The Relationship between Dignity Status and Quality of Life in Iranian Terminally Ill Patients with Cancer
Abstract
Background: Palliative care is an approach that has been used to care for terminally ill patients. The current study was performed to assess the association between the status of patient dignity and quality of life (QOL) in Iranian terminally ill patients with cancer.
Materials and Methods: This descriptive correlational study was conducted on 210 end‑stage cancer patients (102 men and 108 women) who were referred to Seyed Al‑Shohada Hospital, Isfahan, Iran, in 2015. To assess dignity
status, we used the Patient Dignity Inventory. The Persian version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire was used for QOL assessment.
Results: There was a significant negative association between total dignity status and QOL scales. In addition, significant negative relationship was observed between dignity‑related domains (loss of worth sense: r = −0.50, P < 0.001; anxiety and uncertainty: r = −0.51, P < 0.001; symptom distress: r = −0.62, P < 0.001; and loss of autonomy: r = −0.61, P < 0.001) and functional scale and some subscales of the QOL scale. In contrast, a significant positive relationship was found between dignity‑related domains, and total symptom scale and fatigue. No significant relationship was observed between different items of dignity and global health status/QOL scale.
Conclusions: High dignity status in terminally ill patients was associated with higher QOL in terms of functional intactness and lower symptom distress. Further studies are necessary to shed light to our findings.
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Higginson IJ, Costantini M. Dying with cancer, living well with advanced cancer. Eur J Cancer 2008;44:1414 24.
Mousavi SM, Gouya MM, Ramazani R, Davanlou M, Hajsadeghi N, Seddighi Z. Cancer incidence and mortality in Iran. Ann Oncol 2009;20:556 63.
Moradpour F, Fatemi Z. Estimation of the projections of the incidence rates, mortality and prevalence due to common cancer site in Isfahan, Iran. Asian Pac J Cancer Prev 2013;14:3581 5.
Bahrami M. Meanings and aspects of Quality of Life (QoL) for cancer patients: A descriptive exploratory qualitative study. Contemp Nurse 2011;39:75 84.
Bahrami M. Why differences exist? an interpretive approach to nurses’ perceptions of cancer patients’ quality of life. Iran J Nurs Midwifery Res 2011;16:117 24.
Alexander K1, Goldberg J. Palliative care and symptom management in older patients with cancer. Clin Geriatr Med 2016;32:45 62.
Pearson EJ, Morris ME, McKinstry CE. Cancer related fatigue: A survey of health practitioner knowledge and practice. Support Care Cancer 2015;23:3521 9.
Vieira R, Goldim J. “Bioética e cuidados paliativos tomada de decisões e qualidade de vida” 2012;334 9.
Muñiz M, Pérez C. Reflections about the ethical and bioethical problems in treatment presenting with a terminal disease. Rev Cubana Med Gen Integr 2009;25:98 106.
Bahrami M, Balouchestani E, Amini A, Eghbali M. Assessing the effect of two praying methods on the life quality of patients suffering from cancer hospitalized at Seyedo Shohada medical center of Isfahan University of Medical Sciences, Iran. J Nurs Midwifery Res 2010;15:296 301.
Bahrami M, Parker S, Blackman I. Patients’ quality of life: A comparison of patient and nurse perceptions. Contemp Nurse 2008;29:67 79.
Kade WJ. Death with dignity: A case study. Ann Int Med 2000;132:504 6.
Sadeghi O, Maghsoudi Z, Askari Gh, Khorvash F, Feizi A. Association between serum levels of homocysteine with characteristics of migraine attacks in migraine with aura. J Res Med Sci 2014;19:1041 5.
Parandeh A, Khaghanizade M. Nurses’ human dignity in education and practice: An integrated literature review. Iran J Nurs Midwifery Res 2016;21:1 8.
Ganzini L, Nelson HD, Schmidt TA, Kraemer DF, Delorit MA, Lee MA. Physicians’ experiences with the Oregon Death with Dignity Act. N Engl J Med 2000;342:557 63.
Sullivan AD. Physician assisted suicide in Oregon: The second year. N Engl J Med 2000;342:598 604.
Chochinov HM, Kristjanson LJ, Breitbart W, McClement S, Hack TF, Hassard T, et al. Effect of dignity therapy on distress and end of life experience in terminally ill patients: A randomized controlled trial. Lancet Oncol 2011;12:753 62.
Chochinov HM, Hassard T, McClement S, Hack T, Kristjanson LJ, Harlos M, et al. The landscape of distress in the terminally ill. J Pain Symptom Manage 2009;38:641 9.
Chochinov HM, Hack T, Hassard T, Kristjanson LJ, McClement S, Harlos M. Dignity in the terminally ill: A cross sectional, cohort study. Lancet 2002;360:2026 30.
Oosterveld Vlug MG, Pasman HR, van Gennip IE, Willems DL, Onwuteaka Philipsen BD. Nursing home staff’s views on residents’ dignity: A qualitative interview study. BMC Health Serv Res 2013;13:353.
Freire ME, Sawada NO, de Franca IS, da Costa SF, Oliveira CD. Health related quality of life among patients with advanced cancer: An integrative review. Rev Esc Enferm USP 2014;48:357 67
Ebrahimi H, Torabizadeh C, Mohammadi E, Valizadeh S. Patients’ perception of dignity in Iranian healthcare settings: A qualitative content analysis. J Med Ethics 2012;38:723 8.
Borhani F, Abbaszadeh A, Moosavi S. Status of human dignity of adult patients admitted to hospitals of Tehran. J Med Ethics Hist Med 2014;7:20.
Leung AK, Cohen D. Within and between culture variation: Individual differences and the cultural logics of honor, face, and dignity cultures. J Pers Soc Psychol 2011;100:507 26.
Chochinov HM, Hassard T, McClement S, Hack T, Kristjanson LJ, Harlos M, et al. The patient dignity inventory: A novel way of measuring dignity related distress in palliative care. J Pain Symptom Manage 2008;36:559 71. 26. Sautier LP, Vehling S, Mehnert A. Assessment of patients’ dignity in cancer care: Preliminary psychometrics of the German version of the Patient Dignity Inventory (PDI G). J Pain Symptom Manage 2014;47:181 8.
Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, et al. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ C30): Translation and validation study of the Iranian version. Support Care Cancer 1999;7:400 6.
Adib Hajbaghery M, Khamechian M, Alavi NM. Nurses’ perception of occupational stress and its influencing factors: A qualitative study. Iran J Nurs Midwifery Res 2012;17:352 9.
Vehling S, Mehnert A. Symptom burden, loss of dignity, and demoralization in patients with terminaly ill: A mediation model. Psychooncology 2014;23:283 90.
Montross LP, Meier EA, De Cervantes Monteith K, Vashistha V, Irwin SA. Hospice staff perspectives on Dignity Therapy. J Palliat Med 2013;16:1118 20.
Chochinov HM, Hack T, Hassard T, Kristjanson LJ, McClement S, Harlos M. Dignity in the terminally ill: A cross sectional, cohort study. Lancet 2002;360:2026 30.
Chochinov HM, McClement SE, Hack TF, McKeen NA, Rach AM, Gagnon P, Sinclair S, et al. The Patient Dignity Inventory: Applications in the Oncology Setting. J Palliat Med 2012;15:998 1005.
Bahrami M, Arbon P. How do nurses assess quality of life of cancer patients in oncology wards and palliative settings? Eur J Oncol Nurs 2012;16:212 9.
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