Effectiveness of dignity therapy in the context of culturally competent care in people with palliative care needs: a systematic review of systematic reviews.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-09-01 DOI:10.1097/SPC.0000000000000664

Bridget Johnston, C Fulya Dönmez, Miguel Julião

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引用次数: 1

Abstract

Purpose of review: This review aims to synthesise the evidence from systematic reviews and meta-analyses on the efficacy of dignity therapy (DT) in relation to psychosocial and spiritual outcomes in the context of person-centred and culturally competent care for people with supportive and palliative care needs.

Recent findings: Thirteen reviews were found, including seven conducted by nurses. Most reviews were of high quality, including various study populations such as cancer, motor neurone disease and non-malignant conditions. Six psychosocial and spiritual outcomes were identified: quality of life, anxiety, depression, hopefulness, meaning and purpose in life, and suffering based on the cultural variations in the implementation of DT.

Summary: DT has a positive impact on anxiety, depression, suffering, and meaning and purpose in life for people with palliative care needs, but the evidence is somewhat conflicted as to whether DT is effective in improving hope, quality of life and spiritual outcomes in the context of culturally competent care. Nurse-led DT seems desirable given its pivotal role when caring for people with palliative care needs. More randomised controlled trials should be conducted for people with different cultural backgrounds to provide person-centred, culturally competent supportive and palliative care.

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尊严治疗在文化上有能力的护理背景下对有姑息治疗需求的人的有效性:系统综述的系统综述。

综述目的:本综述旨在综合来自系统综述和荟萃分析的证据，这些证据涉及尊严治疗(DT)在以人为本和文化主管的背景下，对有支持性和姑息治疗需求的人的社会心理和精神结果的影响。最近发现:发现13篇评论，其中7篇由护士进行。大多数综述都是高质量的，包括各种研究人群，如癌症、运动神经元疾病和非恶性疾病。确定了六种社会心理和精神结果:生活质量，焦虑，抑郁，希望，生活的意义和目的，以及基于实施DT的文化差异的痛苦。总结:对于有姑息治疗需求的人来说，DT对焦虑、抑郁、痛苦以及生活的意义和目的有积极的影响，但关于DT是否在文化上有能力的护理背景下有效地改善希望、生活质量和精神结果，证据有些矛盾。护士主导的DT似乎是可取的，因为它在照顾有姑息治疗需求的人时起着关键作用。应该对不同文化背景的人进行更多的随机对照试验，以提供以人为本、符合文化要求的支持性和姑息治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.