Abordaje enfermero en la Terapia de la Dignidad

Nursing approach in Dignity Therapy

  • Marta Mata Hijosa Escuela de Enfermería de Palencia. Palencia, España
  • María Elena Faulín Ramos Escuela de Enfermería de Palencia. Palencia, España
  • Marta Sánchez Sánchez Escuela de Enfermería de Palencia. Palencia, España
Palabras clave: Terapia de la dignidad, Enfermería, Cuidados paliativos, Calidad de vida, Bienestar psicológico, Estrategias de afrontamiento
Key-words: Dignity therapy, Nursing, Palliative care, Quality of life, Psychological well-being, Coping

Resumen

Bibliografía


  1. Roberto Wenk. Serious health-related suffering (SHS). Pallipedia, (sitio web) 2019. http://pallipedia.org/serious-health-related-suffering-shs/

  2. Cazón y Wilson Astudillo A. AC. Nuevos Criterios para la Actuación Sanitaria en la Terminalidad. Paliativossinfronteras.org (sitio web). https://paliativossinfronteras.org/wp-content/uploads/02-NUEVOS-CRITERIOS-PARA-LA-ACTUACION-SANITARIA-EN-LA-TERMINALIDAD-Cabarcos_1.pdf

  3. Rudilla D, Barreto P, Oliver A, Galiana L. Estudio comparativo de la eficacia del counselling y de la terapia de la dignidad en pacientes paliativos. Medicina Paliativa. 2017; 24(1):39–46 http://dx.doi.org/10.1016/j.medipa.2014.09.005

  4. La dignidad ¿qué es el Cuidado Basado en. Una responsabilidad de todos. Secpal.org (sitio web), 2022. https://www.secpal.org/wp-content/uploads/2022/06/secpal-comprender-cuidados-paliativos-7-cuidado-basado-en-la-dignidad.pdf

  5. Junta de Andalucía. Terapia de la Dignidad. Red de Cuidados Paliativos (sitio web), 2022. https://www.redpal.es/terapia-de-la-dignidad/

  6. Martínez M, Arantzamendi M, Belar A, Carrasco JM, Carvajal A, Rullán M, et al. “Dignity therapy”, a promising intervention in palliative care: A comprehensive systematic literature review. Palliat Med. 2017; 31(6):492–509 http://dx.doi.org/10.1177/0269216316665562

  7. Santamaría Campos CC, Carrero Planes V, Navarro Sanz R. Sentido de dignidad al final de la vida: una aproximación empírica. Medicina Paliativa. 2014; 21(4):141–52 http://dx.doi.org/10.1016/j.medipa.2013.03.004

  8. Griselda. El Counseling: qué es y cómo convertirte en un experto. Centro de Estudios de Psicología (sitio web), 2022 https://cepsicologia.com/counseling-beneficios-fases-formacion/

  9. SECPAL. Historia de los cuidados paliativos. Secpal.org (sitio web), 2025 https://www.secpal.org/historia-de-los-cuidados-paliativos/

  10. American Cancer Society. ¿Qué es el cuidado paliativo?. Cancer.org (sitio web), 2019. https://www.cancer.org/es/cancer/como-sobrellevar-el-cancer/atencion-paliativa/que-es-el-cuidado-paliativo.html

  11. Medline Plus. ¿Qué son los cuidados paliativos?. Medlineplus.gov (sitio web), 2024. https://medlineplus.gov/spanish/ency/patientinstructions/000536.htm

  12. Psicológica y espiritual I. Manual para la atención psicosocial y espiritual a personas con enfermedades avanzadas. Gencat.cat (sitio web) https://ico.gencat.cat/web/.content/minisite/ico/professionals/documents/qualy/arxius/MANUAL-ATENCION-PSICOSOCIAL-2016.pdf

  13. Dignity in Care. Dignity therapy at end–of–life. Dignityincare.ca (sitio web), 2022. https://dignityincare.ca/en/dignity-therapy-at-end-of-life.html

  14. Murtagh FEM, Bausewein C, Verne J, Groeneveld EI, Kaloki YE, Higginson IJ. How many people need palliative care? A study developing and comparing methods for population-based estimates. Palliat Med. 2014; 28(1):49–58 https://www.secpal.org/wp-content/uploads/2024/10/dia-mundial-cuidados-paliativos-2024.pdf

