%0 Journal Article
%T Acceptance Process Model of Patients¡¯ Life with Terminally Ill in Home Hospice and Development of a Narrative Approach for Nurses
%A Michiyo Ando
%A Hiroko Kukihara
%A Mayumi Yamamoto
%A Yasuyoshi Ninosaka
%A Naoyuki Saito
%J Journal of Cancer Therapy
%P 316-326
%@ 2151-1942
%D 2019
%I Scientific Research Publishing
%R 10.4236/jct.2019.104025
%X The prime aim of this study was to find a
psychological process model of patients with terminally ill in home hospice
investigating the contents of a narrative, and the secondary aim was to create
a narrative approach program for nurses. Ten patients narrated their thinking
or feelings along with some prepared questions in two sessions. Patients¡¯
narrative data w</span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">ere</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"> categorized by a qualitative analysis and 34 categories were chosen.
They perceived good points in home hospice like ¡°Being able to spend time
freely¡±, ¡°Close relationships with care staff</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">s </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">and
strong confidence¡±, though they perceived trouble points like ¡°Suffering from
putting burden on the people around me¡± or ¡°Worries about economic problems¡±.
They perceived psychological changes through illness like ¡°Having peace of mind
and becoming kind¡± ¡°Desire for a natural death¡±. Moreover they perceived their
life like ¡°Acceptance of o</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">ne¡¯s</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"> life including illness¡± ¡°My life lived with satisfaction¡±. They regarded
as important things such as ¡°Spending life time usefully¡± ¡°Feelings of my
family members and of those around me¡±, and as hopes ¡°Hope to leave my living
proof¡± ¡°Living left time to the fullest¡±. From these categories, we propose an
acceptance model of patients¡¯ life and a narrative program for nurses.
%K Narrative Approach
%K Terminally Ill Cancer Patients
%K Home Hospice
%K Nurses
%K Acceptance Model
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=91645