Palliative care and end of life interventions based on culture, religion and belief: Qualitative
##plugins.themes.academic_pro.article.main##
Abstract
Chemotherapy patients often face great emotional stress. Palliative care interventions by providing psychosocial support help overcome stress, anxiety, and depression that may arise during treatment. In addition to alleviating psychosocial symptoms, alleviating the symptoms of the patient's disease or improving the quality of life of chemotherapy patients also need to be done. The interventions given do not only focus on the patient's bio psychosocial, but interventions related to culture, religion and beliefs are needed for patients. This study aims to determine the palliative care and end of life interventions of nurses based on culture, religion and beliefs in the chemotherapy room of Hasanuddin University Hospital. The research design uses a qualitative research with a purposive sampling technique based on inclusion criteria. The instruments used were interview guidelines related to the theory of peaceful end of life and transcultural nursing theory by considering the cultural, religious and belief aspects of the patient. The results of the study showed that nurses provided interventions for pain, feelings of comfort, feeling dignified, being at peace, closeness to family and close people. Culturally, interventions were carried out by fully involving the family and paying attention to the patient's religion and beliefs in the chemotherapy room.
##plugins.themes.academic_pro.article.details##
References
Bellali, T., Manomenidis, G., Meramveliotaki, E., Minasidou, E., & Galanis, P. (2020). The impact of anxiety and depression in the quality of life and psychological well-being of Greek hematological cancer patients on chemotherapy. Psychology, Health and Medicine, 25(2), 201–213. https://doi.org/10.1080/13548506.2019.1695864
Bradt, J., Potvin, N., Kesslick, A., Shim, M., Radl, D., Schriver, E., Gracely, E. J., & Komarnicky-Kocher, L. T. (2015). The impact of music therapy versus music medicine on psychological outcomes and pain in cancer patients: a mixed methods study. Supportive Care in Cancer, 23(5), 1261–1271. https://doi.org/10.1007/s00520-014-2478-7
Chen, K. J., Tai, Y. T., Chang, E. H., Kuo, L. N., & Kuo, C. N. (2021). Effectiveness of collaboration between oncology pharmacists and anaesthesiologists for inpatient cancer pain management: A pilot study in Taiwan. Journal of International Medical Research, 49(11). https://doi.org/10.1177/03000605211055415
Chirico, A., Maiorano, P., Indovina, P., Milanese, C., Giordano, G. G., Alivernini, F., Iodice, G., Gallo, L., De Pietro, G., Lucidi, F., Botti, G., De Laurentiis, M., & Giordano, A. (2020). Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy. Journal of Cellular Physiology, 235(6), 5353–5362. https://doi.org/10.1002/jcp.29422
Costeira, C., Querido, A., Ventura, F., Loureiro, H., Coelho, J., Benito, E., Nabal, M., Dones, M., Specos, M., & Laranjeira, C. (2024). Spiritual Care[Givers] Competence in Palliative Care: A Scoping Review. In Healthcare (Switzerland) (Vol. 12, Issue 11). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/healthcare12111059
Crawford, G. B., Dzierżanowski, T., Hauser, K., Larkin, P., Luque-Blanco, A. I., Murphy, I., Puchalski, C. M., & Ripamonti, C. I. (2021). Care of the adult cancer patient at the end of life: ESMO Clinical Practice Guidelines ☆. ESMO Open, 6(4). https://doi.org/10.1016/j.esmoop.2021.100225
Dewi, N. L. P. T., Arifin, M. T., & Ismail, S. (2019). BUDAYA BERDAMPAK PADA PROSES PEMULIHAN LATAR BELAKANG. Jurnal Health Care Media, 3(6), 24–36.
Farrell, C., Chan, E. A., Siouta, E., Walshe, C., & Molassiotis, A. (2020). Communication patterns in nurse-led chemotherapy clinics: A mixed-method study. Patient Education and Counseling, 103(8), 1538–1545. https://doi.org/10.1016/j.pec.2020.02.032
Givler A, Bhatt H, M.-F. P. (2024). The Importance of Cultural Competence in Pain and Palliative Care. [Updated 2023 May 22]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493154/
Greer JA, Moy B, El-Jawahri A, Jackson VA, Kamdar M, Jacobsen J, Lindvall C, Shin JA, Rinaldi S, Carlson HA, Sousa A, Gallagher ER, Li Z, Moran S, Ruddy M, Anand MV, Carp JE, T. J. (2022). Randomized Trial of a Palliative Care Intervention to Improve End-of-Life Care Discussions in Patients With Metastatic Breast Cancer. J Natl Compr Canc Netw., Feb;20(2): https://doi.org/doi: 10.6004/jnccn.2021.7040. PMID: 35130492; PMCID: PMC8830600.
