台湾绝症癌症患者的尊严治疗的文化接受度和潜在有效性:一项准实验性研究
Tzu-Yun Chiu1, Wei-Shu Lai2, Sheng-Yu Fan3
1Department of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
概括
尊严治疗 (DT) 显著减少了台湾癌症患者的痛苦,显示出高度的文化接受度和有效性. 这种方法增强了情感福利和家庭沟通,用于终身护理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理社会瘤学
- 跨文化心理学 跨文化心理学
背景情况:
- 末期癌症患者面临着与尊严相关的痛苦.
- 在东亚背景下,尊严治疗 (DT) 的证据有限.
- 对文化敏感的生命终点护理至关重要.
研究的目的:
- 评估台湾的DT的文化接受度和临床有效性.
- 评估DT对终末癌症患者的尊严相关痛苦的影响.
- 解决东亚环境中DT适用性的差距.
主要方法:
- 准实验性,非随机对照研究.
- 干预组接受了DT加上舒适护理 (n=12).
- 对照组仅接受舒适护理 (n=12).
- 以PDI-MV测量的与尊严相关的痛苦;通过DTPFQ/DTFFQ测量的可接受性.
- 分析了定量和定性数据.
主要成果:
- DT组显示,与尊严相关的痛苦显著减少 (P < 0.001).
- 对照组在危险中没有显著的变化.
- 患者 (4.21/5) 和家庭 (4.28/5) 报告的高可接受性.
- 定性主题:情绪解,创造意义,和解.
结论:
- DT在台湾是可行的,具有文化相关性和潜在的有效性.
- DT可以维护尊严,减少存在的痛苦.
- 将DT整合到息护理中,以加强东亚的生命终结沟通和福祉.
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