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Effects of the Heart to Heart Card Game for Patients with Advanced Cancer Receiving Home-Based Palliative Care: A

Jiayi Du1, Ling Fu2, Jiaxin Cui1

  • 1School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan 430071, China.

International Journal of Environmental Research and Public Health
|May 28, 2022
PubMed

Insights

The Heart to Heart Card Game significantly improved quality of life and reduced psychological distress in advanced cancer patients receiving home palliative care, facilitating end-of-life discussions.

Area of Science:

  • Palliative Care
  • Oncology Nursing
  • Psychological Health

Background:

  • Effectiveness of the Heart to Heart Card Game for home-based advanced cancer patients is understudied.
  • Hospitalized patients show improved psychological health with this intervention.
  • Home-based palliative care patients require tailored psychosocial support.

Purpose of the Study:

  • To evaluate the Heart to Heart Card Game's impact on quality of life, dignity, and psychological distress.
  • To assess the intervention's effectiveness in advanced cancer patients receiving home palliative care.
  • To determine if the card game facilitates end-of-life conversations.

Main Methods:

  • Randomized controlled trial with 66 advanced cancer patients.
  • Intervention group (n=34) received the Heart to Heart Card Game; control group (n=32) did not.
  • Outcomes assessed pre-intervention and six weeks post-intervention: quality of life, dignity, psychological distress.

Main Results:

  • Significant improvement in global health status (quality of life) in the intervention group compared to the control group (z = 2.017, p < 0.05).
  • Intragroup analysis revealed significant improvements in emotional and social functioning, dignity (symptom distress), and reduced psychological distress within the intervention group.
  • The card game demonstrated a positive effect on psychological well-being.

Conclusions:

  • The Heart to Heart Card Game is effective in enhancing quality of life and psychological well-being for advanced cancer patients in home palliative care.
  • The intervention may help mitigate barriers to discussing end-of-life issues.
  • This supports the use of the Heart to Heart Card Game as a supportive tool in home-based palliative care settings.

Keywords:
Heart to Heart Card Gamecancerhome carepalliative carequality of liferandomized controlled trial

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