|
|
|
| The Application Effect of Palliative Care Centered on Dignity Therapy in Elderly Terminally Ill Patients |
| FAN Weixia, ZHANG Huicong, YANG Liu, JIA Meiyun |
| The Fifth Clinical Medical College, Henan University of Chinese Medicine(Zhengzhou People's Hospital), Zhengzhou Henan 450004 |
|
|
|
|
Abstract 【Objective】 To explore the application effect of palliative care centered on dignity therapy in elderly terminally ill patients. 【Methods】 A total of 88 elderly terminally ill patients who received palliative care in our hospital from January 2020 to February 2025 were selected and divided into a control group (receiving routine palliative care intervention) and an observation group (receiving palliative care intervention based on dignity therapy) with 44 cases in each group using the random number table method. The psychological distress level [Distress Management Screening Measure (DMSM) score], sense of dignity [Patient Dignity Inventory (PDI) score], self-esteem level [State Self-Esteem Scale (SSES) score], fear status [Fear of Progression Questionnaire (FoP-Q) score] and quality of end-of-life care [Palliative Outcome Scale (POS) score] were compared between the two groups. 【Results】 After intervention, the DMSM scores and PDI scores of both groups were lower than those before intervention, and the observation group was lower than the control group, with statistically significant differences (P<0.05). The scores of behavioral self-esteem, social self-esteem and total score of both groups were higher than those before intervention, and the observation group was higher than the control group, with statistically significant differences (P<0.05). The scores of emotional response, occupational impact, limited autonomy, intimate relationship/family support, anxiety coping and total score of both groups were lower than those before intervention, and the observation group was lower than the control group, with statistically significant differences (P<0.05). The scores of pain management, symptom relief, emotional anxiety, family emotional burden, information acquisition and communication, support level, self-cognition, sense of life meaning, time consumption and affair handling in the observation group were lower than those in the control group, with statistically significant differences (P<0.05). 【Conclusion】 Palliative care based on dignity therapy can effectively alleviate the psychological distress and fear of elderly terminally ill patients, and improve their sense of dignity, self-esteem level and quality of end-of-life care.
|
|
Received: 14 August 2025
|
|
|
|
|
|
[1] 郭菲,杨福娜,张婷,等. 人类适转理论指导下的安宁疗护对临终期肿瘤患者的影响[J].齐鲁护理杂志,2023,29(5):125-128.
[2] 胡秋香,杨梦,赖晓娟,等. 急诊临终高龄患者安宁疗护的研究进展[J].现代临床护理,2023,22(10):81-85.
[3] 张馨月. 浅析临终患者在安宁疗护中的心身需求[J].中国医学伦理学,2022,35(2):236-242.
[4] 胡婧伊,洪景,郭晓冬,等. 社区参与安宁疗护对临终期肿瘤患者干预效果的Meta分析[J].中国全科医学,2023,26(28):3573-3584.
[5] 唐月,郭雪梅,陆筠,等. 安宁疗护视野下家庭参与式护理干预对生命终末期血液肿瘤患儿负性情绪及生活质量的影响[J].河北医药,2024,46(24):3825-3828.
[6] 姜荣,闫静,王昭,等. 家庭参与式安宁疗护对肺癌病人疼痛介质水平、自我感受负担及生存质量的影响[J].护理研究,2025,39(7):1167-1172.
[7] 周颖,师凌云,陈立,等. 多角色协同安宁疗护对老年晚期鼻咽癌患者癌因性疲乏情况及自我感受负担的影响观察[J].老年医学与保健,2024,30(6):1608-1613.
[8] 陈玥,黄滢洁,卞学梅. 多学科协作安宁疗护照护模式在综合性医院晚期恶性肿瘤患者中的应用[J].国际护理学杂志,2025,44(7):1153-1158.
[9] 周方平,何玉珍,胡明彩,等. 居家安宁疗护团队服务模式在终末期恶性肿瘤患者及主要照顾者中应用的效果分析[J].中国实用护理杂志,2024,40(28):2165-2172.
[10] 张玉瑞,李瑞玲,王园园,等. 安宁疗护咨询在癌症患者中应用的范围综述[J].中华护理教育,2023,20(11):1313-1318.
[11] 尹志东,张梦乔,张丽敏. 安心卡引导的照护需求干预在晚期癌症患者安宁疗护中的应用[J].军事护理,2025,42(1):30-33.
[12] 令狐蝶,粟翠,吴江雪,等. 安宁疗护在晚期癌症患者心理应激中应用的范围综述[J].保健医学研究与实践,2025,22(2):8-13.
[13] 杨雪敏,吕菲,樊海娃. 跨文化护理服务模式在临终患者安宁疗护中的应用价值[J].山西医药杂志,2022,51(12):1423-1426.
[14] 卢红梅,赵瑞,霍霞,等. 基于多学科协作的安宁疗护对癌症患者癌因性疲乏、生活质量、社会支持度的影响[J].中华现代护理杂志,2022,28(26):3652-3656.
[15] 杨春月,姜亭亭,陈易伶,等. 尊严疗法安宁疗护在晚期食管癌患者中的应用[J].国际护理学杂志,2024,43(21):3939-3942. |
|
|
|
2026, Vol. 43 
