The Effect of Structured Individual Reminiscence on Symptom Management, Life Satisfaction and Self Transcendence of Palliative Care Patients
Project no. 23257 · Status: Kapanmış · 2021
Summary
<p>Aim: This study was conducted to examine the effects of structured individual reminiscence applied to patients receiving palliative care on symptom management, life satisfaction and self-transcendence levels.</p><p>Material and Method: The research was conducted as a randomized placebo-controlled trial in Balıkesir Bandırma Training and Research Hospital, Palliative Care Service between November 2021 and May 2022. The sample of the study was determined by the stratified (age and gender) block randomization method, and patients who met the inclusion criteria were included in the intervention (structured individual recall), placebo (unstructured social interview) or control (standard nursing care) groups. The data of the research; Individual Identification Form was collected with the Eastern Cooperative Oncology Group (ECOG) Performance Scale, Memorial Symptom Assessment Scale (MSAS), Life Satisfaction Scale (LSS), and Self Transcendence Scale (STS). Evaluation tools were applied before the application (first day) and after the application (Day 15th). With the intervention group, it will make it easier to remember positive life events in the past, which include life stages in chronological order; on the other hand, the placebo group was interviewed every other day (eight sessions in total), each session lasting 30 minutes, about the information they wanted to obtain about current events and health status, which did not include past life experiences. The control group was not specifically interviewed, also it was ensured that they received standard palliative care support. The data were evaluated using appropriate statistical methods and p<0.05 was considered significant.</p><p>Results: A total of 44 patients who met the inclusion criteria, including 15 in the intervention group, 14 in the placebo group, and 15 in the control group, were included in the research. It was determined that the patient groups were homogeneous in terms of sociodemographic and health/disease-related features, introductory features specific to palliative care, and performance levels. While no decrease was observed in the total symptom burden of any group (p>0.05); it was determined that there were significant reductions in distress and psychological symptoms in the intervention and placebo groups (p<0.05). It was found that there was a significant increase in life satisfaction</p><p>VI</p><p>and self-transcendence levels in the intervention group compared to the other groups (p<0.05).</p><p>Conclusion: Structured reminiscence as a nursing intervention; it can be used to reduce psychological symptoms, increase life satisfaction and self-transcendence levels in palliative care patients.</p>