School of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), Barcelona, Spain.
Nursing Department, School of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), Barcelona, Spain.
J Pain Symptom Manage. 2021 May;61(5):928-939. doi: 10.1016/j.jpainsymman.2020.09.041. Epub 2020 Oct 8.
Most older adults will face threats to loss of health and social support, which can affect their perceived dignity. Although problems with perceived dignity increase in the context of cancer, the specific experience for those older compared with younger patients with advanced cancer has not been described despite its contributions to the wish to hasten death (WTHD).
To understand the influence of age group to the perception of dignity, considering changes in quality of life and the WTHD in patients with advanced cancer.
The Patient Dignity Inventory was administered to 194 patients with advanced cancer. The data were analyzed by separating the sample into age groups younger than 65 years (N = 106) or 65 years and older (N = 88). Linear regression models were adjusted with the explanatory variables of WTHD, quality of life, as well as functional status, physical dependence, depression, anxiety, and sociodemographic variables.
Older patients showed a 2.6% decrease in the total scores of perceived dignity-related distress compared to younger patients.
Older age could be a protective factor against the perception of loss of dignity in patients with advanced cancer, a more positive perspective of the aging experience.
大多数老年人将面临健康和社会支持丧失的威胁，这可能会影响他们的尊严感。尽管在癌症背景下，尊严感问题会增加，但对于年龄较大的患者（与年龄较小的晚期癌症患者相比），其具体经历并没有被描述，尽管这与渴望死亡（WTHD）有关。
了解年龄组对尊严感的影响，同时考虑到晚期癌症患者生活质量和 WTHD 的变化。
对 194 名晚期癌症患者进行了患者尊严量表的评估。将样本分为年龄小于 65 岁（N=106）或 65 岁及以上（N=88）的两组，然后对数据进行分析。使用 WTHD、生活质量以及功能状态、身体依赖性、抑郁、焦虑和社会人口统计学变量等解释变量对线性回归模型进行了调整。
与年轻患者相比，老年患者在与尊严感相关的困扰总分上降低了 2.6%。
在晚期癌症患者中，年龄较大可能是对尊严丧失的认知的一种保护因素，这是一种对衰老体验更积极的看法。
