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Effects of Letter on the Family Functioning, Fear of Death, and Depression among the Terminally Ill Cancer Patients

편지를 활용한 가족관계 증진 프로그램이 말기 암 환자의 가족기능, 죽음 불안, 우울에 미치는 영향

  • Lee, Son Ja (Chungbuk University Hospital) ;
  • Kim, Inja (Department of Nursing, Daejeon University)
  • Received : 2014.03.10
  • Accepted : 2014.06.18
  • Published : 2014.06.30

Abstract

Purpose: To improve the family functioning, fear of death and depression among the terminally ill cancer patients, the effects of letter as an independent nursing intervention were identified. Methods: Non-equivalent control group pre and post test design was used. Subjects were 60 patients and their family members who were hospitalized at hospice units of an university-affiliated hospital. Patients and their family members were encouraged to write a letter to each other at least 4 times for 2 weeks. Results: Family functioning, fear of death and depression in the experimental group were significantly more improved after intervention than those of control group, even depression of experimental group before intervention was worse than that of control group. Conclusion: Writing a letter to family members is worth to use as an independent nursing intervention for terminally ill patients. It is recommended that further study to identify the potential of letters as an independent nursing intervention is implemented for various patients.

Keywords

References

  1. Alanee, S., & Russo, P. (2012). Suicide in men with testis cancer. European Journal of Cancer Care (Engl). 21 (6), 817-821. http://dx.doi.org/10.1111/j.1365-2354.2012.01366.x
  2. Ando, M., Morita, T., Akechi, T., & Okamoto, T. (2010). Efficacy of short-term life-review interviews on the spiritual wellbeing of terminally ill cancer patients. Pain Symptom Management, 39 (6), 993-1002. http://dx.doi.org/ 10.1016/j.jpainsymman
  3. Chang, S. Y., & Koh, H. J. (2008). Effects of aromatherapy hand massage on anxiety and depression in patients with terminal cancer. Keimyung Journal of Nursing Science, 12 (1), 49-58.
  4. Cobb, S. (1976). Social support as a moderator of life stress. Psychosommetric Medicine, 38 (5), 300-314. https://doi.org/10.1097/00006842-197609000-00003
  5. Cohen, J. (2000). Statistical power analysis for the behavioral sciences (2nd ed). New Jersey, Lawrence Erlbaum Associates.
  6. Collett, L. J., & Lester, D. (1969). The fear of death and the fear of dying. The Journal of Psychology, 72 (2), 179-181. https://doi.org/10.1080/00223980.1969.10543496
  7. Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The Mc-Master family assessment device. Journal of Marital and Family Therapy, 9 (2), 171-180.
  8. Jun, Y. P. (2008). The scheme of revitalizing the communication by reading and writing letters. Unpublished master's thesis, Dankook University, Seoul.
  9. Ki, B. S. (1996). A Preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of The Korean Neuropsychiatric Association, 35 (2), 298-305.
  10. Kim, H. J., & Suh, J. E. (2012). Influences on family functioning: A meta-analysis. Journal of Korean Family Therapy, 20 (3), 457-486.
  11. Kim, Y. J. (2008). A study on cancer patients' and their family members' depression and suicidal ideation. Unpublished master's thesis, Hanyang University, Seoul.
  12. Kim, Y. J., Kim, J. Y., Choi, I. R., Kim, M. W., & Rhodes, V. (2000). The index of nausea, vomiting, and retching (Korean translation). Journal of Adult Health Nursing, 2 (2), 278-285.
  13. Kolva, E., Rosenfeld, B., Pessin, H., Breitbart, W., & Brescia, R. (2011). Anxiety in terminally ill cancer patients. Journal of Pain Symptom Management, 42 (5), 691-701. http://dx.doi.org/10.1016/j.jpainsymman.2011.01.013
  14. Lim, J. W., & Ashing-Giwa, K. T. (2013). Is family functioning and communication associated with health-related quality of life for Chinese-and Korean-American breast cancer survivors? Quality of Life Research, 22 (6), 1319-1329. http://dx.doi.org/10.1007/s11136-012-0247-y
  15. Mallinger, J. B., Griggs, J. J., & Shields, C. G. (2006). Family communication and mental health after breast cancer. European Journal of Cancer Care, 15 (4), 355-361. https://doi.org/10.1111/j.1365-2354.2006.00666.x
  16. Martino, M. L., Freda, M. F., & Camera, F. (2013). Effects of guided written disclosure protocol on mood states and psychological symptoms among parents of off-therapy acute lymphoblastic leukemia children. Journal of Health Psychology, 18 (6), 727-36. http://dx.doi.org/10.1177/1359105312462434
  17. McDaniel, J. S., Musselma, D. L., Porter, M. R., Reed, D. A., & Nemeroff, C. B. (1995). Depression in patients with cancer: Diagnosis, biology, and treatment. Archives of General Psychiatry, 52, 89-99. https://doi.org/10.1001/archpsyc.1995.03950140007002
  18. McLean, L. M., Jones, J. M., Rydall, A. C., Walsh, A., Esplen, M. J., Zimmermann, C., et al. (2008). A couples intervention for patients facing advanced cancer and their spouse caregivers: Outcomes of a pilot study. Psychooncology, 17 (11), 1152-6. http://dx.doi.org/10.1002/pon.1319
  19. Mendoza, T. R., Wang, X. S., Cleeland, C. S., Morrissey, M., Johnson, B. A., Wendt, J. K., et al. (1999). The rapid assessment of fatigue severity in cancer patients. American Cancer Society, 85 (5), 1186-1196.
  20. Miller, I. W., Ryan, C. E., Keitner, G. I., Bishop, D. S., & Epstein, N. B. (2000). The McMaster approach to families: Theory, assessment, treatment and research. Journal of Family Therapy, 22, 168-189. https://doi.org/10.1111/1467-6427.00145
  21. Park, S. Y. (2004). Change of quality of life, depression and family support according to the process of treatment in breast cancer patients. Unpublished master's thesis, Chungnam University, Daejeon.
  22. Prince-Paul, M., & Exline, J. J. (2010). Personal relationships and communication messages at the end of life. Nursing Clinics of North America, 45 (3), 449-463. http://dx.doi.org/10.1016/j.cnur.2010.03.008
  23. Rhodes, V. A. (1997). Criteria for assessment of nausea, vomiting, and retching. Oncology Nursing Forum, 24 (7), 13-19.
  24. Satir, V., & Jackson, D. D. (1961). A method of analysis of a family interview. Archives General Psychiatry, 5, 321-339. https://doi.org/10.1001/archpsyc.1961.01710160001001
  25. Suh, H. K. (1987). Attitude toward death of Korean and American elderly. Journal of Korea Gerontological Society, 7 (1), 39-60.
  26. Suhail, K., & Akram, S. (2002). Correlates of death anxiety in Parkistan. Death Studies, 26, 39-50. https://doi.org/10.1080/07481180210146
  27. Svavarsdottir, E. K., & Sigurdardottir, A. O. (2013). Benefits of a brief therapeutic conversation intervention for families of children and adolescents in active cancer treatment. Oncology Nursing Forum, 40 (5), E346-57. http://dx.doi.org/10.1188/13.ONF.E346-E357
  28. Yesavage, J. A., Brink, T. L., Rose, T. L., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatry Research, 17 (1), 37-49.
  29. Yu, H. O. (2004). Death anxiety among the middle aged and the elderly focused on afterlife and the readiness to death. Unpublished master's thesis, Sungshin Women's University, Seoul.
  30. Yu, Y. J., Kim, S. O., & Kim, K. S. (2013). Family relationships. Seoul: Kyomoonsa.