检查通过症状负担或宗教/精神斗争对尊严治疗效果的适度
George Fitchett1, Yingwei Yao2, Linda L Emanuel3
1Department of Religion, Health and Human Values (G.F.), Rush University Medical Center, Chicago, Illinois, USA.
Journal of pain and symptom management
|January 12, 2024
概括
尊严疗法 (DT) 有利于癌症患者,无论症状负担如何. 然而,宗教/精神斗争并没有显著地缓解了DT.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理治疗 心理治疗
- 在瘤学瘤学.
背景情况:
- 尊严疗法 (DT) 是一种经过验证的心理治疗干预,用于终身护理.
- 症状负担和宗教/精神 (R/S) 斗争对DT结果的缓解作用尚未得到充分证实.
研究的目的:
- 调查症状负担和R/S斗争如何影响尊严治疗的有效性.
- 分析这些因素对尊严,对死亡的准备和生命完成的影响.
主要方法:
- 随机对照试验的二次分析,使用阶梯形设计.
- 包括579名接受门诊息治疗的癌症患者 (年龄≥55岁).
- 评估尊严 (DIS),为死亡/生命完成做准备 (QUAL-E),症状负担 (ESAS-r) 和R/S斗争 (RSS-14).
主要成果:
- 在低和中度/高症状负担的患者中,DT显著改善了尊严 (DIS).
- 对于低R/S斗争的患者来说,DT提高了尊严,但对于高R/S斗争的患者来说,并非如此.
- 无论是症状负担还是R/S斗争都没有显著地减轻DT对尊严,死亡准备或生命完成的影响.
结论:
- 基线症状负担和R/S斗争并没有显著缓解尊严治疗对尊严的影响.
- 需要进一步的研究来探索替代的缓和模式,并为生命终端干预开发敏感的结果指标.
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