Kasimovskaya, N., Geraskina, N., Fomina, E., Ivleva, S., Krivetskaya, M., Ulianova, N., & Zhosan, M. (2023). Russian nurses’ readiness for transcultural care of palliative patients. BMC Palliative Care, 22(1). https://doi.org/10.1186/s12904-023-01198-1
Lewandowska, A., Rudzki, G., Lewandowski, T., Próchnicki, M., Rudzki, S., Laskowska, B., & Brudniak, J. (2020). Quality of life of cancer patients treated with chemotherapy. International Journal of Environmental Research and Public Health, 17(19), 1–16. https://doi.org/10.3390/ijerph17196938
Liang, M., Liang, J., Xu, J., Chen, Q., & Lu, Q. (2024). Experience of multidisciplinary medical teams on humanistic palliative care in oncology wards: a descriptive qualitative study in Southern China. BMJ Open, 14(2). https://doi.org/10.1136/bmjopen-2023-074628
Merluzzi, T. V., Salamanca-Balen, N., Philip, E. J., Salsman, J. M., & Chirico, A. (2024). Integration of Psychosocial Theory into Palliative Care: Implications for Care Planning and Early Palliative Care. In Cancers (Vol. 16, Issue 2). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/cancers16020342
Nguyen, K. T., Hoang, H. T. X., Bui, Q. V., Chan, D. N. S., Choi, K. C., & Chan, C. W. H. (2023). Effects of music intervention combined with progressive muscle relaxation on anxiety, depression, stress and quality of life among women with cancer receiving chemotherapy: A pilot randomized controlled trial. PLoS ONE, 18(11 November), 1–16. https://doi.org/10.1371/journal.pone.0293060
Prihatini, S., & Juwita, H. (2023). Intervensi End Of Life Perawat di Ruang ICU Rumah Sakit Islam Faisal Makassar: Studi Kualitat. Journal of Palliative Medicine, 4(4), 507. https://doi.org/10.1089/109662101753381656
Rokom. (2022, December 2). Kanker Payudara Paling Banyak di Indonesia, Kemenkes Targetkan Pemerataan Layanan Kesehatan. Sehat Negeriku Sehatlah Bangsaku.
Sinha, M. K., Barman, A., Goyal, M., & Patra, S. (2021). Progressive muscle relaxation and guided imagery in breast cancer: A systematic review and meta-analysis of randomised controlled trials. Indian Journal of Palliative Care, 27(2), 336–344. https://doi.org/10.25259/IJPC_136_21
Syukuriyah, E., & Alfiyanti, D. (2023). Murrotal Al-Qur’an Menurunkan Kecemasan Pasien Kanker Serviks dengan Kemoterapi. Ners Muda, 4(2), 126. https://doi.org/10.26714/nm.v4i2.8137
Tang, H., Chen, L., Wang, Y., Zhang, Y., Yang, N., & Yang, N. (2021). The efficacy of music therapy to relieve pain, anxiety, and promote sleep quality, in patients with small cell lung cancer receiving platinum-based chemotherapy. Supportive Care in Cancer, 29(12), 7299–7306. https://doi.org/10.1007/s00520-021-06152-6
Utami, K. C., Puspita, L. M., & Karin, P. A. E. S. (2020). Family support in improving quality of life of children with cancer undergoing chemotherapy. Enfermeria Clinica, 30, 34–37. https://doi.org/10.1016/j.enfcli.2020.07.007
Waruwu, K. N., & Silaen, H. (2023). Hubungan Komunikasi Teraupetik dengan Kepuasan Pasien yang Menjalani Kemoterapi. Jurnal Penelitian Perawat Profesional, 5(2), 481–490. https://doi.org/10.37287/jppp.v5i2.1458
Yanti Silaban, N., & Edisyah Putra Ritonga. (2021). Hubungan Dukungan Keluarga Dengan Motivasi Untuk Sembuh Pada Pasien Kanker Yang Menjalani Kemoterapi Di Rsu. Imelda Pekerja Indonesia. Jurnal Ilmiah Keperawatan Imelda, 7(2), 157–163. https://doi.org/10.52943/jikeperawatan.v7i2.615
Z, R. (2022). The Effectiveness of Progressive Muscle Relaxation (PMR) Against Anxiety in Breast Cancer Patients Undergoing Chemotherapy at Dr Wahidin Sudirohusodo Hospital Makassar. Jurnal Perilaku Kesehatan Terpadu, 1(2), 41–48. https://doi.org/10.61963/jpkt.v1i2.71