癌症患者尊严的研究现状
Research Status on Dignity in Cancer Patients
DOI: 10.12677/ns.2025.146132, PDF,    科研立项经费支持
作者: 杨冠楠, 鲍邓航, 范渝龑, 张慧贤, 柴守霞*:湖北医药学院护理学院,湖北 十堰;马双妹:宜昌市中医医院眼科,湖北 宜昌
关键词: 癌症患者尊严综述Cancer Patients Dignity Review
摘要: 本文阐明癌症患者尊严的概念、影响因素及相关干预措施。尊严与心理痛苦及生活质量下降相关,并且尊严疗法和安心卡模式能显著提升癌症患者尊严感,未来建议医护人员结合本土文化背景实施循证干预。
Abstract: This article elucidates the concept of dignity in cancer patients, its influencing factors, and related interventions. Dignity is associated with psychological distress and diminished quality of life. Notably, dignity therapy and the peace-of-mind card model have been shown to significantly enhance the sense of dignity in cancer patients. Future recommendations include the implementation of evidence-based interventions by healthcare professionals, tailored to the local cultural context.
文章引用:杨冠楠, 马双妹, 鲍邓航, 范渝龑, 张慧贤, 柴守霞. 癌症患者尊严的研究现状[J]. 护理学, 2025, 14(6): 997-1003. https://doi.org/10.12677/ns.2025.146132

参考文献

[1] Sung, H., Ferlay, J., Siegel, R.L., Laversanne, M., Soerjomataram, I., Jemal, A., et al. (2021) Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71, 209-249. [Google Scholar] [CrossRef] [PubMed]
[2] Chochinov, H.M., Hack, T., McClement, S., Kristjanson, L. and Harlos, M. (2002) Dignity in the Terminally Ill: A Developing Empirical Model. Social Science & Medicine, 54, 433-443. [Google Scholar] [CrossRef] [PubMed]
[3] Walsh, K. and Kowanko, I. (2002) Nurses’ and Patients’ Perceptions of Dignity. International Journal of Nursing Practice, 8, 143-151. [Google Scholar] [CrossRef] [PubMed]
[4] Guo, Q. and Jacelon, C.S. (2014) An Integrative Review of Dignity in End-of-Life Care. Palliative Medicine, 28, 931-940. [Google Scholar] [CrossRef] [PubMed]
[5] Enes, S.P.D. (2003) An Exploration of Dignity in Palliative Care. Palliative Medicine, 17, 263-269. [Google Scholar] [CrossRef] [PubMed]
[6] Matiti, M.R. and Trorey, G.M. (2008) Patients’ Expectations of the Maintenance of Their Dignity. Journal of Clinical Nursing, 17, 2709-2717. [Google Scholar] [CrossRef] [PubMed]
[7] 吴梅利洋, 曾铁英. 尊严疗法在临终病人中应用的研究进展[J]. 护理研究, 2015, 29(17): 2054-2057.
[8] 魏亚红, 刘巍. 尊严疗法在晚期癌症患者中的研究进展[J]. 中国肿瘤临床, 2016, 43(19): 873-876.
[9] Vladeck, B.C. and Westphal, E. (2012) Dignity-Driven Decision Making: A Compelling Strategy for Improving Care for People with Advanced Illness. Health Affairs, 31, 1269-1276. [Google Scholar] [CrossRef] [PubMed]
[10] Van Gennip, I.E., Pasman, H.R.W., Oosterveld-Vlug, M.G., et al. (2013) The Development of a Model of Dignity in Illness Based on Qualitative Interviews with Seriously Ill Patients. International Journal of Nursing Studies, 50, 1080-1089. [Google Scholar] [CrossRef] [PubMed]
[11] van Gennip, I.E., Pasman, H.R.W., Oosterveld-Vlug, M.G., Willems, D.L. and Onwuteaka-Philipsen, B.D. (2015) Dynamics in the Sense of Dignity over the Course of Illness: A Longitudinal Study into the Perspectives of Seriously Ill Patients. International Journal of Nursing Studies, 52, 1694-1704. [Google Scholar] [CrossRef] [PubMed]
[12] Lin, Y., Tsai, Y. and Chen, H. (2011) Dignity in Care in the Hospital Setting from Patients’ Perspectives. Journal of Clinical Nursing, 20, 794-801. [Google Scholar] [CrossRef] [PubMed]
[13] 曹艳梅. 患者尊严量表初步修订及晚期癌症患者尊严研究[D]: [硕士学位论文]. 晋中: 山西医科大学, 2015.
