Peningkatkan Kesejahteraan Psikologi Pasien Kanker pada Akhir Kehidupan dengan Intervensi Dignity Therapy
Abstract
This study aims to improve the psychological well-being of cancer patients at the end of life with dignity therapy interventions. The research method used is a systematic review. The search used six databases: Science Direct, Proquest, Clinicalkey Nursing, Springerlink, Scopus, and Pubmed. From the specified keywords End of life, dignity therapy, improving psychological well-being, impact of dignity therapy, and effect of dignity therapy, data was obtained for 1,313 articles. The research results showed that in seven reviewed journals, dignity therapy was proven to be effective in reducing anxiety distress and improving psychological well-being in advanced cancer patients. In conclusion, dignity therapy can be used as an option in providing patient care at the end of life to enhance the psychological well-being of patients and families.
Keywords: Dignity Therapy, Cancer, Psychological Welfare
References
Bovero, A., Sedghi, N. A., Botto, R., Tosi, C., Ieraci, V., & Torta, R. (2018). Dignity in Cancer Patients with a Life Expectancy of a Few Weeks. Implementation of the Factor Structure of the Patient Dignity Inventory and Dignity Assessment for a Patient-Centered Clinical Intervention: A Cross-Sectional Study. Palliative and Supportive Care, 16(6), 648–655. https://doi.org/10.1017/S147895151700102X
Chen, J., Yan, J., Wang, C., Wang, Y., Wu, Y., & Hu, R. (2021). Effects and Satisfaction of Dignity Therapy among Patients with Hematologic Neoplasms in the Chinese Cultural Context: A Randomized Controlled Trial. Supportive Care in Cancer, 29(11), 6819–6829. https://doi.org/10.1007/s00520-021-06227-4
Gonzalez-Ling, A., Vázquez, O. G., Rascón-Gasca, M. L., Robles, R., & Chochinov, H. M. (2022). Dignity Therapy in Mexican Lung Cancer Patients with Emotional Distress: Impact on Psychological Symptoms and Quality of Life. Palliative and Supportive Care, 20(1), 62–68. https://doi.org/10.1017/S1478951521000468
Grijó, L., Tojal, C., & Rego, F. (2021). Effects of Dignity Therapy on Palliative Patients’ Family Members: A Systematic Review. Palliative and Supportive Care, 19(5), 605–614. https://doi.org/10.1017/S147895152100033X
Iani, L., De Vincenzo, F., Maruelli, A., Chochinov, H. M., Ragghianti, M., Durante, S., & Lombardo, L. (2020). Dignity Therapy Helps Terminally Ill Patients Maintain a Sense of Peace: Early Results of a Randomized Controlled Trial. Frontiers in Psychology, 11(June), 1–9. https://doi.org/10.3389/fpsyg.2020.01468
Izah, N., Handayani, F., & Kusuma, H. (2020). Sikap Perawat terhadap Persiapan Kematian pada Pasien Kanker Stadium Lanjut. Jurnal Ilmu Keperawatan Medikal Bedah, 3(1), 1-19. https://doi.org/10.32584/jikmb.v3i1.471
Julião, M., Oliveira, F., Nunes, B., Carneiro, A. V., & Barbosa, A. (2017). Effect of Dignity Therapy on End-of-Life Psychological Distress in Terminally Ill Portuguese patients: A Randomized Controlled Trial. Palliative and Supportive Care, 15(6), 628–637. https://doi.org/10.1017/S1478951516001140
Kahale, L. A., Elkhoury, R., El Mikati, I., Pardo-Hernandez, H., Khamis, A. M., Schünemann, H. J., Haddaway, N. R., & Akl, E. A. (2021). Tailored PRISMA 2020 flow Diagrams for Living Systematic Reviews: A Methodological Survey and a Proposal. F1000Research, 10, 192. https://doi.org/10.12688/f1000research.51723.3
Kemenkes RI. (2021). Profil Kesehatan Indonesia Tahun 2020. https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-Tahun-2020.pdf
Kemenkes RI. (2018). Profil Kesehatan Indonesia 2018. Profil Kesehatan Provinsi Bali. https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-indonesia-2018.pdf
Kiran, Y., & Dewi, U. S. P. (2017). Pengetahuan dan Sikap Perawat dalam Memenuhi Kebutuhan Psikologis dan Spiritual Klien Terminal. Jurnal Pendidikan Keperawatan Indonesia, 3(2), 182-189. https://doi.org/10.17509/jpki.v3i2.9425