  15. Ogando B, García C. Veinticinco siglos de paternalismo, 25 años de autonomía: una aproximación histórica a los cambios en la relación clínica. Revista De Calidad Asistencial. 2006; 21(3):163–8 https://www.elsevier.es/es-revista-revista-calidad-asistencial-256-articulo-veinticinco-siglos-paternalismo-25-anos-13089606

  16. Redcaspe – Programa de Habilidades en Lectura Crítica Español. Redcaspe.org (sitio web), 2022 https://redcaspe.org/

  17. Wilkie DJ, Fitchett G, Yao Y, Schoppee T, Delgado Guay MO, Hauser J, et al. Engaging mortality: Effective implementation of Dignity Therapy. J Palliat Med. 2024; 27(2):176–84 http://dx.doi.org/10.1089/jpm.2023.0336

  18. Samuels V, Schoppee TM, Greenlee A, Gordon D, Jean S, Smith V, et al. Interim analysis of attrition rates in palliative care study on Dignity Therapy. Am J Hosp Palliat Care. 2021; 38(12):1503–8 http://dx.doi.org/10.1177/1049909121994309

  19. Bluck S, Mroz EL, Wilkie DJ, Emanuel L, Handzo G, Fitchett G, et al. Quality of life for older cancer patients: Relation of psychospiritual distress to meaning-making during Dignity Therapy. Am J Hosp Palliat Care. 2022; 39(1):54–61 [http://dx.doi.org/10.1177/10499091211011712

  20. Mroz EL, Amin T, Kittelson S, Koch MK, Crowe A, Bluck S, et al. Sharing «off–script»: A qualitative analysis of providers’ empathic self-disclosures during dignity therapy. Palliat Support Care. 2025; 23:e57 http://dx.doi.org/10.1017/S1478951524002098

  21. Zaki-Nejad M, Nikbakht–Nasrabadi A, Manookian A, Shamshiri A. The effect of dignity therapy on the quality of life of patients with cancer receiving palliative care. Iran J Nurs Midwifery Res. 2020; 25(4):286–90 http://dx.doi.org/10.4103/ijnmr.IJNMR_51_19

  22. Iani L, De Vincenzo F, Maruelli A, Chochinov HM, Ragghianti M, Durante S, et al. Dignity Therapy helps terminally ill patients maintain a sense of peace: Early results of a randomized controlled trial. Front Psychol. 2020; 11:1468 http://dx.doi.org/10.3389/fpsyg.2020.01468

  23. De Vincenzo F, Lombardo L, Iani L, Maruelli A, Durante S, Ragghianti M, et al. Spiritual well–being, dignity–related distress and demoralisation at the end of life–effects of dignity therapy: a randomised controlled trial. BMJ Support Palliat Care. 2024; 13(e3):e1238–48 http://dx.doi.org/10.1136/spcare-2022-003696

  24. Hall S, Goddard C, Martin P, Opio D, Speck P. Exploring the impact of dignity therapy on distressed patients with advanced cancer: three case studies: Dignity therapy case studies. Psychooncology. 2013; 22(8):1748–52 http://dx.doi.org/10.1002/pon.3206

  25. Haneef SH, Abdullah M. Effects of dignity Therapy for palliative care patients and family caregivers: A systematic review. Cureus. 2024; 16(9):e70431 http://dx.doi.org/10.7759/cureus.70431

  26. Julião M, Simões C, Chochinov HM. «It seemed I was having a conversation with him»: Posthumous Dignity Therapy case series. Palliat Support Care. 2025; 23:e66 http://dx.doi.org/10.1017/S1478951525000173

  27. Seiler A, Amann M, Hertler C, Christ SM, Schettle M, Kaeppeli BM, et al. Effects of dignity therapy on psychological distress and wellbeing of palliative care patients and family caregivers – a randomized controlled study. BMC Palliat Care. 2024; 23(1):73 http://dx.doi.org/10.1186/s12904-024-01408-4

  28. Wang C, Chen J, Wang Y, Xu W, Xie M, Wu Y, et al. Effects of family participatory dignity therapy on the psychological well-being and family function of patients with haematologic malignancies and their family caregivers: A randomised controlled trial. Int J Nurs Stud. 2021; 118(103922):103922 http://dx.doi.org/10.1016/j.ijnurstu.2021.103922

