Investigation And Namaste Care Program Intervention Study On The Dignity Of Elderly Cancer Patients

Objectives(1)To understand the status of dignity,disease symptoms,preparatory grief and quality of life of elderly patients,and to investigate their differences in general conditions such as genders,ages and marital status.(2)To explore the relationship between dignity,disease symptoms,preparatory grief and quality of life.(3)Through Namaste Care Program,elderly cancer patients are helped to review their lives,gain a comfortable experience in the process of fighting the disease,reduce their preparatory grief,and improve their quality of life and dignity.Methods(1)A large number of domestic and foreign studies related to dignity research were systematically analyzed to understand the development status of dignity.254 elderly cancer patients in radiotherapy department were selected as the research objects.Questionnaire survey was used to understand the dignity,disease symptoms,preparatory grief,quality of life and influencing factors of elderly cancer patients.The elderly patients with Namaste Care Program intervention and test the effect of intervention.(2)SPSS 26.0 was used for statistical analysis of the questionnaire data.Results(1)The overall score of dignity in elderly cancer patients was(58.81±9.61).There were significant differences in dignity in sex(t=2.320,p<0.05),age(F=7.117,p<0.001),education level(F=12.139,p<0.001),income(F=9.223,p<0.001),residence(F=6.840,p<0.001),visit frequency of children(F=3.893,p<0.05),occupation(F=9.373,p<0.001),treatment will(F=14.004,p<0.001).(2)Disease symptoms,preparatory grief and quality of life of elderly cancer patients were correlated with gender,age,marital status,religious belief,sports status,education level,monthly income,residence,residence status,children’s status,occupation,smoking/smoking cessation history,treatment intention and duration of illness.(3)After multiple linear regression analysis,the variables that predicted the dignity of elderly cancer patients included: education level(p<0.001),income(p<0.05),emotional symptoms(p<0.01),sadness and anger(p<0.01),spiritual needs(p<0.05),and self-perception(p<0.001).(4)There was no significant difference between the intervention group and the control group in the scores of dignity,preparatory grief and quality of life(p>0.05).In the intervention group,the post-test scores and differences of social support,peace of mind,responsibility and rights,disease disturbance and dignity as a whole,the post-test scores and differences of physical function,role function,emotional function,cognitive function and social function in the wish of preparatory grief and self-perception dimension and quality of life were significantly higher than those in the control group(p<0.01).The intervention group had significantly lower post-test scores and differences in sadness and anger,attitude towards death,physical symptoms,perceived social support and overall premonition sadness than the control group(p<0.001).There were no significant differences between the intervention group and the control group in post-test scores and differences of spiritual needs dimension of preparatory grief and economic hardship dimension of quality of life.After the intervention of Namaste Care Program,the scores of social support,peace of mind,responsibility and rights,disease disturbance dimension and overall score of dignity,wish,self-perception,physical function,role function,emotional function,cognitive function,social function and total health status in the intervention group were significantly higher than before the intervention(p<0.001),while there were no significant differences in all dimensions of the control group before and after intervention(p>0.05).In terms of preparatory grief,the overall scores of sadness and anger,physical symptoms,perceived social support and preparatory grief in the intervention group were significantly lower than before the intervention(p<0.001),while In addition to preparatory grief,there were no significant differences in all dimensions of the control group before and after intervention(p>0.05).Conclusions(1)Elderly cancer patients with junior high school education,higher monthly income,more spiritual needs and better self-perception,more emotional symptoms and sadness and anger had better dignity.(2)Elderly cancer patients have more disease symptoms,and disease symptoms have a greater impact on life;Elderly cancer patients had moderate levels of preparatory grief;The quality of life in descending order was: emotional functioning,physical functioning,social functioning,cognitive functioning,financial difficulties,total health status and role functioning.(3)Disease symptoms,preparatory grief and quality of life of elderly cancer patients were correlated with gender,age,marital status,religious belief,sports status,education level,monthly income,residence,residence status,children’s status,occupation,smoking/smoking cessation history,treatment intention and duration of illness.(4)The dignity of elderly cancer patients is related to disease symptoms,preparatory grief and quality of life.Spiritual needs and self-perception positively predicted dignity,while emotional symptoms and sadness and anger negatively predicted dignity.(5)To some extent,the Namaste Care Program intervention designed in this study can help elderly cancer patients relieve symptoms of the disease,enhance the communication of family members and the patient’s own self-esteem level,which has a certain intervention effect.