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The Art Therapy Experiences of Patients and Their Family Members in Hospice Palliative Care

한국호스피스완화의료학회지 2020년 23권 4호 p.183 ~ 197
박성은, 송현주,
소속 상세정보
박성은 ( Park Sung-Eun ) - Seoul Women’s University Graduate School of Professional Therapeutic Technology Department of Expressive Art Therapy
송현주 ( Song Hyun-Joo ) - Seoul Women’s University Graduate School of Professional Therapeutic Technology Department of Psychotherapy

Abstract


Purpose: In this study, the researchers closely investigated the psychosocial problems faced by terminal cancer patients and their family members in hospice palliative care units.

Methods: The investigators conducted four sessions of art therapy intervention programs for the terminal cancer patients and their family members, carried out in-depth interviews about the influence of the cancer experience on their family function and quality of life, and analyzed their experiences using grounded theory methodology.

Results: After providing autonomous written informed consent, six pairs of terminally ill cancer patients and their family members, accounting for a total of 17 participants with the inclusion of additional family members who took part sporadically, took part in the art therapy intervention and interviews. The raw data, in the form of verbatim records, were analyzed according to the procedures of grounded theory (open, axial, and selective coding). Through these processes, a total of 154 concepts, 56 subcategories, and 13 categories were identified. Families were classified into four types according to their family function, quality of life, and attitude toward death. Though the art therapy intervention, patients and their family members experienced three stages over time.

Conclusion: This research focused on essential aspects of the family relationships and the art therapy experiences of terminal cancer patients and their family members through an art therapy intervention in the context of hospice palliative care. Based on these observations, the researchers constructed a theoretical rationale for art therapy interventions delivered to patients and their family members in the process of hospice palliative care.

키워드

Hospice care; Palliative care; Art therapy; Grounded theory; Patients; Caregivers; Quality of life

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