Effects of family-oriented dignity therapy on dignity, depression and spiritual well-being of patients with lung cancer undergoing chemotherapy: A randomised controlled trial

尊严 医学 生活质量(医疗保健) 随机对照试验 肺癌 萧条(经济学) 干预(咨询) 苦恼 护理部 物理疗法 临床心理学 内科学 政治学 法学 经济 宏观经济学
作者
Jinnan Xiao,Ka Ming Chow,Kai Chow Choi,Marques Shek Nam Ng,Chongmei Huang,Jinfeng Ding,Carmen W.H. Chan
出处
期刊:International Journal of Nursing Studies [Elsevier BV]
卷期号:129: 104217-104217 被引量:45
标识
DOI:10.1016/j.ijnurstu.2022.104217
摘要

Enhancing patients’ sense of dignity is the core element of high-quality palliative care. In Western countries, dignity therapy has shown promising positive effects on the sense of dignity and end-of-life experience. To apply this therapy in Chinese patients, a theory-driven, culturally relevant family-oriented dignity therapy was developed, guided by the Medical Research Council framework for complex intervention development. This study examined the effectiveness of family-oriented dignity therapy in improving dignity-related distress, depression, and spiritual well-being in Chinese patients with lung cancer undergoing chemotherapy. A randomised controlled trial. Patients who were diagnosed with lung cancer and undergoing chemotherapy were recruited using convenience sampling from a cancer hospital in Changsha, China. A significant family caregiver of each patient was invited to participate. Patients who met the inclusion criteria and agreed to participate (N = 120) were randomly assigned to receive family-oriented dignity therapy (intervention group, n = 60) or attention (control group, n = 60). The Patient Dignity Inventory, Patient Health Questionnaire-9, and Functional Assessment of Chronic Illness Therapy – Spiritual Well-being Scale were used to assess dignity-related distress, depression, and spiritual well-being, respectively, at baseline and 1- and 4-week follow-up. A generalised estimating equation was used to analyse the intervention effects across the time points. Compared with the control group, the patients in the intervention group showed significantly greater reduction in existential distress (β: −1.372, 95% CI: −2.269, −0.472; p = 0.003) and depression (β: −3.430, 95% CI: −5.032, −1.829; p < 0.001) at week one, as well as significantly greater improvement in spiritual well-being at both week one (β: 3.705, 95% CI: 0.599, 6.811; p = 0.019) and week four (β: 4.939, 95% CI: 0.476, 9.401; p = 0.030). Family-oriented dignity therapy has the potential to relieve existential distress and depressive symptoms and improve spiritual well-being. We expect our finding to impact research on family-oriented dignity therapy and enhance its effectiveness. We may also have an impact on nursing practice by providing a means to initiate conversations between nurses and the patients and family caregivers to relieve the psychosocial distress of patients during treatment. This study has been registered in the Chinese Clinical Trial Registry (registration number: ChiCTR1900020806).
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
初雪平寒完成签到,获得积分10
1秒前
2秒前
情怀应助平淡冬亦采纳,获得10
2秒前
哈哈哈完成签到 ,获得积分20
2秒前
3秒前
木子完成签到 ,获得积分10
4秒前
chengzhenfa发布了新的文献求助10
4秒前
DennisLiberta完成签到,获得积分10
4秒前
阮楷瑞发布了新的文献求助10
5秒前
镜花水月发布了新的文献求助20
6秒前
小宝完成签到,获得积分10
6秒前
chenmou发布了新的文献求助10
7秒前
7秒前
小天才发布了新的文献求助10
7秒前
阿银完成签到 ,获得积分10
7秒前
surfer363完成签到,获得积分10
8秒前
8秒前
共享精神应助炙热的发带采纳,获得10
9秒前
Alerina发布了新的文献求助10
9秒前
10秒前
YHW19发布了新的文献求助10
11秒前
12秒前
校长发布了新的文献求助10
12秒前
13秒前
Tao完成签到,获得积分10
13秒前
林灵凌关注了科研通微信公众号
14秒前
欣喜面包完成签到,获得积分10
14秒前
15秒前
元谷雪发布了新的文献求助30
15秒前
阮楷瑞完成签到,获得积分10
16秒前
汉堡包应助tong采纳,获得10
16秒前
小蘑菇应助猪猪hero采纳,获得10
16秒前
单车发布了新的文献求助30
17秒前
meng发布了新的文献求助10
17秒前
18秒前
眠眠羊发布了新的文献求助10
18秒前
Alerina完成签到,获得积分10
18秒前
文艺小馒头完成签到,获得积分10
19秒前
19秒前
19秒前
高分求助中
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
Effective Learning and Mental Wellbeing 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3974463
求助须知:如何正确求助?哪些是违规求助? 3518823
关于积分的说明 11196212
捐赠科研通 3255008
什么是DOI,文献DOI怎么找? 1797655
邀请新用户注册赠送积分活动 877052
科研通“疑难数据库(出版商)”最低求助积分说明 806130