open access

Vol 87, No 3 (2019)
ORIGINAL PAPERS
Published online: 2019-05-06
Submitted: 2019-04-13
Accepted: 2019-04-29
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Dignity Therapy as an aid to coping for COPD patients at their end-of-life stage

Beata Brożek, Małgorzata Fopka-Kowalczyk, Marta Łabuś-Centek, Iwona Damps-Konstańska, Anna Ratajska, Ewa Jassem, Philip Larkin, Małgorzata Krajnik
DOI: 10.5603/ARM.a2019.0021
·
Pubmed: 31058308
·
Adv Respir Med 2019;87(3):135-145.

open access

Vol 87, No 3 (2019)
ORIGINAL PAPERS
Published online: 2019-05-06
Submitted: 2019-04-13
Accepted: 2019-04-29

Abstract

Introduction: Observations indicate that struggling with a burden of an incurable disease such as advanced chronic obstructive pulmonary disease (COPD) may result in the weakening of an individual sense of dignity, and be a source of spiritual suffering. Clinicians providing respiratory care to patients should be open to their spiritual needs, in the belief it may improve coping with the end-of-life COPD.
The study aimed to assess overall feasibility and potential benefits of Dignity Therapy (DT) in patients with advanced COPD.
Material and methods: Patients with severe COPD, in whom a DT intervention was implemented according to the protocol established by Chochinov et al. were included into the study. An self-designed questionnaire was applied to assess the patients’ satisfaction after intervention. Subsequently, the patients’ statements were allocated to specific problem categories, corresponding to the spiritual suffering concerns, as structured by Groves and Klauser.
Results: DT was completed in 10 patients, with no unexpected side effects. Satisfaction Questionnaire showed a positive effect of DT on the patient’ well-being (3.9 on a 5-point Likert scale). The analyses of the patients’ original statements enabled an effective identification of the spiritual suffering and spiritual resources and faced by COPD patients.
Conclusion: DT is an intervention well received by COPD patients, which may help them in recognising and fulfilling their spiritual needs in the last phase of their life. Information acquired on the patients’ resources and spiritual challenges may help clinicians improve their care, especially with regard to supporting their patients at the end-of-life stage.

Abstract

Introduction: Observations indicate that struggling with a burden of an incurable disease such as advanced chronic obstructive pulmonary disease (COPD) may result in the weakening of an individual sense of dignity, and be a source of spiritual suffering. Clinicians providing respiratory care to patients should be open to their spiritual needs, in the belief it may improve coping with the end-of-life COPD.
The study aimed to assess overall feasibility and potential benefits of Dignity Therapy (DT) in patients with advanced COPD.
Material and methods: Patients with severe COPD, in whom a DT intervention was implemented according to the protocol established by Chochinov et al. were included into the study. An self-designed questionnaire was applied to assess the patients’ satisfaction after intervention. Subsequently, the patients’ statements were allocated to specific problem categories, corresponding to the spiritual suffering concerns, as structured by Groves and Klauser.
Results: DT was completed in 10 patients, with no unexpected side effects. Satisfaction Questionnaire showed a positive effect of DT on the patient’ well-being (3.9 on a 5-point Likert scale). The analyses of the patients’ original statements enabled an effective identification of the spiritual suffering and spiritual resources and faced by COPD patients.
Conclusion: DT is an intervention well received by COPD patients, which may help them in recognising and fulfilling their spiritual needs in the last phase of their life. Information acquired on the patients’ resources and spiritual challenges may help clinicians improve their care, especially with regard to supporting their patients at the end-of-life stage.

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Keywords

COPD, Dignity Therapy, end of life, spiritual suffering

About this article
Title

Dignity Therapy as an aid to coping for COPD patients at their end-of-life stage

Journal

Advances in Respiratory Medicine

Issue

Vol 87, No 3 (2019)

Pages

135-145

Published online

2019-05-06

DOI

10.5603/ARM.a2019.0021

Pubmed

31058308

Bibliographic record

Adv Respir Med 2019;87(3):135-145.

Keywords

COPD
Dignity Therapy
end of life
spiritual suffering

Authors

Beata Brożek
Małgorzata Fopka-Kowalczyk
Marta Łabuś-Centek
Iwona Damps-Konstańska
Anna Ratajska
Ewa Jassem
Philip Larkin
Małgorzata Krajnik

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