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Hope in advanced cancer patients
Susan E McClement1, Harvey Max Chochinov
1Faculty of Nursing, University of Manitoba, Manitoba Palliative Care Research Unit, CancerCare Manitoba, 3017-675 McDermot Avenue, Winnipeg, Manitoba, Canada. susan.mcclement@cancercare.mb.ca
Summary
Hope is crucial for advanced cancer patients facing distress. Understanding patient perspectives and evidence-based interventions can help healthcare providers foster hope, improving coping during illness and uncertainty.
Area of Science:
- Oncology
- Psychosocial Oncology
- Palliative Care
Background:
- Advanced cancer diagnosis often leads to significant physical and psychological distress.
- Hope serves as a vital coping resource for individuals with cancer, aiding them through suffering and uncertainty.
- Healthcare providers need a deeper understanding of hope from the patient's viewpoint and effective interventions to support it.
Purpose of the Study:
- To explore the meaning of hope from the perspective of advanced cancer patients.
- To review empirical evidence on interventions that foster hope in this population.
- To provide healthcare providers with a summary of evidence on hope in advanced cancer.
Main Methods:
- Literature review of salient evidence on hope in advanced cancer patients and their caregivers.
- Examination of the definition and measurement of hope in the context of advanced cancer.
- Synthesis of evidence regarding interventions to enhance hope.
Main Results:
- Hope is a complex construct, challenging to define and measure consistently in advanced cancer patients.
- Various interventions have been explored to bolster hope, though evidence synthesis is ongoing.
- Patient and caregiver perspectives are essential for understanding and supporting hope.
Conclusions:
- Understanding the multifaceted nature of hope is critical for supporting advanced cancer patients.
- Evidence-based interventions can be tailored to foster hope, improving patient well-being.
- Further research is needed to refine the definition, measurement, and application of hope-enhancing strategies in oncology care.
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