The effect of dignity therapy on anxiety and depression in patients with chronic obstructive pulmonary disease: A randomized clinical trial.

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Journal of Education and Health Promotion Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.4103/jehp.jehp_1237_23

Tahmineh Sharifmoradi, Hojatollah Yousefi, Vajihe Atashi, Narges Hashemi, Ramin Sami

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Abstract

Background: Anxiety and depression can prolong the treatment process and impose financial burdens on the health system in chronic obstructive pulmonary disease. Dignity therapy is one of the methods of eliminating these symptoms. The present study was conducted to investigate the effect of dignity therapy on the severity of anxiety and depression in patients with chronic obstructive pulmonary disease.

Materials and methods: This clinical trial was conducted on 62 patients with chronic obstructive pulmonary disease, referring to the comprehensive respiratory clinic of Khorshid Hospital (Isfahan, Iran) in 2021. The patients were randomly allocated to intervention and control groups. Each patient of the intervention group underwent dignity therapy for four 45-60-min sessions, whereas no intervention was performed in the control group. Data were collected using demographic information questionnaire and Hospital Anxiety and Depression Scale (HADS), before the intervention and one month after the completion of the intervention in two groups. Data were analyzed using SPSS version 18 (SPSS Inc., Chicago, IL, USA) as well as descriptive (mean, standard deviation, frequency, and percentage) and inferential (Chi-square, independent t-test, and paired t-test) statistics.

Results: The mean score of anxiety of the patients before the intervention was not significantly different between the two groups (P = 0.18); but one month after the intervention, it was significantly lower in the intervention group than in the control group (P = 0.05). Also, the score of depression was not significantly different between the two groups before (P = 0.68) and one month after the intervention (P > 0.05).

Conclusion: Dignity therapy could reduce anxiety in patients with chronic obstructive pulmonary disease; thus, it could be used as a nonpharmacological, cost-effective and probably without side effects method.

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尊严疗法对慢性阻塞性肺病患者焦虑和抑郁的影响：随机临床试验。

背景：慢性阻塞性肺疾病患者的焦虑和抑郁会延长治疗过程，并给卫生系统带来经济负担。尊严疗法是消除这些症状的方法之一。本研究旨在探讨尊严疗法对慢性阻塞性肺疾病患者焦虑和抑郁严重程度的影响。材料与方法：本临床试验纳入62例慢性阻塞性肺疾病患者，参照2021年伊朗伊斯法罕Khorshid医院呼吸综合门诊。将患者随机分为干预组和对照组。干预组的每位患者都进行了4次45-60分钟的尊严治疗，而对照组没有进行任何干预。采用人口统计信息问卷和医院焦虑抑郁量表（HADS）收集两组患者干预前和干预结束后1个月的数据。数据分析使用SPSS 18 （SPSS Inc., Chicago， IL， USA）以及描述性（均值、标准差、频率和百分比）和推断性（卡方、独立t检验和配对t检验）统计。结果：两组患者干预前焦虑得分均值比较，差异无统计学意义（P = 0.18）；干预1个月后，干预组明显低于对照组（P = 0.05）。干预前、干预后1个月抑郁评分差异无统计学意义（P = 0.68）。结论：尊严疗法可减轻慢性阻塞性肺疾病患者的焦虑；因此，它可以作为一种非药物，成本效益和可能没有副作用的方法。

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