[14] 孙轶文. 晚期癌症患者本土化尊严模型的建构和量表的编制及应用[D]: [硕士学位论文]. 晋中: 山西医科大学, 2017.
[15] Wang, L., Wei, Y., Xue, L., Guo, Q. and Liu, W. (2019) Dignity and Its Influencing Factors in Patients with Cancer in North China: A Cross-Sectional Study. Current Oncology, 26, 188-193. [Google Scholar] [CrossRef] [PubMed]
[16] Bovero, A., Cotardo, F., Lops, C., Botto, R. and Geminiani, G.C. (2022) Is There a Relationship between End-of-Life Cancer Patients’ Dignity-Related Distress and Caregivers’ Distress? An Exploratory Study. Palliative and Supportive Care, 21, 578-584. [Google Scholar] [CrossRef] [PubMed]
[17] Obispo, B., Cruz-Castellanos, P., Hernandez, R., Gil-Raga, M., González-Moya, M., Rogado, J., et al. (2022) Perceived Dignity of Advanced Cancer Patients and Its Relationship to Sociodemographic, Clinical, and Psychological Factors. Frontiers in Psychology, 13, Article 855704. [Google Scholar] [CrossRef] [PubMed]
[18] Liu, X., Liu, Z., Cheng, Q., Xu, N., Liu, H. and Ying, W. (2020) Effects of Meaning in Life and Individual Characteristics on Dignity in Patients with Advanced Cancer in China: A Cross-Sectional Study. Supportive Care in Cancer, 29, 2319-2326. [Google Scholar] [CrossRef] [PubMed]
[19] Hong, Y.T., Lin, Y., Pan, Y.X., Lin, J.L., Lin, X.J., Zhang, J., et al. (2022) Understanding Factors Influencing Demoralization among Cancer Patients Based on the Bio‐Psycho‐Social Model: A Systematic Review. Psycho-Oncology, 31, 2036-2049. [Google Scholar] [CrossRef] [PubMed]
[20] Iuso, S., Monacis, L., Nappi, L., et al. (2022) Associations between Personality Traits, Perceived Stress and Depressive Symptoms in Gynecological Cancer Patients Characterized by the Short and Long Allele Variant of the 5-HTTLPR Genotype: Preliminary Results. Clinical Neuropsychiatry, 19, 156-162.
[21] Bovero, A., Cotardo, F., Pierotti, V., Gottardo, F., Botto, R., Opezzo, M., et al. (2020) Personality Traits and Sense of Dignity in End-of-Life Cancer Patients: A Cross-Sectional Study. American Journal of Hospice and Palliative Medicine®, 38, 39-46. [Google Scholar] [CrossRef] [PubMed]
[22] 魏淑青, 李德龙, 张溪, 等. 晚期癌症患者尊严负面情绪与生命质量的相关性研究[J]. 中国药物与临床, 2017, 17(12): 1787-1789.