Kwon, S., Kim, M., & Choi, S. (2020). Nurses’ Experiences of Providing “Sensitive Nursing Care†for Terminally-Ill Individuals with Cancer: A Qualitative Study. European Journal of Oncology Nursing, 46(July 2019), 101773. https://doi.org/10.1016/j.ejon.2020.101773
Lin, J., Guo, Q., Xi, L., Zhang, H., Liu, F., Zheng, R., & Liu, W. (2023). The Effect of Chinese Culture-Adapted Dignity Therapy on Advanced Cancer Patients Receiving Chemotherapy in the Day Oncology Unit: A Quasi-Experimental Study. European Journal of Oncology Nursing, 63(February), 102301. https://doi.org/10.1016/j.ejon.2023.102301
Nasution, L. A., Afiyanti, Y., & Kurniawati, W. (2021). The Effectiveness of Spiritual Intervention in Overcoming Anxiety and Depression Problems in Gynecological Cancer Patients. Jurnal Keperawatan Indonesia, 24(2), 99–109. https://doi.org/10.7454/jki.v24i2.990
Nunziante, F., Tanzi, S., Alquati, S., Autelitano, C., Bedeschi, E., Bertocchi, E., Dragani, M., Simonazzi, D., Turola, E., Braglia, L., Masini, L., & Di Leo, S. (2021). Providing Dignity Therapy to Patients with Advanced Cancer: A Feasibility Study Within the Setting of a Hospital Palliative Care Unit. BMC Palliative Care, 20(1), 1–13. https://doi.org/10.1186/s12904-021-00821-3
Oncology Central. (2018). Latest Global Cancer Data: Cancer Burden Rises to 18.1 Million New Cases and 9.6 Million Cancer Deaths in 2018. Press Release, September, 13–15. https://www.oncology-central.com/cancer-burden-rises-18-1-million-new-cases-9-6-million-cancer-deaths-2018/
Wang, C., Chen, J., Wang, Y., Xu, W., Xie, M., Wu, Y., & Hu, R. (2021). Effects of Family Participatory Dignity Therapy on the Psychological Well-Being and Family Function of Patients with Haematologic Malignancies and Their Family Caregivers: A Randomised Controlled Trial. International Journal of Nursing Studies, 118(2021), 103922. https://doi.org/10.1016/j.ijnurstu.2021.103922
Weru, J., Gatehi, M., & Musibi, A. (2020). Randomized Control Trial of Advanced Cancer Patients at a Private Hospital in Kenya and the Impact of Dignity Therapy on Quality of Life. BMC Palliative Care, 19(1), 1–13. https://doi.org/10.1186/s12904-020-00614-0
Xiao, J., Chow, K. M., Choi, K. C., Ng, S. N. M., Huang, C., Ding, J., & Chan, W. H. C. (2022). Effects of Family-Oriented Dignity Therapy on Dignity, Depression and Spiritual Well-Being of Patients with Lung Cancer Undergoing Chemotherapy: A Randomised Controlled Trial. International Journal of Nursing Studies, 129, 104217. https://doi.org/10.1016/j.ijnurstu.2022.104217
Zhang, Y., Li, J., & Hu, X. (2022). The Effectiveness of Dignity Therapy on Hope, Quality of Life, Anxiety, and Depression in Cancer Patients: A Meta-Analysis of Randomized Controlled Trials. International Journal of Nursing Studies, 132, 104273. https://doi.org/10.1016/j.ijnurstu.2022.104273
Chen, J., Yan, J., Wang, C., Wang, Y., Wu, Y., & Hu, R. (2021). Effects and Satisfaction of Dignity Therapy among Patients with Hematologic Neoplasms in the Chinese Cultural Context: A Randomized Controlled Trial. Supportive Care in Cancer, 29(11), 6819–6829. https://doi.org/10.1007/s00520-021-06227-4
Gonzalez-Ling, A., Vázquez, O. G., Rascón-Gasca, M. L., Robles, R., & Chochinov, H. M. (2022). Dignity Therapy in Mexican Lung Cancer Patients with Emotional Distress: Impact on Psychological Symptoms and Quality of Life. Palliative and Supportive Care, 20(1), 62–68. https://doi.org/10.1017/S1478951521000468
Grijó, L., Tojal, C., & Rego, F. (2021). Effects of Dignity Therapy on Palliative Patients’ Family Members: A Systematic Review. Palliative and Supportive Care, 19(5), 605–614. https://doi.org/10.1017/S147895152100033X
Iani, L., De Vincenzo, F., Maruelli, A., Chochinov, H. M., Ragghianti, M., Durante, S., & Lombardo, L. (2020). Dignity Therapy Helps Terminally Ill Patients Maintain a Sense of Peace: Early Results of a Randomized Controlled Trial. Frontiers in Psychology, 11(June), 1–9. https://doi.org/10.3389/fpsyg.2020.01468
Izah, N., Handayani, F., & Kusuma, H. (2020). Sikap Perawat terhadap Persiapan Kematian pada Pasien Kanker Stadium Lanjut. Jurnal Ilmu Keperawatan Medikal Bedah, 3(1), 1-19. https://doi.org/10.32584/jikmb.v3i1.471
