Hosseini Abbas, Rezaei Masoud, Bahrami Masoud, Abbasi Mohammad, Hariri Hesammodin
Department of Adult Nursing, Faculty of Nursing and Midwifery, Isfahan, Iran.
Department of Research Committee, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2017 May-Jun;22(3):178-183. doi: 10.4103/1735-9066.208157.
Palliative care is an approach that has been used to care for terminally ill patients. The current study was performed to assess the association between the status of patient dignity and quality of life (QOL) in Iranian terminally ill patients with cancer.
This descriptive correlational study was conducted on 210 end-stage cancer patients (102 men and 108 women) who were referred to Seyed Al-Shohada Hospital, Isfahan, Iran, in 2015. To assess dignity status, we used the Patient Dignity Inventory. The Persian version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire was used for QOL assessment.
There was a significant negative association between total dignity status and QOL scales. In addition, significant negative relationship was observed between dignity-related domains (loss of worth sense: = -0.50, < 0.001; anxiety and uncertainty: = -0.51, < 0.001; symptom distress: = -0.62, < 0.001; and loss of autonomy: = -0.61, < 0.001) and functional scale and some subscales of the QOL scale. In contrast, a significant positive relationship was found between dignity-related domains, and total symptom scale and fatigue. No significant relationship was observed between different items of dignity and global health status/QOL scale.
High dignity status in terminally ill patients was associated with higher QOL in terms of functional intactness and lower symptom distress. Further studies are necessary to shed light to our findings.
姑息治疗是一种用于照顾绝症患者的方法。本研究旨在评估伊朗晚期癌症患者的尊严状况与生活质量（QOL）之间的关联。
本描述性相关性研究于2015年对转诊至伊朗伊斯法罕赛义德·阿尔-肖哈达医院的210例晚期癌症患者（102名男性和108名女性）进行。为评估尊严状况，我们使用了患者尊严量表。生活质量评估采用欧洲癌症研究与治疗组织生活质量问卷的波斯语版本。
尊严总状况与生活质量量表之间存在显著的负相关。此外，在尊严相关领域（价值感丧失：r = -0.50，P < 0.001；焦虑与不确定性：r = -0.51，P < 0.001；症状困扰：r = -0.62，P < 0.001；自主性丧失：r = -0.61，P < 0.001）与功能量表及生活质量量表的一些子量表之间观察到显著的负相关。相反，在尊严相关领域与总症状量表及疲劳之间发现显著的正相关。在尊严的不同项目与总体健康状况/生活质量量表之间未观察到显著相关性。
晚期患者较高的尊严状况在功能完整性方面与较高的生活质量及较低的症状困扰相关。有必要进行进一步研究以阐明我们的发现。
