How to Work with Hope in Patients with Advanced Cancer

Czech version

Authors: Doc. PhDr. Slezáčková Alena, Ph.D. ^1,2
Authors‘ workplace: Psychologický ústav, FF MU, Brno ¹; Ústav lékařské etiky, LF MU, Brno ²
Published in: Klin Onkol 2020; 33(Supplementum - 2): 134-137
Category: Article

Overview

The patient’s hope is closely related to his mental health, which is an important component of quality of life. In the context of the treatment of a serious illness, hope can be seen as the expectation of a future positive outcome that is personally valuable and realistically achievable. Research has shown that people with higher level of hope show better adaptation, lower stress levels, less anxiety and depression, and maintain an active approach to problem solving. Questionnaires and intervention methods have been empirically verified to assess and influence the level of hope in patients with advanced cancer. The sources and specific contents of the patient’s hopes, which change depending on the life situation and the severity of the disease, were also determined. It has been repeatedly found that the hopes of patients with advanced cancer do not relate solely to cure from the disease but are directed more towards the psychosocial aspects quality of life. The main sources of hope include the existence of a good relationship with a close person, the possibility of achieving partial meaningful life goals, a positively assessed life, a sense of self-worth, and spiritual support. On the other hand, the feeling of loneliness, persistent pain and reduced self-esteem have a negative effect on hope. It also shows that the patient’s hope is largely influenced by the quality of communication with doctors and other healthcare professionals. In an interview on unfavorable prognosis, patients most appreciate the empathic dialogue in which the sincerity and clarity of the message delivered by the doctor is balanced by the encouragement that leaves room for hope. Knowledge of the patient’s hope, wishes and life values can make a significant contribution to making optimal end-of-life care decisions.

Keywords:

communication – Quality of life – hope – cancer

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