Implementing Dignity Therapy Service into an Acute Cancer Care Setting - A Feasibility Study.

IF 1.3 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2023-02-05 DOI:10.1177/08258597231154221
Claire Kelly, Kathryn Kynoch, Mary-Anne Ramis
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引用次数: 1

Abstract

Objective: Dignity therapy is a short-term psychotherapy used to help patients at end of life through addressing distress and enhancing dignity. The objective of this study was to assess the effectiveness and feasibility of introducing dignity therapy into a hospital-based cancer care service. Methods: A feasibility study was undertaken using a randomised controlled trial design. Participants were adult patients receiving systemic treatment for cancer or haematological malignancy with palliative intent, within an Australian ambulatory cancer treatment centre. Outcomes of interest were patient distress levels and feasibility of intervention delivery. Participants completed two self-reported distress scales at recruitment and four weeks following (control group) or one month after intervention delivery (intervention group). Patients receiving the intervention also completed the dignity therapy patient feedback questionnaire. Feasibility was measured by collecting data on time required to implement the intervention with subsequent crude cost estimates calculated. Study procedures are reported according to CONSORT guidance. Results: Fifteen patients were recruited for the study. Participants in the intervention group reported small but significantly different lower distress scores than those in the control group at 4 weeks. The time taken to deliver the intervention ranged from 5.5 to 11 h with subsequent cost dependent on the remuneration of the dignity therapy therapist. Conclusions: Findings support other studies on the benefit to patients from delivering a dignity therapy intervention at end of life. Feasibility is influenced by multidisciplinary team support, resource availability and the designated therapist delivering the intervention. Larger sample sizes are needed to ascertain effect.

在急性癌症护理环境中实施尊严治疗服务的可行性研究。
目的:尊严疗法是一种短期的心理治疗方法,旨在通过解决痛苦和提高尊严来帮助临终患者。本研究的目的是评估在癌症医院护理服务中引入尊严疗法的有效性和可行性。方法:采用随机对照试验设计进行可行性研究。参与者是在澳大利亚癌症门诊治疗中心接受癌症或血液系统恶性肿瘤姑息治疗的成年患者。感兴趣的结果是患者的痛苦程度和干预实施的可行性。参与者在招募时和干预后四周(对照组)或干预后一个月(干预组)完成了两份自我报告的痛苦量表。接受干预的患者还完成了尊严治疗患者反馈问卷。通过收集实施干预所需时间的数据来衡量可行性,并计算随后的粗略成本估计。研究程序根据CONSORT指南进行报告。结果:本研究招募了15名患者。干预组的参与者报告说,在4周时,与对照组相比,他们的痛苦评分很小,但有显著差异。实施干预所需的时间从5.5到11不等 h随后的费用取决于尊严治疗治疗师的报酬。结论:研究结果支持其他关于在生命结束时提供尊严治疗干预对患者有益的研究。可行性受多学科团队支持、资源可用性和提供干预的指定治疗师的影响。需要更大的样本量来确定效果。
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
Journal of Palliative Care
Journal of Palliative Care 医学-卫生保健
CiteScore
3.20
自引率
5.90%
发文量
63
审稿时长
>12 weeks
期刊介绍: The Journal of Palliative Care is a quarterly, peer-reviewed, international and interdisciplinary forum for practical, critical thought on palliative care and palliative medicine. JPC publishes high-quality original research, opinion papers/commentaries, narrative and humanities works, case reports/case series, and reports on international activities and comparative palliative care.
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