The intervention effects of mindfulness-based stress reduction combined with dignity therapy on psychological distress and dignity in terminal cancer patients undergoing palliative care
正念减压疗法联合尊严疗法对肿瘤终末期患者安宁疗护心理痛苦及尊严感的干预效果

摘要

目的 探讨正念减压疗法联合尊严疗法对肿瘤终末期安宁疗护患者心理痛苦及尊严感的干预效果。方法 选取2024年10月—2025年12月我院收治的肿瘤终末期患者42例，采用随机数字表法分为对照组（21例）与观察组（21例）。对照组实施常规安宁疗护，观察组在常规护理基础上采用正念减压疗法联合尊严疗法干预，比较两组干预前后心理痛苦评分及尊严受损程度。结果 干预后，观察组心理痛苦评分显著低于对照组（P＜0.05）；观察组患者尊严受损量表（PDI）评分显著低于对照组（P＜0.05）。结论 正念减压疗法联合尊严疗法可有效减轻肿瘤终末期患者心理痛苦，降低尊严受损程度，提升患者尊严水平，效果优于常规安宁疗护，值得临床推广。

Abstract

Objective To explore the intervention effects of mindfulness-based stress reduction combined with the dignity therapy on psychological distress and dignity in patients with terminal cancer receiving palliative care.
Methods A total of 42 terminal cancer patients admitted to our hospital from October 2024 to December 2025 were selected and randomly divided into a control group (21 cases) and an observation group (21 cases) using a random number table method. The control group received conventional palliative care, while the observation group received mindfulness-based stress reduction combined with the dignity therapy in addition to routine care. Psychological distress scores and dignity impairment levels were compared between the two groups before and after the intervention.
Results After the intervention, the psychological distress score of the observation group was significantly lower than that of the control group (P < 0.05), and the Dignity Distress Inventory (PDI) score of the observation group was significantly lower than that of the control group (P < 0.05).
Conclusion   Mindfulness-based stress reduction combined with the dignity therapy can effectively alleviate psychological distress, reduce dignity impairment, and enhance the dignity level of terminal cancer patients, with effects superior to conventional palliative care, making it worthy of clinical promotion.