  29. Xiao J, Chow KM, Choi KC, Ng SNM, Huang C, Ding J, et al. Effects of family–oriented dignity therapy on dignity, depression and spiritual well-being of patients with lung cancer undergoing chemotherapy: A randomised controlled trial. Int J Nurs Stud. 2022; 129(104217):104217 http://dx.doi.org/10.1016/j.ijnurstu.2022.104217

  30. Seyedfatemi N, Ghezeljeh TN, Bolhari J, Rezaei M. Effects of family–based dignity intervention and expressive writing on anticipatory grief of family caregivers of patients with cancer: a study protocol for a four–arm randomized controlled trial and a qualitative process evaluation. Trials. 2021; 22(1):751 http://dx.doi.org/10.1186/s13063-021-05718-3

  31. Lin J, Guo Q, Zhou X, Li H, Cai S. Development of the pediatric family-based dignity therapy protocol for terminally ill children (ages 7–18) and their families: A mixed–methods study. Palliat Support Care. 2024; 22(4):783–91 http://dx.doi.org/10.1017/S1478951523001839

  32. Schuelke T, Rubenstein J. Dignity Therapy in pediatrics: A case series. Palliat Med Rep. 2020; 1(1):156–60 http://dx.doi.org/10.1089/pmr.2020.0015

  33. Bentley B, O’Connor M, Williams A, Breen LJ. Dignity therapy online: Piloting an online psychosocial intervention for people with terminal illness. Digit Health. 2020; 6:2055207620958527 http://dx.doi.org/10.1177/2055207620958527

  34. Bernat JK, Helft PR, Wilhelm LR, Hook NE, Brown LF, Althouse SK, et al. Piloting an abbreviated dignity therapy intervention using a legacy–building web portal for adults with terminal cancer: a feasibility and acceptability study: Piloting an abbreviated dignity therapy intervention. Psychooncology. 2015; 24(12):1823–5 http://dx.doi.org/10.1002/pon.3790

  35. Xie M, Wang C, Li Z, Xu W, Wang Y, Wu Y, et al. Effects of remote dignity therapy on mental health among patients with hematologic neoplasms and their significant others: A randomized controlled trial. Int J Nurs Stud. 2024; 151(104668):104668 http://dx.doi.org/10.1016/j.ijnurstu.2023.104668

  36. Schoppee TM, Scarton L, Bluck S, Yao Y, Keenan G, Handzo G, et al. Description of a training protocol to improve research reproducibility for dignity therapy: an interview-based intervention. Palliat Support Care. 2022; 20(2):178–88 http://dx.doi.org/10.1017/S1478951521000614

  37. Chen Z, Guo Q, Geng H, Xi L, Lin J, Chochinov HM. Development and formative evaluation of the family–based dignity therapy protocol for palliative cancer patients and their families: A mixed–methods study: A mixed–methods study. Cancer Nurs. 2022; 47(3). http://dx.doi.org/10.1097/NCC.0000000000001174

  38. Buonaccorso L, Alquati S, Ghirotto L, Annini A, Tanzi S. Dignity therapy training for the healthcare professionals: Lessons learned from an Italian experience. Front Psychol. 2022; 13:859775. http://dx.doi.org/10.3389/fpsyg.2022.859775

  39. España. Ministerio de Sanidad. Orden SND/1355/2023, de 29 de noviembre, por la que se crean los diplomas de acreditación y diplomas de acreditación avanzada en el ámbito del Sistema Nacional de Salud y se establece su procedimiento de obtención. BOE núm. 291, de 6 de diciembre de 2023 https://www.boe.es/diario_boe/txt.php?id=BOE-A-2023-26799

  40. ClinicalKey Student Nursing. Elsevier; 2025 https://www-clinicalkey-com.ponton.uva.es/student/nursing

Novedades
Estadísticas
Cómo citar
1.
Mata Hijosa, Marta; Faulín Ramos, María Elena; Sánchez Sánchez, Marta. Abordaje enfermero en la Terapia de la Dignidad. Paraninfo Digital. 2025; (41): e41023o. https://ciberindex.com/c/pd/e41023o
Sección
Comunicaciones orales
Comentarios

DEJA TU COMENTARIO     VER 0 COMENTARIOS

Normas y uso de comentarios


Hay un total de 0 comentarios


INTRODUCIR NUEVO COMENTARIO

Para enviar un comentario, rellene los campos situados debajo. Recuerde que es obligatorio indicar un nombre y un email para enviar su comentario (el email no sera visible en el comentario).

Nombre:
e-mail:
Comentario: