Meaning in Life Among Urban Palliative Patients in Thailand Studying Patients’ Meaning in Life at an Urban Palliative Care Center
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Abstract
Objective: Explore the prevalence and factors influencing the sense of meaning in life among palliative care patients.
Materials and Methods: A mixed method study was conducted using the Meaning in Life Questionnaire to assess the presence and search for meaning among palliative patients. Demographic data, including age, sex, and medical history, were descriptively analyzed. In-depth interviews were performed to explore the personal interpretations of the meaning of life of the patients, and qualitative data was analyzed using content analysis.
Results: A total of 107 palliative care patients participated in the study, comprising 41.1% males and 58.9% females. The findings revealed that 76.6% of the participants reported experiencing a sense of meaning in life, which was highly individualized. Although the concept of life’s meaning varies from person to person, commonalities can still be observed. Through content analysis, these personal interpretations were categorized into eight key themes: family (77.6%), occupation (21.5%), society (15.9%), religion (11.2%), health (9.3%), finance (6.5%), education (4.7%), and specific life issues (16.8%).
Conclusion: A sense of meaning in life is integral to the well-being of palliative patients, and the family is the most influential factor. Holistic and person-centered palliative care interventions must integrate spiritual and existential dimensions to improve the quality of life of patients during their final stages.
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References
Devoe D. Viktor Frankl’s logotherapy: the search for purpose and meaning. Inq J 2012;4(07):1-3.
Puchalski CM, Vitillo R, Hull SK, Reller N. Improving the spiritual dimension of whole person care: reaching national and international consensus. J Palliat Med 2014;17(6):642-56. doi: 10.1089/jpm.2014.9427.
Albers G, Echteld MA, de Vet HC, Onwuteaka-Philipsen BD, van der Linden MH, Deliens L. Content and spiritual items of quality-of-life instruments appropriate for use in palliative care: a review. J Pain Symptom Manage 2010;40(2):290-300. doi: 10.1016/j.jpainsymman.2009.12.012.
van der Kaap-Deeder J, Soenens B, Van Petegem S, Neyrinck B, De Pauw S, Raemdonck E, et al. Live well and die with inner peace: the importance of retrospective need-based experiences, ego integrity and despair for late adults’ death attitudes. Arch Gerontol Geriatr 2020;91:104184. doi: 10.1016/j.archger.2020.104184.
Echlin KN, Rees CE. Information needs and information-seeking behaviors of men with prostate cancer and their partners: a review of the literature. Cancer Nurs 2002;25(1):35-41. doi: 10.1097/00002820-200202000-00008.
Nathalang S. Urban middle class and the quality of life development: the case study of northern and western outskirts of Bangkok and periphery. J Soc Dev Manag Strategy 2019;21(1):167–86.
Reawtaisong P, Supwirapakorn W. The effects of logotherapy on meaning in life of the elderly with cancer. J Police Nurses 2017;9(1):47-58.
Steger MF, Frazier P, Oishi S, Kaler M. The meaning in life questionnaire: assessing the presence of and search for meaning in life. J Couns Psychol 2006;53(1):80-93. doi: 10.1037/0022-0167.53.1.80.
Davis MP, Hui D. Quality of life in palliative care. Expert Rev Qual Life Cancer Care 2017;2(6):293-302. doi: 10.1080/23809000.2017.1400911.
Meier DE, Brawley OW. Palliative care and the quality of life. J Clin Oncol 2011;29(20):2750-2. doi: 10.1200/JCO.2011.35.9729.
Bernard M, Strasser F, Gamondi C, Braunschweig G, Forster M, Kaspers-Elekes K, et al. Relationship between spirituality, meaning in life, psychological distress, wish for hastened death, and their influence on quality of life in palliative care patients. J Pain Symptom Manage 2017;54(4):514-22. doi: 10.1016/j.jpainsymman.2017.07.019.
Chochinov HM. Dignity in care: the human side of medicine [internet]. 2022 [cited 2025 Dec 3]. Available from: https://academic.oup.com/book/44814
Goyarrola R, Lipsanen J, Saarelainen SM, Suviranta R, Rahko E, Lamminmäki A, et al. Spiritual well-being correlates with quality of life of both cancer and non-cancer patients in palliative care - further validation of EORTC QLQ-SWB32 in Finnish. BMC Palliat Care 2023;22(1):33. doi: 10.1186/s12904-023-01153-0.
Yoon DP, Lee EK. The impact of religiousness, spirituality, and social support on psychological well-being among older adults in rural areas. J Gerontol Soc Work 2007;48(3-4):281-98. doi: 10.1300/j083v48n03_01.
Ano GG, Vasconcelles EB. Religious coping and psychological adjustment to stress: a meta-analysis. J Clin Psychol 2005;61(4):461-80. doi: 10.1002/jclp.20049.
Gravier AL, Shamieh O, Paiva CE, Perez-Cruz PE, Muckaden MA, Park M, et al. Meaning in life in patients with advanced cancer: a multinational study. Support Care Cancer 2020;28(8):3927-34. doi: 10.1007/s00520-019-05239-5.
Majerníková L, Obročníková A. Relationship between the quality of life and the meaning of life in cancer patients. Nursing in the 21st Century 2017;16(2):13-4. doi: 10.1515/pielxxiw-2017-0012.
Gijsberts MHE, Liefbroer AI, Otten R, Olsman E. Spiritual care in palliative care: a systematic review of the recent european literature. Med Sci (Basel) 2019;7(2):25. doi: 10.3390/medsci7020025.
Khaw T, Balthip K, Laimek S, Youngwanichseth S. Perception of purpose in life among elderly in urban areas. J Res Nurs Midwifery Health Sci 2024;44(2):29-41.
Liu Z. Exploring the influence of family environment and positive personality on the sense of meaning in life. J Educ Humanit Soc Sci 2023;8:1540-5. doi: 10.54097/ehss.v8i.4516.
Fabella FET. A study on meaning in life in relation to family closeness, strength of faith, community involvement and social media activity. World J Adv Res Rev 2022;16(1):406-16. doi: 10.30574/wjarr.2022.16.1.1056.
Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, et al. Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psychooncology 2010;19(1):21-8. doi: 10.1002/pon.1556.