Julião, M., Oliveira, F., Nunes, B., Carneiro, A. V., & Barbosa, A. (2017). Effect of Dignity Therapy on End-of-Life Psychological Distress in Terminally Ill Portuguese patients: A Randomized Controlled Trial. Palliative and Supportive Care, 15(6), 628–637. https://doi.org/10.1017/S1478951516001140
Kahale, L. A., Elkhoury, R., El Mikati, I., Pardo-Hernandez, H., Khamis, A. M., Schünemann, H. J., Haddaway, N. R., & Akl, E. A. (2021). Tailored PRISMA 2020 flow Diagrams for Living Systematic Reviews: A Methodological Survey and a Proposal. F1000Research, 10, 192. https://doi.org/10.12688/f1000research.51723.3
Kemenkes RI. (2021). Profil Kesehatan Indonesia Tahun 2020. https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-Tahun-2020.pdf
Kemenkes RI. (2018). Profil Kesehatan Indonesia 2018. Profil Kesehatan Provinsi Bali. https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-indonesia-2018.pdf
Kiran, Y., & Dewi, U. S. P. (2017). Pengetahuan dan Sikap Perawat dalam Memenuhi Kebutuhan Psikologis dan Spiritual Klien Terminal. Jurnal Pendidikan Keperawatan Indonesia, 3(2), 182-189. https://doi.org/10.17509/jpki.v3i2.9425
Kwon, S., Kim, M., & Choi, S. (2020). Nurses’ Experiences of Providing “Sensitive Nursing Care†for Terminally-Ill Individuals with Cancer: A Qualitative Study. European Journal of Oncology Nursing, 46(July 2019), 101773. https://doi.org/10.1016/j.ejon.2020.101773
Lin, J., Guo, Q., Xi, L., Zhang, H., Liu, F., Zheng, R., & Liu, W. (2023). The Effect of Chinese Culture-Adapted Dignity Therapy on Advanced Cancer Patients Receiving Chemotherapy in the Day Oncology Unit: A Quasi-Experimental Study. European Journal of Oncology Nursing, 63(February), 102301. https://doi.org/10.1016/j.ejon.2023.102301
Nasution, L. A., Afiyanti, Y., & Kurniawati, W. (2021). The Effectiveness of Spiritual Intervention in Overcoming Anxiety and Depression Problems in Gynecological Cancer Patients. Jurnal Keperawatan Indonesia, 24(2), 99–109. https://doi.org/10.7454/jki.v24i2.990
Nunziante, F., Tanzi, S., Alquati, S., Autelitano, C., Bedeschi, E., Bertocchi, E., Dragani, M., Simonazzi, D., Turola, E., Braglia, L., Masini, L., & Di Leo, S. (2021). Providing Dignity Therapy to Patients with Advanced Cancer: A Feasibility Study Within the Setting of a Hospital Palliative Care Unit. BMC Palliative Care, 20(1), 1–13. https://doi.org/10.1186/s12904-021-00821-3
Oncology Central. (2018). Latest Global Cancer Data: Cancer Burden Rises to 18.1 Million New Cases and 9.6 Million Cancer Deaths in 2018. Press Release, September, 13–15. https://www.oncology-central.com/cancer-burden-rises-18-1-million-new-cases-9-6-million-cancer-deaths-2018/
Wang, C., Chen, J., Wang, Y., Xu, W., Xie, M., Wu, Y., & Hu, R. (2021). Effects of Family Participatory Dignity Therapy on the Psychological Well-Being and Family Function of Patients with Haematologic Malignancies and Their Family Caregivers: A Randomised Controlled Trial. International Journal of Nursing Studies, 118(2021), 103922. https://doi.org/10.1016/j.ijnurstu.2021.103922
Weru, J., Gatehi, M., & Musibi, A. (2020). Randomized Control Trial of Advanced Cancer Patients at a Private Hospital in Kenya and the Impact of Dignity Therapy on Quality of Life. BMC Palliative Care, 19(1), 1–13. https://doi.org/10.1186/s12904-020-00614-0
Xiao, J., Chow, K. M., Choi, K. C., Ng, S. N. M., Huang, C., Ding, J., & Chan, W. H. C. (2022). Effects of Family-Oriented Dignity Therapy on Dignity, Depression and Spiritual Well-Being of Patients with Lung Cancer Undergoing Chemotherapy: A Randomised Controlled Trial. International Journal of Nursing Studies, 129, 104217. https://doi.org/10.1016/j.ijnurstu.2022.104217
Zhang, Y., Li, J., & Hu, X. (2022). The Effectiveness of Dignity Therapy on Hope, Quality of Life, Anxiety, and Depression in Cancer Patients: A Meta-Analysis of Randomized Controlled Trials. International Journal of Nursing Studies, 132, 104273. https://doi.org/10.1016/j.ijnurstu.2022.104273
