School of Nursing, Capital Medical University, Beijing, China.
Key laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Day Oncology Unit, Peking University Cancer Hospital & Institute, Beijing, China.
Palliat Support Care. 2024 Feb;22(1):62-69. doi: 10.1017/S1478951522001614.
To examine the thematic features of dignity therapy generativity documents of advanced cancer patients receiving chemotherapy in mainland China from the perspective of meaning-making during dignity therapy.
This is a qualitative descriptive study. Content analysis was used to analyze 24 dignity therapy generativity documents derived from a quasi-experimental trial of dignity therapy for advanced cancer patients receiving chemotherapy in a daycare center at a cancer hospital in northern China.
Among the 24 advanced cancer patients whose generativity documents were analyzed, 14 were male and ranged in age from 26 to 78 years (average = 50.3). Two dimensions emerged from the data: (1) the sources of meaning in life, which consisted of social relationships, things and circumstances providing meaning in life, and (2) the ultimate meaning in life, referring to finding one's real self and realizing the purpose in life, including personal life goals, dignity and autonomy, and morality of patients.
The multidimensional constructs of meaning in life with distinctive traditional Chinese cultural characteristics could provide insights into dignity-conserving care for advanced cancer patients with Chinese culture and provide evidence for refining the implementation protocol of DT through intentionally addressing the ultimate meaning of patients in the therapeutic session.
从尊严疗法意义建构的角度，考察中国大陆接受化疗的晚期癌症患者尊严疗法生成性文档的主题特征。
这是一项定性描述性研究。采用内容分析法，对中国北方某癌症医院日间化疗中心开展的尊严疗法治疗接受化疗的晚期癌症患者的准实验研究中生成的 24 份尊严疗法生成性文档进行分析。
在所分析的 24 名晚期癌症患者中，男性 14 名，年龄 26 岁至 78 岁（平均 50.3 岁）。从数据中得出两个维度：（1）生活意义的来源，包括社会关系、赋予生活意义的事物和环境，以及（2）生活的终极意义，指找到真实的自我和实现生活的目的，包括个人的生活目标、尊严和自主以及患者的道德。
具有鲜明中国文化特色的多维生活意义结构，可以为具有中国文化的晚期癌症患者提供维护尊严的护理提供见解，并通过在治疗过程中有意解决患者的终极意义，为尊严疗法的实施协议的完善提供证据。
