尊严疗法在癌症晚期患者中应用的范围综述

Application of Dignity Therapy in Patients with Advanced Cancer:A Scoping Review

目的对尊严疗法在癌症晚期患者中的应用研究进行范围综述,明确尊严疗法的应用形式、内容、干预时长和患者结局等,为后续研究和临床应用提供参考。方法检索PubMed、Web of science、APA PsycInfo、中国知网、万方和维普等数据库,检索时限为建库至2024年5月,总结并报告研究结果。结果共纳入17篇文献。主要探讨尊严疗法在对癌症晚期患者心理、社会支持、生活质量等的影响;干预形式包括面对面和线上访谈;干预内容源于Chochinov尊严模型,包括维护尊严观点和对家人朋友的建议和祝福,具有个性化、创造性和灵活性的特点;干预时长约30~120 min。结论尊严疗法对癌症晚期患者具有支持作用;未来应进一步拓展尊严疗法的开展形式,建设具有中国特色的尊严疗法体系,同时延长随访时间,结合患者实际情况选择是否再次干预以确保长期干预效果。

Objective To conduct a scoping review on the application of dignity therapy in advanced cancer patients and clarify its application,basic content,intervention characteristics and effectiveness,so as to provide reference for forthcoming research and clinical practice.Methods Search on literature was conducted,with findings synthesized and reported in databases including PubMed,Web of Science,APA PsycInfo,CNKI,Wanfang,and VIP from the inception to May 2024.Results A total of 17 papers were included,focusing on the influence of dignity therapy on mental health,social support and quality of life of terminal cancer patients.The forms of dignity therapy included face-to-face and online interviews.The content of the intervention mainly derived from Chochinov’s dignity model,including the view of maintaining dignity,suggestions and blessings to family and friends,which was personalized,creative and flexible.The length of the intervention was 30-120 minutes.Conclusions With a supporting role for advanced cancer patients,dignity therapy should be developed in various forms with Chinese characteristics.Meanwhile,the follow-up time should be extended,and decisions be made on whether to intervene again to ensure long-term effect according to individual patients.