YunYun Deng,YiMing Yao,Chang Wang,Ting Li,Yuan Wang,ChanJuan Kang,HuiYi Tan
{"title":"尊严疗法对烧伤患者尊严、焦虑、抑郁和生活质量的影响:随机对照试验","authors":"YunYun Deng,YiMing Yao,Chang Wang,Ting Li,Yuan Wang,ChanJuan Kang,HuiYi Tan","doi":"10.1111/jan.16466","DOIUrl":null,"url":null,"abstract":"AIMS\r\nTo evaluate the effect of dignity therapy on dignity, anxiety, depression and overall quality of life for people with burns.\r\n\r\nDESIGN\r\nA single-blind, double-arm, parallel randomised controlled study.\r\n\r\nMETHODS\r\nThe Patient Dignity Scale, Hospital Anxiety and Depression Scale, and Burn-Specific Health Scale-Short were employed to assess the dignity, anxiety, depression and overall quality of life for people with burns. These outcome indicators were measured and analysed at baseline, 2-, 4- and 8-week follow-up. The generalised estimating equations were used to analyse the effect of the intervention during each time point.\r\n\r\nRESULTS\r\nA total of 99 participants were recruited (50 in the intervention group and 49 in the control group), with a high retention rate of 97 participants (94.95%) completing the 8-week follow-up. All outcome measurement tools met the feasibility criteria related to completeness and responsiveness over time. Dignity was the primary outcome measure, with anxiety, depression and quality of life serving as secondary outcome measures. At the 8-week post-intervention, participants in the intervention group demonstrated a statistically significant decrease in dignity and anxiety and depression, and a statistically significant increase in burn-specific health.\r\n\r\nCONCLUSIONS\r\nDignity therapy can effectively reduce the loss of dignity, anxiety and depression, and improve the quality of life for people with burns. This study has a positive impact on burn dignity nursing practice and provides healthcare professionals with a novel approach to help people with burns return to normal social life with dignity.\r\n\r\nIMPLICATIONS FOR THE PROFESSION\r\nIt is important to develop patient-centred care for burns with dignity. Focusing on developing a rational understanding of non-discriminatory dignity care practices among clinical providers and to develop dignity-oriented clinical care practices on the wards.\r\n\r\nIMPACT\r\nThis study validated the feasibility of implementing dignity therapy for people with burns. Dignity therapy is effective in reducing the degree of dignity impairment, reducing anxiety and depressive symptoms, and enhancing the quality of life for people with burns. Our findings can help healthcare professionals to provide personalised dignity care throughout the patient's journey to facilitate a dignified reintegration into society and life for people with burns.\r\n\r\nREPORTING METHOD\r\nThis randomised controlled trial used the CONSORT guidelines.\r\n\r\nPATIENT OR PUBLIC CONTRIBUTION\r\nNo patients or members of the public participated in the study design, data analysis or interpretation.\r\n\r\nCLINICAL TRIALS\r\nThis study has been registered in the Chinese Clinical Trial Registry registration number: ChiCTR2200065145, 29 October 2022.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8000,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of Dignity Therapy on Dignity, Anxiety, Depression and Quality of Life for People With Burns: A Randomised Controlled Trial.\",\"authors\":\"YunYun Deng,YiMing Yao,Chang Wang,Ting Li,Yuan Wang,ChanJuan Kang,HuiYi Tan\",\"doi\":\"10.1111/jan.16466\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"AIMS\\r\\nTo evaluate the effect of dignity therapy on dignity, anxiety, depression and overall quality of life for people with burns.\\r\\n\\r\\nDESIGN\\r\\nA single-blind, double-arm, parallel randomised controlled study.\\r\\n\\r\\nMETHODS\\r\\nThe Patient Dignity Scale, Hospital Anxiety and Depression Scale, and Burn-Specific Health Scale-Short were employed to assess the dignity, anxiety, depression and overall quality of life for people with burns. These outcome indicators were measured and analysed at baseline, 2-, 4- and 8-week follow-up. The generalised estimating equations were used to analyse the effect of the intervention during each time point.\\r\\n\\r\\nRESULTS\\r\\nA total of 99 participants were recruited (50 in the intervention group and 49 in the control group), with a high retention rate of 97 participants (94.95%) completing the 8-week follow-up. All outcome measurement tools met the feasibility criteria related to completeness and responsiveness over time. Dignity was the primary outcome measure, with anxiety, depression and quality of life serving as secondary outcome measures. At the 8-week post-intervention, participants in the intervention group demonstrated a statistically significant decrease in dignity and anxiety and depression, and a statistically significant increase in burn-specific health.\\r\\n\\r\\nCONCLUSIONS\\r\\nDignity therapy can effectively reduce the loss of dignity, anxiety and depression, and improve the quality of life for people with burns. This study has a positive impact on burn dignity nursing practice and provides healthcare professionals with a novel approach to help people with burns return to normal social life with dignity.\\r\\n\\r\\nIMPLICATIONS FOR THE PROFESSION\\r\\nIt is important to develop patient-centred care for burns with dignity. 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Effects of Dignity Therapy on Dignity, Anxiety, Depression and Quality of Life for People With Burns: A Randomised Controlled Trial.
AIMS
To evaluate the effect of dignity therapy on dignity, anxiety, depression and overall quality of life for people with burns.
DESIGN
A single-blind, double-arm, parallel randomised controlled study.
METHODS
The Patient Dignity Scale, Hospital Anxiety and Depression Scale, and Burn-Specific Health Scale-Short were employed to assess the dignity, anxiety, depression and overall quality of life for people with burns. These outcome indicators were measured and analysed at baseline, 2-, 4- and 8-week follow-up. The generalised estimating equations were used to analyse the effect of the intervention during each time point.
RESULTS
A total of 99 participants were recruited (50 in the intervention group and 49 in the control group), with a high retention rate of 97 participants (94.95%) completing the 8-week follow-up. All outcome measurement tools met the feasibility criteria related to completeness and responsiveness over time. Dignity was the primary outcome measure, with anxiety, depression and quality of life serving as secondary outcome measures. At the 8-week post-intervention, participants in the intervention group demonstrated a statistically significant decrease in dignity and anxiety and depression, and a statistically significant increase in burn-specific health.
CONCLUSIONS
Dignity therapy can effectively reduce the loss of dignity, anxiety and depression, and improve the quality of life for people with burns. This study has a positive impact on burn dignity nursing practice and provides healthcare professionals with a novel approach to help people with burns return to normal social life with dignity.
IMPLICATIONS FOR THE PROFESSION
It is important to develop patient-centred care for burns with dignity. Focusing on developing a rational understanding of non-discriminatory dignity care practices among clinical providers and to develop dignity-oriented clinical care practices on the wards.
IMPACT
This study validated the feasibility of implementing dignity therapy for people with burns. Dignity therapy is effective in reducing the degree of dignity impairment, reducing anxiety and depressive symptoms, and enhancing the quality of life for people with burns. Our findings can help healthcare professionals to provide personalised dignity care throughout the patient's journey to facilitate a dignified reintegration into society and life for people with burns.
REPORTING METHOD
This randomised controlled trial used the CONSORT guidelines.
PATIENT OR PUBLIC CONTRIBUTION
No patients or members of the public participated in the study design, data analysis or interpretation.
CLINICAL TRIALS
This study has been registered in the Chinese Clinical Trial Registry registration number: ChiCTR2200065145, 29 October 2022.
期刊介绍:
The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy.
All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.