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Factors in narratives to questions in the short-term life review interviews of terminally ill cancer patients and utility of the questions

Published online by Cambridge University Press:  24 February 2012

Michiyo Ando ,
Tatsuya Morita ,
Tatsuo Akechi  and
Kouchi Takashi
Michiyo Ando*
Affiliation:
Faculty of Nursing, St. Mary's College, Kurume City, Fukuoka, Japan
Tatsuya Morita
Affiliation:
Department of Palliative and Supportive Care, Palliative Care Team, and Seirei Hospice, Seirei Mikatahara General Hospital, Hamamatsu, Japan
Tatsuo Akechi
Affiliation:
Department of Psychiatry and Cognitive-Behavioral Medicine, University Graduate School of Medical Sciences, Nagoya City, Japan
Kouchi Takashi
Affiliation:
RJC Research Company, Tokyo, Japan
*
Address correspondence and reprint requests to: Michiyo Ando, St. Mary's College, Tsubukuhonmachi 422, Kurume City, Fukuoka, Japan. E-mail: andou@st-mary.ac.jp
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Abstract

Objective:

Although the Short-Term Life Review elevated the spiritual well-being of terminally ill cancer patients in our previous study, we have not examined what patients reviewed for each question item of it. We examined factors in narratives to questions in the Short-Term Life Review interviews of terminally ill cancer patients and utility of the questions.

Method:

Thirty-four terminally ill cancer patients received the Short-Term Life Review interview in which there were two sessions. In the first session patients reviewed their lives, and an interviewer made a simple album of the patient based on patients' narrative. After 1 week, there was a second session. Qualitative analysis was conducted on patients' answers to each question using computational word mining, and factors were identified.

Results:

Twenty patients' narratives were analyzed. “Human relationships” was identified under “important things in life.” “Pleasant memories” were associated with “impressive memories.” “Illness” and “marriage and divorce” were related to “turning points in the life.” “Raising children and education” and “company or work” were identified as “roles in life.” “Achievements at work” were identified with “pride.” “Message to my children” was identified with “what I want to say to my family.” “To live sincerely” and “consideration for others” were identified as “advice for the next generation.” Patients reviewed few for topics such as “pride,” “what I want to say to my family,” “advice for the next generation,” and “summing up my life.”

Significance of results:

Factors such as human relationships, raising children, and education as a role and source of pride, and concerns about children's future, were associated with elevating spiritual well-being. Question to which that patients easily answered were selected.

Keywords

Short-term life reviewTerminally ill patientsEnd-of-life concerns
Type
Original Articles
Information
Palliative & Supportive Care , Volume 10 , Issue 2 , June 2012 , pp. 83 - 90
Copyright
Copyright © Cambridge University Press 2012

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