Hope of patients in the terminal phase of cancer and place of residence

Abstract

Objective. The aim of the study is to compare the hope of rural and urban inhabitants in the terminal stage of a neoplastic disease covered by stationary hospice care. Materials and method. The study was carried out among patients in the terminal phase of a neoplastic disease. They were patients of both 24-hour and daily palliative and hospice care units throughout the country. The study group consisted of 246 patients, average age-59.5, the youngest respondent was 18 and the oldest-90. The B. L. Block (NCN-36) test, prepared for people struggling with serious life-threatening diseases, was used. Comparison of the results with regard to the place of residence was based on the test Friedman ANOVA and Kendall compatibility factor. The general comparison of hope in individual dimensions and globally with the division into the degree of urbanization, was based on the Kruskal-Wallis test. Results. On the basis of factor analysis, 4 scales constructed from 8 items branch were distinguished. The following scales are used to study hope in the situational dimension-health, the telek-temporal dimension-goals, the spiritual dimension-religious beliefs and in the emotional-affective (affective) dimension-motivations. Conclusions. The strength of hope in people in the terminal phase of cancer, residing in villages, settlements, small, medium and large cities, was similar and depended on its magnitude. Of all the manifestations of hope, the greatest variation in results occurred in the subjects when they encountered serious problems and difficulties. The inhabitants of medium-sized cities were characterized by a higher hope at that time.

Hope of Recovery in Patients in the Terminal Phase of Cancer under Palliative and Hospice Care in Poland

“…The results presented in this paper are the part of the comprehensive studies concerning the multifaceted assessment of hope among the terminally ill cancer patients undergoing paliative and hospice care in Poland. The preliminary observations concerning the hope vs. place of dwelling were published by Baczewska et al [11]. The objective of the presented research is to characterize hope in the situational dimension, i.e., health, in the patients with cancer in the terminal phase of the disease, being treated in hospices and palliative care centers [11].…”

“…The preliminary observations concerning the hope vs. place of dwelling were published by Baczewska et al [ 11 ]. The objective of the presented research is to characterize hope in the situational dimension, i.e., health, in the patients with cancer in the terminal phase of the disease, being treated in hospices and palliative care centers [ 11 ].…”

Hope in Advanced Cancer Patients in the Terminal Phase of Neoplastic Disease and Stability of Basic Mood

“…The reference to the patient's experiences results from the method of conducting the examination in the form of a "conversation-interview" while noting the test results on the Answer Sheet, and from the introductory instruction referring to the patient's mood, experience in recent days and his/her personal thoughts. The interview method was as described earlier [15,16]. This interview, apart from diagnostic purposes, also allowed the implementation of therapeutic activities.…”

“…As described previously [15,16], Personal Card is a set of data selected from an extensive Personal Questionnaire (Witkowski 1976) and supplemented with new data adjusted to the subject of the new research. The Personal Card for persons in the terminal phase of neoplastic disease contained data describing the group, enabling them to be evaluated as variables for further analysis in terms of their possible relationship with NCN-36 results.…”

“…In the range of basic mood, two types of mood were distinguished: a cheerful mood and a sad mood, and within these types cheerful unstable and cheerful balanced, and sad unstable and sad balanced were distinguished. [15,16].…”