Kostopoulou Sotiria, Parpa Efi, Tsilika Eleni, Katsaragakis Stylianos, Papazoglou Irene, Zygogianni Anna, Galanos Antonis, Mystakidou Kyriaki
1 Pain Relief and Palliative Care Unit, Department of Radiology, Areteion Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, Greece.
2 Nursing University of Peloponnese, Sparta, Peloponnese, Greece.
J Palliat Care. 2018 Apr;33(2):88-94. doi: 10.1177/0825859718759882. Epub 2018 Mar 7.
The present study assesses the relationship between patient dignity in advanced cancer and the following variables: psychological distress, preparatory grief, and sociodemographic and clinical characteristics.
The sample consisted of 120 patients with advanced cancer. The self-administered questionnaires were as follows: the Preparatory Grief in Advanced Cancer Patients (PGAC), the Patient Dignity Inventory-Greek (PDI-Gr), the Greek Schedule for Attitudes toward Hastened Death (G-SAHD), and the Greek version of the Hospital Anxiety and Depression Scale (G-HADS).
Moderate to strong statistically significant correlations were found between the 4 subscales of PDI-Gr (psychological distress, body image and role identity, self-esteem, and social support) with G-HADS, G-SAHD, and PGAC ( P < .005), while physical distress and dependency was moderately correlated with depression. Multifactorial analyses showed that preparatory grief, depression, and age influenced psychological distress, while preparatory grief, depression, and performance status influenced body image and role identity.
Preparatory grief, psychological distress, and physical symptoms had significant associations with perceptions of dignity among patients with advanced cancer. Clinicians should assess and attend to dignity-distressing factors in the care of patients with advanced cancer.
本研究评估晚期癌症患者的尊严与以下变量之间的关系：心理困扰、预感性悲伤以及社会人口学和临床特征。
样本包括120例晚期癌症患者。采用的自填式问卷如下：《晚期癌症患者预感性悲伤量表》（PGAC）、《希腊版患者尊严量表》（PDI-Gr）、《希腊版对加速死亡态度量表》（G-SAHD）以及希腊版《医院焦虑抑郁量表》（G-HADS）。
PDI-Gr的4个分量表（心理困扰、身体形象和角色认同、自尊以及社会支持）与G-HADS、G-SAHD和PGAC之间存在中度至高度的统计学显著相关性（P <.005），而身体困扰和依赖与抑郁呈中度相关。多因素分析表明，预感性悲伤、抑郁和年龄影响心理困扰，而预感性悲伤、抑郁和体能状态影响身体形象和角色认同。
预感性悲伤、心理困扰和身体症状与晚期癌症患者的尊严感存在显著关联。临床医生在晚期癌症患者的护理中应评估并关注影响尊严的因素。
