Mindfulness-Based stress reduction in early palliative care for people with metastatic cancer: A mixed-method study

Autor: Kyriakoula Petropulacos, Roberto Ferrari, Mario Luppi, Giorgia Razzini, Stefano Poletti, Elena Bandieri, Antonella Pasqualini, Cristina Buzzega, Fabrizio Artioli, Giorgio Alfredo Spedicato, Maria Pia Ricchieri
Přispěvatelé: Centre de recherche en neurosciences de Lyon (CRNL), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)
Rok vydání: 2019
Předmět:
Adult
Male
Complementary and Manual Therapy
medicine.medical_specialty
Mindfulness
Palliative care
[SDV]Life Sciences [q-bio]
media_common.quotation_subject
Mindfulness-based stress reduction
03 medical and health sciences
0302 clinical medicine
Early palliative care Mindfulness-based stress reduction Metastatic cancer Interpretive-phenomenological analysis Integrative healthcare
Informed consent
Neoplasms
Intervention (counseling)
medicine
Humans
Early palliative care
Integrative healthcare
Interpretive-phenomenological analysis
Metastatic cancer
Aged
Female
Martial Arts
Meditation
Middle Aged
Mind-Body Therapies
Neoplasm Metastasis
Stress
Psychological
Yoga
Palliative Care
030212 general & internal medicine
10. No inequality
media_common
Advanced and Specialized Nursing
business.industry
Attendance
3. Good health
Complementary and alternative medicine
Physical therapy
Cancer pain
business
030217 neurology & neurosurgery
Zdroj: Complementary Therapies in Medicine
Complementary Therapies in Medicine, Elsevier, 2019, 47, pp.102218-. ⟨10.1016/j.ctim.2019.102218⟩
ISSN: 0965-2299
DOI: 10.1016/j.ctim.2019.102218
Popis: Objectives To explore the impact of a Mindfulness-Based Stress Reduction (MBSR) intervention for people with metastatic cancer integrated in Early Palliative Care (EPC). Design: Mixed-method study. Settings/Location EPC Service integrated with Oncology Unit, Carpi General Hospital, Italy from January to October 2017. The MBSR intervention took place inside the hospital. Subjects Study participation was offered to 25 consecutive people referred to the EPC service. Inclusion criteria: people with metastatic cancer between 18 and 75 years old; informed consent. Exclusion criteria: Performance Status Intervention The adapted program consists of 8 meetings for 2.5 h once a week, a 4.5 h session between the 6th and 7th weeks and 0.5 h home practice daily. The following mindfulness practices were included during the training: formal sitting meditation, body scan, light yoga, walking meditation, and Aikido exercises. Participants were provided with materials for home practice. A qualified MBSR instructor conducted the program. Sessions were attended by a clinical psychologist and a physician trained in meditation, together with the palliative nurse as facilitators. Outcome Measures Feasibility and acceptability were assessed on 16 participants. In addition, pre-post measures of cancer pain and mood state were collected. Semi-structured, in-depth interviews were conducted on a subset of 8 participants at the end of the study and analysed using the Interpretative-Phenomenological approach. Results MBSR attendance to meetings and adherence to home practice were 75%. MBSR intervention helped participants to develop an accepting attitude in respect to metastatic cancer disease helping them to face anxiety and cancer pain. MBSR improves self-regulation of mood state engendering feelings of compassion MBSR program supports participants in questioning and reconnecting with their values and spiritual beliefs. Conclusions A Mindfulness intervention integrated into EPC setting is feasible, well accepted and could help metastatic cancer patients to control cancer pain together with an opportunity of emotional and spiritual relief.
Databáze: OpenAIRE
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