W. (2004). The contribution of art therapy to palliative medicine. In Oxford Textbook of Palliative Medicine. Doyle, D., Hanks, G., Cherny, N.I., Calman, S.K., (eds.), pp. 1063–1068. Oxford: Oxford University Press.Google Scholar
Oster, I., Svensk, A.C., Magnusson, E., et al. (2006). Art therapy improves coping resources: A randomized, controlled study among women with breast cancer. Palliative and Supportive Care, 4, 57–64.CrossRefGoogle ScholarPubMed
Tyler, J. (1998). Nonverbal communication and the use of art in the care of the dying. Palliative Medicine, 12, 123–126.CrossRefGoogle ScholarPubMed