School of Nursing, Capital Medical University, Beijing, China.
Department of Nursing, Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Eur J Cancer Care (Engl). 2022 Nov;31(6):e13670. doi: 10.1111/ecc.13670. Epub 2022 Aug 10.
This study investigated the experience of conducting dignity therapy with terminal cancer patients from the perspective of dignity therapists in mainland China.
Semistructured interviews were conducted with 15 trained dignity therapists from across mainland China who have performed at least one time dignity therapy for terminal cancer patients. Data were analysed using content analysis.
Four main themes emerged. Firstly, therapists reported that they had many culture-specific experiences of conducting dignity therapy with Chinese patients. Secondly, they encountered various challenges while recruiting and delivering dignity therapy to patients. Thirdly, through conducting dignity therapy, therapists gained personal development although sometimes they empathised with patients' negative emotions. Lastly, they perceived great benefits of conducting dignity therapy to the culture of caring in clinical practice and healthcare provider-patient relationship.
Chinese culture influenced dignity therapists' experience of conducting dignity therapy in mainland China. A series of challenges and benefits of conducting dignity therapy to therapists' personal growth and clinical work were perceived. It is suggested that cultural impacts on dignity therapy implementation and the therapists' ability to deal with practical and emotional challenges need to be addressed in dignity therapy training. A more resource-saving dignity therapy protocol would be significant for dignity therapy implementation.
本研究从中国大陆尊严治疗师的角度探讨了为终末期癌症患者实施尊严治疗的体验。
对来自中国大陆各地的 15 名接受过尊严治疗培训且至少为 1 名终末期癌症患者实施过尊严治疗的尊严治疗师进行半结构式访谈。采用内容分析法对数据进行分析。
主要出现了 4 个主题。首先，治疗师报告说，他们在为中国患者实施尊严治疗时具有许多特定文化的体验。其次，他们在招募和为患者提供尊严治疗时遇到了各种挑战。第三，通过实施尊严治疗，治疗师在个人发展方面获得了收获，尽管有时他们会对患者的负面情绪产生共鸣。最后，他们认为实施尊严治疗对临床实践中的关怀文化和医护患关系有很大的好处。
中国文化影响了中国大陆尊严治疗师实施尊严治疗的体验。治疗师个人成长和临床工作的尊严治疗实施的一系列挑战和好处得到了认可。建议在尊严治疗培训中解决文化对尊严治疗实施的影响以及治疗师处理实际和情感挑战的能力。尊严治疗实施的更具资源节约性的尊严治疗方案将具有重要意义。
