Korean J Hosp Palliat Care.  2020 Dec;23(4):183-197. 10.14475/kjhpc.2020.23.4.183.

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

Affiliations
  • 1Department of Expressive Arts Therapy, The Graduate School of Professional Therapeutic Technology, Seoul Women’s University, Seoul, Korea
  • 2Hospice Palliative Care Center, Seoul Medical Center, Seoul, Korea
  • 3Department of Psychotherapy, The Graduate School of Professional Therapeutic Technology, Seoul Women’s University, Seoul, Korea

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.

Keyword

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