[23] Leung, A.K.-Y. and Cohen, D. (2011) Within-and Between-Culture Variation: Individual Differences and the Cultural Logics of Honor, Face, and Dignity Cultures. Journal of Personality and Social Psychology, 100, 507-526. [Google Scholar] [CrossRef] [PubMed]
[24] Martín-Abreu, C.M., Hernández, R., Cruz-Castellanos, P., Fernández-Montes, A., Lorente-Estellés, D., López-Ceballos, H., et al. (2022) Dignity and Psychosocial Related Variables in Elderly Advanced Cancer Patients. BMC Geriatrics, 22, 732. [Google Scholar] [CrossRef] [PubMed]
[25] Chochinov, H.M., Kristjanson, L.J., Breitbart, W., McClement, S., Hack, T.F., Hassard, T., et al. (2011) Effect of Dignity Therapy on Distress and End-of-Life Experience in Terminally Ill Patients: A Randomised Controlled Trial. The Lancet Oncology, 12, 753-762. [Google Scholar] [CrossRef] [PubMed]
[26] Sharif, F., Khoshnood, Z., Eckert, M., Helal Birjandi, M. and Bagherian, S. (2023) Dignity of Iranian Women with Breast Cancer: A Qualitative Study. Journal of Qualitative Research in Health Sciences, 12, 91-99. [Google Scholar] [CrossRef
[27] Chochinov, H.M., Hack, T., Hassard, T., Kristjanson, L.J., McClement, S. and Harlos, M. (2005) Dignity Therapy: A Novel Psychotherapeutic Intervention for Patients Near the End of Life. Journal of Clinical Oncology, 23, 5520-5525. [Google Scholar] [CrossRef] [PubMed]
[28] Lim, Y. (2023) Dignity and Dignity Therapy in End-of-Life Care. The Journal of Hospice and Palliative Care, 26, 145-148. [Google Scholar] [CrossRef] [PubMed]
[29] Haneef, S.H. and Abdullah, M. (2024) Effects of Dignity Therapy for Palliative Care Patients and Family Caregivers: A Systematic Review. Cureus, 16, e70431. [Google Scholar] [CrossRef] [PubMed]
[30] Johnston, B., Buchanan, D., Papdopolou, C., Andrew, J. and Chochinov, H. (2014) How a Dignity Care Intervention Can Improve Care by Community Nurses to People in the Last Months of Life. BMJ Supportive & Palliative Care, 4, 1-2. [Google Scholar] [CrossRef
[31] Johnston, B., Larkin, P., Connolly, M., Barry, C., Narayanasamy, M., Östlund, U., et al. (2015) Dignity‐Conserving Care in Palliative Care Settings: An Integrative Review. Journal of Clinical Nursing, 24, 1743-1772. [Google Scholar] [CrossRef] [PubMed]
[32] 刘敏娟. 尊严疗法在临终护理实践中的应用研究[J]. 中国卫生标准管理, 2022, 13(3): 175-178.
[33] 张春晓, 胡月, 华红霞, 等. 尊严疗法对晚期癌症临终病人尊严水平及其心理痛苦程度的影响[J]. 循证护理, 2022, 8(21): 2921-2924.
[34] 陈晓琼, 刘雅琪, 杜晓燕, 等. 家庭参与性尊严疗法联合人生回顾护理对晚期肝癌患者的影响[J]. 中外医学研究, 2023, 21(4): 88-91.
[35] 陈丹, 宁晓东, 潘慧, 等. 家庭尊严干预在老年轻度认知障碍患者主要照顾者中的应用[J]. 中华护理杂志, 2019, 54(4): 543-548.
[36] 刘小红, 谢志洁, 张晨晨, 等. 安心卡引导的尊严照护模式在恶性肿瘤临终患者中的应用[J]. 护理学杂志, 2019, 34(19): 89-91.
[37] Wang, C., Chen, J., Wang, Y., Hu, R. and Wu, Y. (2020) The Development of a Family Participatory Dignity Therapy Programme for Patients with Haematologic Neoplasms and Their Family Caregivers in China: A Feasibility Study. European Journal of Cancer Care, 29, e13204. [Google Scholar] [CrossRef] [PubMed]
[38] 叶金婵. 基于拓展建构理论的感恩干预对恶性淋巴瘤化疗期患者尊严水平的影响研究[D]: [硕士学位论文]. 乌鲁木齐: 新疆医科大学, 2022.