The life review program offers advanced cancer patients an opportunity to integrate their whole life experiences and discuss end-of-life issues, which lays the ground for further active intervention in their psychospiritual distress. The program could be integrated into daily home care to enhance the psychospiritual well-being of Chinese patients with advanced cancer.
The life review programme can be integrated into the usual care arrangements to enhance the psycho-spiritual well-being of Chinese patients with advanced cancer. Nurses should be aware of the challenges involved in the process of conducting a life review.
Aim
To evaluate the feasibility and effects of the WeChat‐based life review programme on anxiety, depression, self‐transcendence, meaning in life and hope among cancer patients.
Background
Life review is effective in improving the psychospiritual well‐being of palliative patients. However, traditional life review programmes are limitedly applied in clinical practice.
Design
A non‐concurrent controlled quasi‐experimental design.
Methods
Ninety‐two cancer patients were recruited from April 2017 – February 2018, with 44 patients in the control group receiving routine care and 48 in the experimental group receiving a 6‐week WeChat‐based life review programme plus routine care. Compliance with the programme, difficulty in participation and satisfaction with the programme were used to explore its feasibility. Anxiety, depression, self‐transcendence, meaning in life and hope were measured at baseline and immediately after the programme.
Results
All experimental participants who completed the programme used the WeChat platform; 39 participants had no difficulties in operating the platform and 40 were satisfied with the programme. Statistically significant effects were identified on anxiety, depression and self‐transcendence. An increase in the levels of meaning in life and hope was observed in the experimental group after the programme.
Conclusion and impact
The innovative WeChat‐based life review programme is an effective non‐pharmacological intervention in improving psychospiritual well‐being of community‐dwelling cancer patients. It could be integrated into transitional care for cancer patients. Future research with rigorous design is necessary to test the effects online life reviews among cancer patients.
Trial registration
This study was registered on the Chinese Clinical Trial Registry (Registration No: ChiCTR‐IOR‐17011998).
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