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Open Access Transforming Hope: How Elderly Palliative Patients Live With Hope Transformer l'espoir: L'espoir chez les personnes âgées en soins palliatifs

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Hope is important to palliative patients; however, the process by which these patients live with hope is unknown. The purpose of this study was to describe, using a grounded theory approach, the processes by which palliative patients live with hope. Sixteen interviews were conducted with 10 home-care palliative patients (mean age 75 years) in their homes using open-ended questions. The participants defined their hope as expectations such as not suffering more and having a peaceful death. They described their main concern as wanting to "live with hope" and they achieved this through the basic social process of transforming hope. Transforming hope involved acknowledging "life the way it is," searching for meaning, and positive reappraisal. The results of this study provide a foundation for future research and the development of interventions to engender hope in older palliative patients.

French
L'espoir est important pour les patients en soins palliatifs; toutefois, le processus qui permet à ces patients de continuer à vivre et à espérer est inconnu. Cette étude théorique à base empirique décrit les processus qui permettent aux patients en soins palliatifs de continuer à espérer. Seize entrevues ont été menées auprès de 10 patients recevant des soins palliatifs à domicile (moyenne d'âge 75 ans) auxquels on a posé des questions ouvertes. Les participants définissent l'espoir comme les attentes qu'ils ont, par exemple, de ne pas souffrir d'avantage et de mourir paisiblement. Ils décrivent leur principale préoccupation comme étant de vouloir « vivre et continuer à espérer » et ils y arrivent grâce au processus social fondamental de la transformation de l'espoir, ce qui implique d'accepter la « vie comme elle est », chercher du sens et procéder à une réévaluation positive. Les résultats de cette étude serviront de fondement à des recherches futures et à l'élaboration d'interventions visant à susciter l'espoir chez les patients âgés en soins palliatifs.

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Keywords: ELDERLY; HOPE; PALLIATIVE; QUALITATIVE RESEARCH

Document Type: Research Article

Publication date: 2009-03-01

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