Palliative care of terminal illnesses has much to offer in the early stages of progressive illness. In recent decades, worldwide attention has been paid to caring for people who are at the rest of their lives, supporting them in maintaining their quality of life and well-being. The purpose of this study is to determine the impact of psychosocial intervention and the role of a psychologist in increasing the psychological well-being of terminal patients at the last stages of their life. This study was conducted at the Palliative Care, at the Xhaferr Kongoli Hospital Center in Elbasan, Albania. The instrument used for data collection is the semi-structured interview which was used on patients and their relatives. The focus group with health workers was also used for the data collection. The findings of this study show that patients and their relatives believe that psychosocial interventions help in recognizing the problems of the illness, in accepting the illness, in spiritual relief as well as in clarifying the role of clinical therapies. The use of cognitive and behavioral therapies as well as the collaboration of a group of psychologists with social workers and palliative care staff have significantly increased the psychological well-being of the patients. At the end of this study, some recommendations are made regarding psychological service and the needs of terminally ill patients, giving them the opportunity to receive this service in a timely manner and in an environment that suits their needs and preferences. Particularly the patients, and their families need psychosocial support at all times to enable the patients to be rehabilitated and to improve quality of their life.
Ardiana Mali, Malgorzata Banasiak*, Agata Wolowska