Diána Gizella Sipőcz, Éva Zsák, Attila Balázs Farkas, Katalin Hegedűs
{"title":"[尊严疗法在匈牙利临终关怀中的适应性和适用性]。","authors":"Diána Gizella Sipőcz, Éva Zsák, Attila Balázs Farkas, Katalin Hegedűs","doi":"10.1556/650.2025.33383","DOIUrl":null,"url":null,"abstract":"<p><p>Dignity therapy is a brief, structured, narrative intervention aimed at alleviating the existential suffering of terminally ill patients and improving their quality of life. The method was developed by Harvey Max Chochinov and supports psychosocial dimensions such as role maintenance, generativity, self-identity, and hope. During its adaptation in Hungary, cultural, communicative, and legal characteristics were also taken into account. International research shows that dignity therapy has a positive effect on the sense of hope of dying people, reduces anxiety and depression, promotes inner peace and self-identity, and supports the deepening of the patient-caregiver relationship. The generativity document created during dignity therapy facilitates social connection and then grief processing. The dignity therapy training course for healthcare and social workers aims to teach them the principles of dignity-preserving care and to develop their empathic communication, self-reflection, and spiritual sensitivity. Participants in the pilot training course highlighted its practical applicability in addition to its attitude-shaping effect. With appropriate training, the dissemination of dignity therapy in Hungary can contribute to making end-of-life care more humane and strengthening a patient-centered professional culture. Orv Hetil. 2025; 166(36): 1412–1419.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 36","pages":"1412-1419"},"PeriodicalIF":0.9000,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[The adaptation and applicability of dignity therapy in end-of-life care in Hungary].\",\"authors\":\"Diána Gizella Sipőcz, Éva Zsák, Attila Balázs Farkas, Katalin Hegedűs\",\"doi\":\"10.1556/650.2025.33383\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Dignity therapy is a brief, structured, narrative intervention aimed at alleviating the existential suffering of terminally ill patients and improving their quality of life. The method was developed by Harvey Max Chochinov and supports psychosocial dimensions such as role maintenance, generativity, self-identity, and hope. During its adaptation in Hungary, cultural, communicative, and legal characteristics were also taken into account. International research shows that dignity therapy has a positive effect on the sense of hope of dying people, reduces anxiety and depression, promotes inner peace and self-identity, and supports the deepening of the patient-caregiver relationship. The generativity document created during dignity therapy facilitates social connection and then grief processing. The dignity therapy training course for healthcare and social workers aims to teach them the principles of dignity-preserving care and to develop their empathic communication, self-reflection, and spiritual sensitivity. Participants in the pilot training course highlighted its practical applicability in addition to its attitude-shaping effect. With appropriate training, the dissemination of dignity therapy in Hungary can contribute to making end-of-life care more humane and strengthening a patient-centered professional culture. Orv Hetil. 2025; 166(36): 1412–1419.</p>\",\"PeriodicalId\":19911,\"journal\":{\"name\":\"Orvosi hetilap\",\"volume\":\"166 36\",\"pages\":\"1412-1419\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2025-09-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Orvosi hetilap\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1556/650.2025.33383\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orvosi hetilap","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1556/650.2025.33383","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
摘要
尊严疗法是一种简短的、结构化的、叙述性的干预,旨在减轻绝症患者的生存痛苦,提高他们的生活质量。该方法由Harvey Max Chochinov开发,支持社会心理维度,如角色维持、生成、自我认同和希望。在匈牙利的改编过程中,还考虑到了文化、交际和法律的特点。国际研究表明,尊严疗法对临终者的希望感有积极作用,减少焦虑和抑郁,促进内心平静和自我认同,并支持加深病人与护理者的关系。在尊严治疗过程中产生的生成性文件促进了社会联系,进而促进了悲伤处理。为保健和社会工作者开设的尊严治疗培训课程旨在向他们传授维护尊严护理的原则,并培养他们的移情沟通、自我反省和精神敏感度。飞行员训练班的参加者强调了它的实用性,以及它的态度塑造效果。通过适当的培训,尊严疗法在匈牙利的传播有助于使临终关怀更加人性化,并加强以病人为中心的专业文化。Orv Hetil. 2025;166(36): 1412 - 1419。
[The adaptation and applicability of dignity therapy in end-of-life care in Hungary].
Dignity therapy is a brief, structured, narrative intervention aimed at alleviating the existential suffering of terminally ill patients and improving their quality of life. The method was developed by Harvey Max Chochinov and supports psychosocial dimensions such as role maintenance, generativity, self-identity, and hope. During its adaptation in Hungary, cultural, communicative, and legal characteristics were also taken into account. International research shows that dignity therapy has a positive effect on the sense of hope of dying people, reduces anxiety and depression, promotes inner peace and self-identity, and supports the deepening of the patient-caregiver relationship. The generativity document created during dignity therapy facilitates social connection and then grief processing. The dignity therapy training course for healthcare and social workers aims to teach them the principles of dignity-preserving care and to develop their empathic communication, self-reflection, and spiritual sensitivity. Participants in the pilot training course highlighted its practical applicability in addition to its attitude-shaping effect. With appropriate training, the dissemination of dignity therapy in Hungary can contribute to making end-of-life care more humane and strengthening a patient-centered professional culture. Orv Hetil. 2025; 166(36): 1412–1419.
期刊介绍:
The journal publishes original and review papers in the fields of experimental and clinical medicine. It covers epidemiology, diagnostics, therapy and the prevention of human diseases as well as papers of medical history.
Orvosi Hetilap is the oldest, still in-print, Hungarian publication and also the one-and-only weekly published scientific journal in Hungary.
The strategy of the journal is based on the Curatorium of the Lajos Markusovszky Foundation and on the National and International Editorial Board. The 150 year-old journal is part of the Hungarian Cultural Heritage.