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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
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参与死亡率:有效实施尊严疗法

Diana J Wilkie1, George Fitchett2, Yingwei Yao1

  • 1Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, Florida, USA.

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概括

尊严治疗 (DT) 是一种生活回顾干预,在接受门诊息护理的癌症患者中显著改善了尊严. 牧师领导的和护士领导的DT都对尊严产生了积极的影响,提高了生活质量.

关键词:
尊严疗法是一种尊严疗法.癌症 癌症 癌症 癌症 癌症影响尊严的影响.年龄较大的成年人.门诊患者的治疗方式抚慰性护理是一种缓解性护理.

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科学领域:

  • 抚慰性护理是一种缓解性护理.
  • 生活质量研究 研究 生命质量研究
  • 精神健康服务 精神健康服务

背景情况:

  • 尊严治疗 (DT) 是一种生活回顾干预,被患者和家人认为是有益的.
  • 现有证据表明,DT对症状的影响不一致,对精神/存在的结果缺乏影响.
  • 需要评估DT对尊严的有效性,这是息治疗中生活质量的关键指标.

研究的目的:

  • 为了比较通常的门诊息护理与牧师或护士领导的尊严治疗 (DT) 对癌症患者尊严的影响.
  • 评估DT在改善晚期癌症患者生活质量的有效性.
  • 为 DT 在息护理环境中的作用提供严格的证据.

主要方法:

  • 在六个美国地点采用了阶梯试验设计,随机排序从通常的护理过渡到牧师领导的或护士领导的DT.
  • 579名符合条件的癌症患者 (年龄≥55岁) 在6周内完成了前/后测试措施,包括尊严影响量表 (DIS).
  • 用多重归算和回归分析分析数据,根据基线DIS得分,研究地点和干预步骤进行调整.

主要成果:

  • 与接受通常护理的患者相比,接受牧师或护士领导的DT的患者报告说,后测试尊严影响量表 (DIS) 的得分明显更高.
  • 在对年龄,性别,种族,教育和收入等人口因素进行调整后,DT对DIS分数的积极影响仍然显著.
  • 无论是牧师还是护士,这两种DT交付方法都显示出了患者尊严的显著改善.

结论:

  • 尊严治疗,当由牧师或护士进行时,可以有效地改善门诊息治疗中的癌症患者的尊严.
  • 这项研究提供了强有力的证据,支持DT作为一种有价值的干预措施,以提高息治疗中的生活质量和尊严.
  • 这些发现代表了息护理和精神健康服务研究的重大进展.