The Effect of Dignity Therapy on the Quality of Life of Patients with Cancer Receiving Palliative Care

Mahsa Zaki-Nejad, lireza Nikbakht- Nasrabadi, Arpi Manookian, Ahmadreza Shamshiri

Abstract


Background: Patients with cancer deal with physical, psychosocial, spiritual, and existential

problems that impact on their quality of life. This study aimed to assess the effect of dignity therapy

on the quality of life of mentioned patients.

Materials and Methods: In this quasi‑experimental

study, 50 patients with cancer hospitalized in a palliative care center in Tehran, Iran, in 2017‑18 who

fulfilled inclusion criteria were selected through convenience sampling. The European Organization

for Research and Treatment of Cancer Quality of Life‑C15‑Palliative (EORTC‑QLQ‑C15‑PAl)

questionnaire was filled by patients before and 2 weeks after dignity therapy. Data were analyzed

using descriptive statistics such as frequency, mean, and standard deviation, as well as inferential

statistics, including independent t‑test and Chi‑square test.

Results: Results showed that

dignity‑therapy led to more improvement in the quality of life of the intervention group (t35,18 = 4.82,

p = 0.001). There was also a significant difference between the two groups in terms of the physical

functioning scale (t32,96= ‑2.60, p = 0.01) and emotional functioning (t 45,69 = 6.54, p < 0.001). We also

found that dignity‑therapy led to more improvement in nausea and vomiting (χ2 = 5.71, p = 0.02),

insomnia (χ2 = 15.78, p < 0.001), appetite (χ2 = 5.09, p = 0.02), and constipation (χ2 = 12.50,

p < 0.001).

Conclusions: The application of new approaches like‑dignity therapy could benefit

patients with cancer in terms of reducing their distress, improving symptom severity, physical and

emotional functioning, and total quality of life.


Keywords


Iran, oncology nursing, palliative care, personhood, quality of life

Full Text:

PDF

References


References

Mai SS, Goebel S, Jentschke E, van Oorschot B, Renner KH, Weber M. Feasibility, acceptability and adaption of dignity therapy: A mixed methods study achieving 360 feedback. BMC Palliat Care 2018;17:73.

Hosseini A, Rezaei M, Bahrami M, Abbasi M, Hariri H. The relationship between dignity status and quality of life in Iranian terminally ill patients with cancer. Iran J Nurs Midwifery Res 2017;22:178‑83.

Hejazi F, Bahrami M, Keshvari M, Alavi M. The effect of a communicational program on psychological distress in the elderly suffering from cancer. Iran J Nurs Midwifery Res 2017;22:201‑7.

Zimmermann C, Swami N, Krzyzanowska M, Hannon B, Leighl N, Oza A, et al. Early palliative care for patients with advanced cancer: A cluster‑randomised controlled trial. The Lancet 2014;383:1721‑30.

Shirvani H, Alhani F. Challenges nursing role in improving the quality of life in women with breast cancer undergoing chemotherapy. J ClinNurs 2015;3:1‑12.

Farhadi M, Reisi‑Dehkordi N, Kalantari M, Zargham‑Boroujeni A. Efficacy of group meaning centered hope therapy of cancer patients and their families on patients’ quality of life. Iran J Nurs Midwifery Res 2014;19:290‑4.

Jocham HR, Dassen T, Widdershoven G, Halfens R. Quality of life in palliative care cancer patients: A literature review. J ClinNurs 2006;15:1188‑95.

Counted V, Possamai A, Meade T. Relational spirituality and quality of life 2007 to 2017: An integrative research review. Health Qual Life Outcomes 2018;16:75.

Gallagher A. Dignity and respect for dignity – Two key health professional values: Implications for nursing practice. Nurs Ethics 2004;11:587‑99.

Chochinov HM, Cann B, Cullihall K, Kristjanson L, Harlos M, McClement SE, et al. Dignity therapy: A feasibility study of elders in long‑term care. Palliat Support Care 2012;10:3‑15.

Chochinov HM, Hack T, Hassard T, Kristjanson LJ, McClement S, Harlos M. Dignity therapy: A novel psychotherapeutic intervention for patients near the end of life. J ClinOncol 2005;23:5520‑5.

Houmann LJ, Chochinov HM, Kristjanson LJ, Petersen MA, Groenvold M. A prospective evaluation of dignity therapy in advanced cancer patients admitted to palliative care. Palliat Med 2014;28:448‑58.

Aoun SM, Chochinov HM, Kristjanson LJ. Dignity therapy for people with motor neuron disease and their family caregivers: A feasibility study. J Palliat Med 2015;18:31‑7.

Borhani F, Abbaszade A. The effect of dignity therapy model on sense of dignity of hemodialysis patients: A randomized clinical trial. Bioeth J 2016;4:117‑36.

Cheraghi MA, Manookian A, Nasrabadi AN. Human dignity in religion‑embedded cross‑cultural nursing. Nurs Ethics 2014;21:916‑28.

Groenvold M, Petersen MA, Aaronson NK, Arraras JI, Blazeby JM, Bottomley A, et al. The development of the EORTC QLQ‑C15‑PAL: A shortened questionnaire for cancer patients in palliative care. Eur J Cancer 2006;42:55‑64.

Groenvold M, Petersen MA. Addendum to the EORTC QLQ‑C30 scoring manual: Scoring of the EORTC QLQ‑C15‑PAL. Brussels, Belgium: EORTC Quality of Life Unit; 2006.

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 randomised controlled trial. Lancet Oncol 2011;12:753‑62.

Teo I, Krishnan A, Lee GL. Psychosocial interventions for advanced cancer patients: A systematic review. Psycho-Oncology 2019;28:1394‑407.

Rodríguez‑Prat A, Monforte‑Royo C, Porta‑Sales J, Escribano X, Balaguer A. Patient perspectives of dignity, autonomy and control at the end of life: Systematic review and meta‑ethnography. PloS One 2016;11:e0151435.

Alavi NM, Hosseini F. Educating the existential view of nurses in cancer care: A review. Iran J Nurs Midwifery Res 2019;24:243.

Johnston B, Lawton S, McCaw C, Law E, Murray J, Gibb J, et al. Living well with dementia: Enhancing dignity and quality of life, using a novel intervention, dignity therapy. Int J Older People Nurs 2016;11:107‑20.

Chambers SK, Occhipinti S, Foley E, Clutton S, Legg M, Berry M, et al. Mindfulness‑based cognitive therapy in advanced prostate cancer: A randomized controlled trial. J ClinOncol 2016;35:291‑7.

Kwekkeboom KL, Abbott‑Anderson K, Cherwin C, Roiland R, Serlin RC, Ward SE. Pilot randomized controlled trial of a patient‑controlled cognitive‑behavioral intervention for the pain, fatigue, and sleep disturbance symptom cluster in cancer. J Pain Symptom Manage 2012;44:810‑22.

Bahrami M, Mohamadirizi S, Mohamadirizi S. Hardiness and optimism in women with breast cancer. Iran J Nurs Midwifery Res 2018;23:105‑10.

Xiao H, Kwong E, Pang S, Mok E. Effect of a life review program for Chinese patients with advanced cancer: A randomized controlled trial. Cancer Nurs 2013;36:274‑83.


Refbacks

  • There are currently no refbacks.