Journal of Korean Academy of Nursing

Review Article

Effects of Dignity Interventions on Psychosocial and Existential Distress in Terminally ill Patients: A Meta-analysis: Pok Ja Oh, Sung-Rae Shin; J Korean Acad Nurs 2014;44(5):471-483. Published online October 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.5.471

Purpose

This study was done to evaluate the effects of dignity interventions on depression, anxiety and meaning of life in terminally ill patients.

Methods

PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and several Korean databases were searched. The main search strategy combined terms indicating dignity intervention, presence of terminal illness and study design. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.2.11 program of Cochrane Library.

Results

Twelve clinical trials met the inclusion criteria with a total of 878 participants. Dignity intervention was conducted for a mean of 2.2 weeks, 2.8 sessions and an average of 48.7 minutes per session. Effect sizes were heterogeneous and subgroup analysis was done. Dignity interventions had a significant effect on depression (ES=-1.05, p<.001, I²=15%) and anxiety (ES=-1.01, p<.001, I²=0). For meaning of life, dignity interventions were effective (ES=-1.64, p=.005) and effect sizes were still heterogeneous.

Conclusion

Results support findings that dignity interventions can assist terminal ill patients in reducing emotional distress and improving meaning of life. Further well-designed dignity studies will lead to better understanding of the effects of treatments on spiritual well-being.

Citations

Citations to this article as recorded by

Effects of meaning in life and individual characteristics on dignity in patients with advanced cancer in China: a cross-sectional study
Xiaocheng Liu, Zhili Liu, Qinqin Cheng, Nuo Xu, Hui Liu, Wenjuan Ying
Supportive Care in Cancer.2021; 29(5): 2319. CrossRef
Effectiveness of dignity therapy for patients with advanced cancer: A systematic review and meta‐analysis of 10 randomized controlled trials
Yanfei Li, Xiuxia Li, Liangying Hou, Liujiao Cao, Guanghua Liu, Kehu Yang
Depression and Anxiety.2020; 37(3): 234. CrossRef
Mechanisms Behind Religiosity and Spirituality’s Effect on Mental Health, Quality of Life and Well-Being
Mario Fernando Prieto Peres, Helder H. Kamei, Patricia R. Tobo, Giancarlo Lucchetti
Journal of Religion and Health.2018; 57(5): 1842. CrossRef

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Original Article

Development and Evaluation of a Dignified Dying Scale for Korean Adults: Kae-Hwa Jo; J Korean Acad Nurs 2011;41(3):313-324. Published online June 13, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.3.313

Abstract PDF

Purpose

The study was done to develop a dignified dying scale for Korean adults.

Methods

The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 428 adults who lived in one of 3 Korean metropolitan cities: Seoul, Daegu, and Busan. Item analysis, factor analysis, criterion related validity, and internal consistency were used to analyze the data. Data collection was done from March to June 2010.

Results

Thirty items were selected for the final scale, and categorized into 5 factors explaining 54.5% of the total variance. The factors were labeled as maintaining emotional comfort (10 items), arranging social relationship (9 items), avoiding suffering (3 items), maintaining autonomous decision making (4 items), and role preservation (4 items). The scores for the scale were significantly correlated with personal meanings of death scale. Cronbach's alpha coefficient for the 30 items was .92.

Conclusion

The above findings indicate that the dignified dying scale has a good validity and reliability when used with Korean adults.

Citations

Citations to this article as recorded by

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Aeri Kim, Kisook Kim
The Korean Journal of Hospice and Palliative Care.2023; 26(2): 80. CrossRef
Development and Validation of a Dignity in Care Scale of Terminally Ill Patients for Nurses
Yun Sil Ahn, Pok Ja Oh
Journal of Korean Academy of Nursing.2023; 53(3): 340. CrossRef
Factors Influencing Advanced Directives Among Hemodialysis Patients
Eunseong SON, Minjeong SEO
Korean Journal of Medical Ethics.2022; 25(3): 243. CrossRef
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Sun-A Park, Hee Jung Park
Seminars in Oncology Nursing.2021; 37(3): 151147. CrossRef
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Eun-Ju Ha, Mee Ock Gu
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(1): 121. CrossRef
The Effect of Hospice Patients' Pain, Anxiety, Depression, Perception of Dignity, and Spiritual Well-Being on their Attitudes toward Dignified Death
Yun Sil Ahn, Pok Ja Oh
Korean Journal of Adult Nursing.2021; 33(3): 212. CrossRef
Factors affecting Elders' Acceptance of Death
Seon Mi Ha, Jung Seop Lee
Journal of Korean Gerontological Nursing.2017; 19(3): 165. CrossRef
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Hong Seon Lee, Kae Hwa Jo, Hyun Ji Lee
The Journal of Korean Academic Society of Nursing Education.2015; 21(1): 129. CrossRef
Health Care Professional Factors Influencing Shared Medical Decision Making in Korea
Kae-Hwa Jo, Gyeong-Ju An, Hong Seon Lee
Sage Open.2015;[Epub] CrossRef
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Shin Mi Kim, Sun Woo Hong, Jin Shil Kim, Ki Sook Kim
The Journal of Korean Academic Society of Nursing Education.2014; 20(4): 639. CrossRef
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Jiyeon Kang, Seonyoung Yun, Soo Jeong Kim, So Ra An, Myeong Hee Lee, Shinmi Kim
Journal of muscle and joint health.2013; 20(3): 197. CrossRef
The Impact of Nurses’ Attitude toward Dignified Death and Moral Sensitivity on Their End-of-Life Care Performance
Kae Hwa Jo, Yeon Ja Kim
The Korean Journal of Hospice and Palliative Care.2013; 16(4): 223. CrossRef
Predictive Factor s for City Dweller s’ Attitudes toward Death with Dignity
Kae Hwa Jo, Gyeong Ju An, Gyun Moo Kim, Yeon Ja Kim
The Korean Journal of Hospice and Palliative Care.2012; 15(4): 193. CrossRef
Development and Evaluation of Shared Medical Decision-Making Scale for End-of-Life Patients in Korea
Kae Hwa Jo
Journal of Korean Academy of Nursing.2012; 42(4): 453. CrossRef

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