Clinical Trial Details
— Status: Recruiting
Administrative data
| NCT number |
NCT05242016 |
| Other study ID # |
bandirma |
| Secondary ID |
|
| Status |
Recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
November 4, 2021 |
| Est. completion date |
May 25, 2023 |
Study information
| Verified date |
May 2023 |
| Source |
Bandirma Onyedi Eylül University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Palliative Care is the care offered by a simultaneous multidisciplinary approach with all
treatments aimed at preventing/alleviating suffering and increasing the quality of life by
early identifying all physical, psycho-social and spiritual needs, especially pain, to
individuals and their families who face problems arising from life-threatening diseases.
philosophy. For this reason, it includes the quality of life and the positive effect of the
disease process. Symptom management starts from the moment of diagnosis and lasts until the
moment of death, and as in all areas, complementary therapies are very important in
palliative care as well as pharmacological treatment.
Description:
It is thought that increasing the quality of life of palliative care patients, making sense
of the past life and transforming the negative perspective into a positive one, as well as
the symptoms seen in the process until death, can contribute positively to the quality of
life of the individual. The reason for this is personality development, which he mentioned in
the Psychosocial Development Theory, which was introduced in the 1950s. He reported that
personality development lasts for a lifetime and consists of eight stages, and the last stage
will be hopeless in an individual whose self-integrity is not complete. Because, according to
the theory, every individual has accepted all the experiences he has lived in his life as
they are, assimilated and adapted to complete the integrity of the self. In this totality,
there is no regret for the past, no fear and anxiety for the future. Despair will cause the
individual to experience fear of death because death is an inevitable end and should be
expected in peace as a natural part of life. Based on this theory, a gerontologist and
psychiatrist argued in his 1963 study Life Review that the act of reviewing the past is about
integrating and interpreting experiences in the dimension of analyzing the past. After the
word reminiscence was derived, studies emerged as Reminiscence Therapy by structuring the
review process of life. Although it originally emerged as a psychoanalytic concept,
reminiscence therapy has been used as a component of nursing in long-term care settings.
Nurses began using Reminiscence Therapy in the late 1960s and published their experiences in
the 1970s. At that time, the purpose of nurses in applying Reminiscence Therapy was to help
older individuals reframe their experiences and prepare for death. In 1978, a nurse described
some of the therapeutic factors of Reminiscence Therapy as identification, socialization,
intergenerational sharing, memory stimulation, and self-actualization. As a definition of
self-transcendence, it was first defined in British literature by Maslow in 1969 as the
highest, most inclusive or holistic consciousness that transcends time, culture and self.
Later, Maslow modified the "Hierarchy of Needs" model and reported adding self-actualization
as a motivational step. Over time, a middle-class nursing theory named "Self-Transcendence
Theory" was developed by Pamela G. Reed (1991). Nursing as a science is thought to be based
on the self-transcendence theory developed by Pamela G. Reed for the nursing care they will
apply to palliative care patients in a conceptual framework. Because in his theory, Reed
argues that individuals who experience chronic illness, loss and aging or who accompany
others with these events should face vulnerability. It has been reported that nurses can
facilitate the individual's self-transcendence and support the welfare potential of
individuals. Meditation, prayer, visualization, life review, structured reminiscence,
self-reflection, and journaling are techniques of self-transcendence that nurses can
facilitate to help their patients recognize their own patterns of healing. In the light of
this information, the aim of this study is to investigate the effect of structured individual
reminiscence on symptom management, life satisfaction and self-transcendence of palliative
care subordinates.
