Department of Nursing, Başkent University Faculty of Health Sciences, Bağlıca Kampüsü Fatih Sultan Mahallesi Eskişehir Yolu 18.Km TR 06790, Etimesgut, Ankara, Turkey.
Support Care Cancer. 2024 Aug 13;32(9):587. doi: 10.1007/s00520-024-08792-w.
Palliative care patients experience chronic sorrow with loss in dignity and meaning in life. Logotherapy is an effective way to cope with loss. This study aimed to evaluate the effect of logotherapy on chronic sorrow, dignity, and meaning in life of palliative care patients.
This study was conducted with 58 adults hospitalized due to advanced cancer and assigned to either intervention or control group by simple randomization. Data were collected with descriptive information form, Palliative Performance Scale, Patient Dignity Inventory (PDI), Prolonged Grief Disorder Scale-Patient Form (PGDS-PF), and Meaning in Life Questionnaire (MIL) on admission, at the 4th and 8th weeks. The intervention group received eight sessions of logotherapy. The control group received routine care.
The mean scores of PGDS-PF (p = 0.01), PDI (p = 0.01), and searched meaning subdimension of MIL (MIL-SM) (p = 0.11) decreased in the intervention group compared to controls, both at the 4th and 8th week evaluation. The mean score of the present meaning subdimension of MIL (MIL-PM) (p = 0.02) increased at the 4th week evaluation but decreased at a non-statistically significant level at the 8th week. The mean scores of PGDS-PF and PDI increased in the control group while MIL-PM and MIL-SM decreased, both at the 4th and 8th week evaluation.
Logotherapy was found effective in decreasing the sorrow and dignity-related distress of palliative care patients, while increasing finding meaning in life. Logotherapy is recommended to be used by palliative care professionals to empower patients.
Clinicaltrials registration number and date: NCT05129059, 19/01/2021.
姑息治疗患者经历着尊严丧失和生活意义缺失的慢性悲伤。意义治疗是应对丧失的有效方法。本研究旨在评估意义治疗对姑息治疗患者慢性悲伤、尊严和生活意义的影响。
本研究纳入了 58 名因晚期癌症住院的成年人，通过简单随机分组将其分为干预组和对照组。在入院时、第 4 周和第 8 周，使用一般情况调查表、姑息治疗状况量表、患者尊严量表、延长哀伤障碍量表-患者自评版、生活意义问卷收集数据。干预组接受了 8 次意义治疗，对照组接受常规护理。
与对照组相比，干预组患者的延长哀伤障碍量表-患者自评版（PGDS-PF）（p=0.01）、患者尊严量表（PDI）（p=0.01）和生活意义问卷寻找意义子维度（MIL-SM）（p=0.11）的评分在第 4 周和第 8 周评估时均降低。生活意义问卷现实意义子维度（MIL-PM）（p=0.02）的评分在第 4 周评估时增加，但在第 8 周评估时无统计学意义。对照组患者的 PGDS-PF 和 PDI 评分增加，而 MIL-PM 和 MIL-SM 评分在第 4 周和第 8 周评估时均降低。
意义治疗可减轻姑息治疗患者的悲伤和与尊严相关的痛苦，同时增加患者对生活意义的体验。建议姑息治疗专业人员使用意义治疗来增强患者的能力。
临床试验注册号和日期：NCT05129059，2021 年 1 月 19 日。
