Dignity Therapy in Palliative Patient Care

Yıl 2025, Cilt: 7 Sayı: 1, 286 - 297, 21.04.2025

Mehmet Hayrullah Öztürk , Serap Parlar Kılıç

https://doi.org/10.46413/boneyusbad.1479209

Öz

Palliative care, developed for those with a chronic and fatal disease, is used in healthcare services as it offers multi-dimensional treatment and care practices. Terminally ill patients face numerous experiences that endanger their psychological, spiritual and existential integrity. Along with physical symptoms, patients may also experience psychological distress such as fear of death, helplessness and hopelessness. These troubles can damage their honor and reputation, and also reduce their quality of life. The main goals of palliative care are to improve patients' quality of life, reduce their suffering, and provide them with a peaceful and dignified death. In addition to medical treatment, non-drug treatment approaches are also used in palliative care. Dignity therapy is a type of psychotherapy that identifies patients' core concerns that affect their perception of dignity and helps them find new meaning in their lives. In the literature review, no scientific study on dignity therapy was found in our country. The aim of this review is to emphasize the importance of the concept of dignity and dignity therapy in palliative patient care and to show that this therapy can be used by nurses for psychosocial support for terminal patients.

Anahtar Kelimeler

Nurse , Dignity , Dignity Therapy , Palliative Care

Palyatif Hasta Bakımında Onur Terapisi

Öz

Kronik ve ölümcül bir hastalığa sahip olanlar için geliştirilen palyatif bakım, çok boyutlu bir tedavi ve bakım uygulamaları sunmasıyla sağlık hizmetlerinde kullanılmaktadır. Terminal dönemdeki hastalar, psikolojik, ruhsal ve varoluşsal bütünlüklerini tehlikeye sokan sayısız deneyimle karşılaşmaktadır. Hastalarda fiziksel semptomlarla birlikte, ölüm korkusu, çaresizlik ve umutsuzluk gibi psikolojik sıkıntılar da görülebilir. Bu sıkıntılar onların onur ve itibarlarını zedeleyebilir, ayrıca yaşam kalitelerini de düşürebilir. Palyatif bakımın temel hedefleri arasında hastaların yaşam kalitesini iyileştirmek, acılarını azaltmak, onlara huzurlu ve onurlu bir ölüm sağlamaktır. Palyatif bakımda tıbbi tedavi haricinde ilaçsız tedavi yaklaşımları da kullanılmaktadır. Onur terapisi, hastaların onur algılarını etkileyen temel endişelerini belirleyen ve yaşamlarında yeni bir anlam bulmalarına yardımcı olan bir tür psikoterapidir. Yapılan literatür incelenmesinde ülkemizde onur terapisi ile yapılan herhangi bir bilimsel çalışmaya rastlanmamıştır. Bu derlemenin amacı, palyatif hasta bakımında onur kavramının ve onur terapisinin önemini vurgulamak ve bu terapinin psikososyal destek amaçlı terminal dönemdeki hastalar için hemşireler tarafından kullanılabilirliğini göstermektir.

Anahtar Kelimeler

Hemşire , Onur , Onur Terapisi , Palyatif Bakım

Kaynakça

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