The Effect of Dignity Therapy Applied to End-stage Cancer Patients on Perceived Dignity and Self-esteem: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Patient Dignity Inventory
研究概览
简要总结
The aim of this study is to determine the effect of dignity therapy on the quality of life and depression levels of cancer patients.
Methods: The research was planned as a randomized controlled experimental study.
Type of Research: Research, experimental, control group and pretest-posttest study will be carried out.
Population of the Study: The population of the study was sent to Meram Medical Faculty Hospital Oncology Clinic consists of male and female inpatients.
Sample of the Research: Those who agreed to participate in the research and met the inclusion criteria. Patients who meet will be included in the study. It was 48. It was planned to be.
Randomization: In this study, parallel group block randomization method was applied to the intervention and control groups. will be allocated randomly. Block randomization was used because the sample size was small. Patients will be selected equally using permutation method, and randomization will be selected using blocking technique. will be done. During randomization, CONSORT 2017 will be used.
For randomization; To control for performance bias, patients will be blinded to the study hypothesis and will not be informed which group they are in. There will be no blinding for the researcher. However, blind technique will be used in the research. This blind technique will be applied by the researcher with the patients blinded until the application begins..
Data Collection Techniques and Tools: "Personal Information Form", "Patient Dignity Inventory" and "Rosenberg Self-Esteem Scale" were used in data collection (RSES)" will be used.
详细描述
Cancer affects both the patient and their relatives physically and psychologically. From the moment cancer is diagnosed, psychological problems that affect the adaptation processes of individuals, which can be defined as crises, may arise along with the physical effects of the disease and the treatment process. It is suggested that the loss of dignity that develops in terminally ill patients causes the patients to want to die as soon as possible. It is important that patients receive care in accordance with the standards and value judgments they are used to, so that their sense of dignity and status is not affected by health problems. Dignity therapy is a type of short-term therapy developed to alleviate the distress of terminally ill patients and improve their end-of-life experiences. Chochinov emphasizes that dignity depends on productivity experiences, the search for purpose and meaning, defined dignity-protective care for patients facing a serious illness, and developed a model to be developed, studied and used by clinicians.
In the literature, it is seen that dignity therapy can be applied by different health professionals in patient groups with different diagnoses and provides positive contributions for patients and their relatives. With the increase in palliative care units in recent years, it has been considered important to apply this type of therapy to patients. In addition, no studies on dignity therapy have been found in Turkey. The aim of this study is to determine the effect of dignity therapy on the quality of life and depression levels of cancer patients.
Methods: The research was planned as a randomized controlled experimental study. Research Outpatient and inpatient treatment at Necmettin Erbakan University Faculty of Medicine hospital oncology clinic It will be done with end-stage cancer patients. October 2023-December 2023 with an average of 48 patients It will be carried out between . In collecting research data, Personal Information Form, Patient The Reputation Inventory and the Rosenberg Self-Esteem Scale (RSES) will be used.
Type of Research: Research, experimental, control group and pretest-posttest study will be carried out.
Place and Characteristics of the Research: The research was conducted in Konya province by Necmettin Erbakan It will be carried out in the Oncology clinic of University Meram Faculty of Medicine Hospital.Inpatient clinics are located on the 3rd and 4th floors, and there are 33 beds on each floor. Population of the Study: The population of the study was sent to Meram Medical Faculty Hospital Oncology Clinic consists of male and female inpatients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
To control for performance bias, patients will be blinded to the study hypothesis and will not be informed which group they are in. There will be no blinding for the researcher. However, blind technique will be used in the research. This blind technique will be applied by the researcher with the patients blinded until the application begins. In the research, in order to meet the blind technical conditions, the process steps were carried out by an independent statistician from the first stage. The sample will be sorted by a combination order and number. In this way selection bias will be controlled. The study will also be controlled for attrition bias and Statistics and reporting bias.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inclusion Criteria for Participants in the Study:
- •Able to speak and understand Turkish,
- •Those over 18 years of age
- •No communication barriers
- •Cancer diagnosis is in the 4th stage and in the last stage
- •Patients with a predicted survival time of less than 6 months (physician opinion) will be included
排除标准
- •Criteria for Exclusion of Participants in the Study:
- •Those diagnosed with dementia, delirium or other organic brain disorders;
- •Those with impaired consciousness;
- •Patients with mental problems that prevent them from receiving esteem therapy will be excluded
研究组 & 干预措施
experimental group
Patients in this group will be treated with dignity therapy by the researcher.
干预措施: Dignity therapy (Behavioral)
control group
Patients in this group will receive standard care and no treatment will be performed by the researcher.
干预措施: Routine Care (Other)
结局指标
主要结局
Patient Dignity Inventory
时间窗: first week and within one week after completion of therapy
The scale, consisting of a total of 25 items, was developed by Chochinov et al. (2008) and translated into Turkish by Eskigülek and Kav (2022) adapted. The minimum and maximum total score of the inventory is 25 and 125 points respectively. There are no reverse scored items in the inventory. A higher total score means that the individual's perceived reputation is complex. Items scoring three or more are clinically significant. As a result of factor analysis, a five-factor structure was obtained; The factors are reported as "symptom distress", "existential distress", "addiction", "peace of mind" and "social support"
Patient Dignity Inventory
时间窗: Baseline (Day 0) and Day 10
The scale, consisting of a total of 25 items, was developed by Chochinov et al. (2008) and translated into Turkish by Eskigülek and Kav (2022) adapted. The minimum and maximum total score of the inventory is 25 and 125 points respectively. There are no reverse scored items in the inventory. A higher total score means that the individual's perceived reputation is complex. Items scoring three or more are clinically significant. As a result of factor analysis, a five-factor structure was obtained; The factors are reported as "symptom distress", "existential distress", "addiction", "peace of mind" and "social support"
次要结局
- Personal Information Form(first week and within one week after completion of therapy)
- Rosenberg Self-Esteem Scale(within one week after completion of therapy)
- Personal Information Form(Baseline (Day 0) and Day 10)
- Rosenberg Self-Esteem Scale(Baseline (Day 0) and Day 10)
研究者
NESIBE GÜNAY MOLU
Assoc. Prof.
Necmettin Erbakan University