Feasibility and Acceptability of a Dignity Therapy/Life Plan Intervention for Patients With Advanced Cancer

被引:19
作者
Dose, Ann Marie [1 ]
Hubbard, Joleen M. [2 ]
Mansfield, Aaron S. [2 ]
McCabe, Pamela J. [1 ]
Krecke, Catherine A. [1 ]
Sloan, Jeff A. [3 ]
机构
[1] Mayo Clin, Dept Nursing, Rochester, MN 55902 USA
[2] Mayo Clin, Div Med Oncol, Rochester, MN 55902 USA
[3] Mayo Clin, Div Biomed Stat & Informat, Rochester, MN USA
基金
美国国家卫生研究院;
关键词
carcinoma; non-small cell lung; feasibility studies; human dignity; pancreatic cancer; quality of life; RANDOMIZED CONTROLLED-TRIAL; CLINICAL-PRACTICE GUIDELINE; TERMINALLY-ILL PATIENTS; STANDARD ONCOLOGY CARE; PALLIATIVE CARE; PANCREATIC-CANCER; AMERICAN SOCIETY; LIFE; END; INTEGRATION;
D O I
10.1188/17.ONF.E194-E202
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose/Objectives: To determine the feasibility and acceptability of:a dignity therapy/life plan intervention in the outpatient oncology setting. Research Approach: Pilot descriptive study. Setting: Outpatient clinic in a tertiary oncology center. Participants: 18 patients within 12 months after diagnosis undergoing treatment for advanced pancreatic cancer or non-small cell lung cancer. Metliodologic Approach: Patients received dignity therapy, consisting of a focused, life. review/values clarification interview session and two subsequent sessions to produce a generativity document; which they can use later as they wish. Participants also wrote a life,plan, in which they listed future hopes and dreams. Intervention feasibility and acceptability for patients and oncology clinician satisfaction were assessed, Findings: Among the 18 patients completing the intervention,almost all felt, it was worthwhile, would do it again; had their expectations met:or exceeded, would recommend it to others, and said the timing was just right. Interpretation: This psychosocial intervention was found to be feasible and acceptable to patients with cancer undergoing active treatment. Implications for Nursing: Nurses may be in an:ideal position to offer a dignity therapy/life plan intervention to patients with advanced cancer during treatment.
引用
收藏
页码:E194 / E202
页数:9
相关论文
共 36 条
  • [1] American Cancer Society, 2017, CANC FACTS FIG 2017
  • [2] [Anonymous], 2018, Clinical Practice Guidelines for Quality Palliative Care, V4th
  • [3] [Anonymous], 2008, CANC CARE WHOLE PATI, DOI DOI 10.17226/11993
  • [4] Chauhan C., 2012, PATIENT SATISFACTION
  • [5] Chochinov H.M., 2012, Dignity Therapy: Final Words for Final Days
  • [6] Dignity and the essence of medicine: the A, B, C, and D of dignity conserving care
    Chochinov, Harvey
    [J]. BRITISH MEDICAL JOURNAL, 2007, 335 (7612): : 184 - 187
  • [7] Dignity. Dignity? Dignity!
    Chochinov, Harvey Max
    [J]. JOURNAL OF PALLIATIVE MEDICINE, 2008, 11 (05) : 674 - 675
  • [8] Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial
    Chochinov, Harvey Max
    Kristjanson, Linda J.
    Breitbart, William
    McClement, Susan
    Hack, Thomas F.
    Hassard, Tom
    Harlos, Mike
    [J]. LANCET ONCOLOGY, 2011, 12 (08) : 753 - 762
  • [9] Dignity-conserving cre - A new model for palliative care - Helping the patient feel valued
    Chochinov, HM
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 287 (17): : 2253 - 2260
  • [10] Dignity therapy: A novel psychotherapeutic intervention for patients near the end of life
    Chochinov, HM
    Hack, T
    Hassard, T
    Kristjanson, LJ
    McClement, S
    Harlos, M
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (24) : 5520 - 5525