Jinnan Xiao1, Ka Ming Chow1, Carmen Wh Chan2, Minjie Li1, Ying Deng3. 1. The Nethersole School of Nursing, The Chinese University of Hong Kong, Rm732, Esther Lee Building, Shatin, The New Territories, Hong Kong, SAR, China. 2. The Nethersole School of Nursing, The Chinese University of Hong Kong, Rm732, Esther Lee Building, Shatin, The New Territories, Hong Kong, SAR, China. whchan@cuhk.edu.hk. 3. Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan, China.
Abstract
PURPOSE: Safeguarding the perceived dignity of cancer patients has been recently attracting attention, but its development is constrained by the ambiguous construct of dignity. This study aims to describe the perceived dignity of cancer patients undergoing chemotherapy on the basis of the dignity model and to provide insights into the promotion of dignity-conserving care in China. METHODS: A qualitative descriptive design was conducted with face-to-face, semi-structured, and individual interviews. Consecutive sampling of cancer patients undergoing chemotherapy in a public hospital was conducted. Semi-structured interviews were performed by a registered nurse with experience in palliative care research. Data were analysed using the framework method with inductive and deductive approaches. RESULTS: Twenty patients aged 28-70 years old completed the interviews. Perceived dignity themes were classified into three categories, namely illness-related concerns, dignity-conserving repertoire, and social dignity inventory. In comparison with the dignity model, social dignity inventory had two added themes: communication openness and financial burden. These themes affect the perceived dignity of Chinese patients. CONCLUSIONS: The perceived dignity of patients can be affected by various issues, including illness, personal attitudes and practices and social environments. Culture and economics considerably affect the construct of dignity among the Chinese population. Family-oriented approaches are recommended to create an environment where patients feel valued, respected and supported. This method will help cancer patients adapt to the changes brought on by their illness and maintain dignity.
PURPOSE: Safeguarding the perceived dignity of cancerpatients has been recently attracting attention, but its development is constrained by the ambiguous construct of dignity. This study aims to describe the perceived dignity of cancerpatients undergoing chemotherapy on the basis of the dignity model and to provide insights into the promotion of dignity-conserving care in China. METHODS: A qualitative descriptive design was conducted with face-to-face, semi-structured, and individual interviews. Consecutive sampling of cancerpatients undergoing chemotherapy in a public hospital was conducted. Semi-structured interviews were performed by a registered nurse with experience in palliative care research. Data were analysed using the framework method with inductive and deductive approaches. RESULTS: Twenty patients aged 28-70 years old completed the interviews. Perceived dignity themes were classified into three categories, namely illness-related concerns, dignity-conserving repertoire, and social dignity inventory. In comparison with the dignity model, social dignity inventory had two added themes: communication openness and financial burden. These themes affect the perceived dignity of Chinese patients. CONCLUSIONS: The perceived dignity of patients can be affected by various issues, including illness, personal attitudes and practices and social environments. Culture and economics considerably affect the construct of dignity among the Chinese population. Family-oriented approaches are recommended to create an environment where patients feel valued, respected and supported. This method will help cancerpatients adapt to the changes brought on by their illness and maintain dignity.
Entities:
Keywords:
Cancer; Chemotherapy; Chinese; Dignity; Qualitative study
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