Effectiveness of dignity therapy on well-being among patients under palliative care: A systematic review and meta-analysis

Wulandari, Bertha Tesma; Rochmawati, Erna

doi:10.1016/j.ijnurstu.2023.104624

Cited by 7 publications

(3 citation statements)

References 47 publications

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“…Recent metanalyses, however report contradictory results. In two metanalyses, the first examining 16 studies with 1202 participants [ 132 ••] and a second involving 8 studies with 776 participants [ 133 ], significant differences were observed between DT and control groups in dignity-related distress, hope, and quality of life, but not in depression, anxiety and spiritual well-being. A different metanalysis [ 134 ••] of 9 RCTs with a total of 871 participants showed that DT did not improve terminally ill patients' sense of dignity, hope, spiritual well-being, and quality of life, while significant reduction were found in anxiety and depression after intervention.…”

Section: Resultsmentioning

confidence: 99%

Dignity in Medicine: Definition, Assessment and Therapy

Grassi,

Nanni,

Riba

et al. 2024

Curr Psychiatry Rep

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Purpose of Review Over the last 20 years, dignity and dignity-conserving care have become the center of investigation, in many areas of medicine, including palliative care, oncology, neurology, geriatrics, and psychiatry. We summarized peer-reviewed literature and examined the definition, conceptualization of dignity, potential problems, and suggested interventions. Recent Findings We performed a review utilizing several databases, including the most relevant studies in full journal articles, investigating the problems of dignity in medicine. It emerged that dignity is a multifactorial construct and that dignity-preserving care should be at the center of the health organization. Dignity should be also regularly assessed through the tools currently available in clinical practice. Among dignity intervention, besides dignity models of care, dignity intervention, such as dignity therapy (DT), life review and reminiscence therapy, have a role in maintaining both the extrinsic (preserved when health care professionals treat the patient with respect, meeting physical and emotional needs, honors the patient’s wishes, and makes attempts to maintain privacy and confidentiality) and intrinsic dignity (preserved when the patient has appropriate self-esteem, is able to exercise autonomy and has a sense of hope and meaning). Summary Unified trends across diverse medical contexts highlight the need for a holistic, patient-centered approach in healthcare settings. Challenges compromising dignity are pervasive, underscoring the importance of interventions and systematic efforts to address these issues. Future research and interventions should prioritize the multifaceted nature of dignity, striving to create healthcare environments that foster compassion, respect, and dignity across all medical settings.

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Section: Resultsmentioning

confidence: 99%

Dignity in Medicine: Definition, Assessment and Therapy

Grassi,

Nanni,

Riba

et al. 2024

Curr Psychiatry Rep

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“…It also aligns with more recent research that stresses the importance of meaning-making and selfefficacy as a therapeutic strategy for improving person-and family-centered outcomes. [9][10][11][12][13] Bringing the Total Enjoyment of Life Framework into Patient Care…”

Section: Using An Assets Mindset To Encourage and Empowermentioning

confidence: 99%

Sustaining Joy in Serious Neurologic Illnesses

Seshadri,

Hauser,

Kluger

2024

Semin Neurol

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The goals of medicine tend to be framed around addressing suffering, pathology, and functional deficits. While this is a natural orientation when dealing with serious illness, it is also incomplete and neglects significant opportunities to improve the quality of life of patients, families, and clinicians. The “total enjoyment of life” is a multidimensional framework that can serve as a positive counterbalance to the “total pain of illness.” It allows clinicians, researchers, policymakers, and other stakeholders to take a systematic and comprehensive approach to the active promotion of well-being. The five opportunities for enhancing well-being in this framework are meaning, social connections, happiness/contentment, spiritual transcendence, and pleasure. Applying these concepts in clinical settings, patients, families, and clinicians can together find opportunities to increase the total enjoyment of life in the face of incurable and intractable illnesses. For family care partners, these concepts can be applied to improve self-care, enhance relationships, and develop more creative approaches to supporting a loved one living with illness. Clinicians working with these concepts may find their clinical work more satisfying and impactful and can also apply these concepts to their own lives to increase wellness. In clinical research, this framework can be applied to improve intervention effectiveness and relevance of outcome measures. Lastly, these concepts have the potential to impact public health approaches that focus on well-being and flourishing as the goal and metric of a healthy society.

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“…That said, the Hospice dedicated to palliative care offers an environment that promotes physical and emotional comfort, with treatment taking a holistic and individualized approach, which recognizes the uniqueness of each patient, respecting their limits. 3 The active participation of patients in decisions related to their care, the promotion of dignity and attention to spiritual aspects have been integrated into the practice of palliative care over time, reflecting a significant transition from disease-centered to personcentered treatment. , recognizing the importance of assistance that not only treats physical symptoms, but also takes care of the patient's comprehensive well-being in their cultural and individual context.…”

Section: Introductionmentioning

confidence: 99%

The importance of hospice in the comfort of cancer patients

Novais Dias,

Teixeira Gomes,

de Prince

et al. 2023

JCPCR

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Introduction: Hospice-an institution aimed at people with advanced and terminal illnesses, especially in the period when healing therapy becomes ineffective and palliative therapy is essential -improving the quality of life of the patient and their families, through prevention and relief of suffering. Objective:To analyze the importance of hospice as a patient care tool in palliative care. Method: This is a literature review, from the last 10 years, in the PubMed, VHL and Web of Science databases, using the descriptors "hospice"; palliative care; cancer patient, where 10 articles were selected, published between 2014 and 2023.Results: Faced with the proximity of death, there is a need for a holistic intervention in patient care, including the family at all stages, alleviating suffering and avoiding frivolous measures in the face of the irreversibility of the disease. Palliative medicine, addressed in hospice, promotes several benefits to the terminally ill patient, as the act of caring promotes comfort to the patient and, therefore, improving their quality of life, resulting in relief from physical, psychological, social and spiritual needs, in addition to integrating into this care, the beliefs, values, cultural and religious practices of patients and their families Conclusion: It is observed that the valorization of an infrastructure intended for patients with terminal illness is extremely important, given that humanized and multidisciplinary care is employed. In this way, the comprehensive conduct carried out by the hospice alleviates the suffering of the cancer patient during the last stage of their life.

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Effectiveness of dignity therapy on well-being among patients under palliative care: A systematic review and meta-analysis

Cited by 7 publications

References 47 publications

Dignity in Medicine: Definition, Assessment and Therapy

Dignity in Medicine: Definition, Assessment and Therapy

Sustaining Joy in Serious Neurologic Illnesses

The importance of hospice in the comfort of cancer patients

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