Development of Dignity Individual Music Therapy Program “Your Important Melody”

Introduction: Although spiritual care is one of the challenges of palliative care, structured interventions are limited. We report on the original development of the Dignity Individual Music Therapy Program (DMT) incorporating the elements of Dignity Therapy (DT) for spiritual care. Program: Developed by a research group including a music therapist based on the experience of DT. Procedure: First, the patient selects important songs based on questions such as "When did you live the most in your life? Are there any songs that remind you of those days?" Next, a music therapist plays the music on a piano in a hospital room (individual concert). Encourage the patient to talk freely about their thoughts and life episodes after the performance. Discussion: Patients who have performed DMT have been very well received. Because it is a structured program, it can be implemented in various places. The utility and feasibility of spiritual care will be investigated.

Terapia da dignidade para adultos com câncer em cuidados paliativos: um relato de caso / Dignity therapy for adults with cancer receiving palliative care: a case report / Terapia de la dignidad para adultos con cáncer en cuidados paliativos: reporte de un caso

Este estudo descreve a eficácia da intervenção Terapia da Dignidade, com uma paciente de 52 anos com câncer em cuidados paliativos. O objetivo do trabalho é avaliar a eficácia da terapia da dignidade. Trata-se de um estudo de caso, desenvolvido em quatorze encontros, antes e depois dos quais foram utilizados os seguintes instrumentos: Escala Beck de Ansiedade, Escala Beck de Depressão, Inventário de Dignidade do Paciente. A análise dos dados foi feita qualitativamente, pelo estabelecimento de categorias temáticas e, pela comparação dos resultados das Escalas e do Inventário. Observou-se que, após a realização da intervenção, houve redução nos níveis de depressão (40 para 29 pontos) e melhora no senso de dignidade da paciente (104 para 76 pontos), embora tenha havido aumento nos níveis de ansiedade (46 para 53 pontos). Além disso, aponta-se que a técnica Terapia da Dignidade favoreceu a recuperação de memórias positivas, a possibilidade de arrepender-se e pedir perdão e a aproximação dos familiares no final da vida, representado no documento legado, previsto pela técnica da Terapia da Dignidade, concluindo-se que a Terapia da Dignidade foi eficaz.

This study describes the efficacy of the dignity therapy intervention with a 52 year old cancer patient undergoing palliative care. The aim of the work was to evaluate the efficacy of the dignity therapy. This is a case study, developed in fourteen meetings, before and after which the following instruments were used: Beck Anxiety Inventory, Beck Depression Inventory, Patient Dignity Inventory. Qualitative data analysis was performed, with the establishment of thematic categories. It was observed that, after the completion of the intervention, there was a reduction in the level of depression (40 to 29 points) and improvement in the sense of dignity of the patient (104 to 76 points), although there was an increase in the level of anxiety (46 to 53 points). It was highlighted that the Dignity Therapy technique favored the recovery of positive memories, the possibility to repent and ask for forgiveness and the proximity of the family members at the end of life. This was represented in the legacy document, provided by the Dignity Therapy technique, and it was concluded that the Dignity Therapy was effective.

Este estudio describe una intervención desarrollada con una paciente adulta con cáncer, de 52 años, recibiendo cuidados paliativos. Fue utilizada como técnica de intervención la Terapia de la Dignidad. El objetivo es evaluar la eficacia de la Terapia de la Dignidad. Es un estudio de caso desarrollado en catorce encuentros, que se utilizó las siguientes herramientas y técnicas: Inventario de Ansiedad de Beck; Inventario de Depresión de Beck; Inventario de la Dignidad del Paciente y la técnica Terapia de la Dignidad. Para el análisis de los datos, se utilizó el enfoque por categoría. Se observó que, después de la intervención, hubo una reducción en los niveles de depresión (40 para 29 puntos), mejora del sentido de dignidad (104 para 76 puntos) de la paciente y aumento de los niveles de ansiedad (46 para 53 puntos). Aparte de eso, se señala que la técnica Terapia de la Dignidad favoreció la recuperación de recuerdos positivos, la posibilidad de arrepentirse y pedir perdón y la conexión de la paciente con su familia y otros queridos al final de la vida, por medio de la construcción del documento legado previsto por la técnica Terapia de la Dignidad.

Survey on the Cognition and Attitude towards Dignity Therapy in College Students / 中国医学伦理学

Objective:To investigate the cognition of terminal stage patients'dignity therapy,attitude towards its concept and scheme,willingness of its promotion in college students and to gain some recommendations for improvement.Methods:Combined quantitative and qualitative methods,an anonymous questionnaire survey was conducted in a convenience sample of 220 college students,of which 20 students were selected for in-depth interviews.Results:Only 17.73％ of students had a correct understanding of dignity therapy,94.98％ of them accepted its concept,92.96％ of them held a positive attitude,74.38％ of them were willing to promote dignity therapy,in which female students were dominated (P =0.041).Interview results showed that the contents of dignity therapy were to some extent stiff and not fit for Chinese patients,which might impede its promotion.Conclusion:College students lack the cognition of dignity therapy.But they hold a positive attitude and are willing to promote dignity therapy when they get to know its concept and contents.As seen,dignity therapy has a good future but there are still some obstructions in the promotion,and need to be localized.

Research progress on dignity therapy in patients with advanced cancer / 中国肿瘤临床

Dignity is the idea that a being has the innate right to be valued, respected, and treated ethically. It reflects the value of life.Dignity therapymainly discusses thedignity during the period of death and dying.It involves symptom control, body integrity, au-tonomy, privacy boundaries, respect, and proper handling of personal affairs and death in peace. Dignity therapy is a unique, individu-alized, and brief psychotherapy that was developed for the purpose of relieving distress, enhancing end-of-life experience, reducing psychological and mental burden, and improving the quality of life for dying patients.

Effects of dignity therapy on self-esteem status and negative emotions of lung cancer patients / 中华全科医师杂志

Objective To explore the effects of dignity therapy on self-esteem status and negative emotions of lung cancer patients.Methods A total of 62 lung cancer patients were recruited and divided into experimental and control groups (n =31 each).The control group received routine care while the experimental group additional individualized dignity therapy.And the state self-esteem scale,self-rating anxiety and self-rating depression were used to evaluate the intervention outcomes.Results For both groups,the self-esteem status and negative emotions of the intervention group were significantly better than that those of the control group (self-esteem:61.2 ±4.6 vs.52.6 ±4.1,anxiety:52.2 ±6.8 vs.64.6 ±9.3,depression:51.1 ±7.9 vs.66.2 ±8.7,all P ＜0.05).Conclusion Dignity therapy can improve selfesteem status,decrease the levels of anxiety and depression level and boost quality of life for lung cancer patients.