Welcome to Francis Academic Press

Academic Journal of Medicine & Health Sciences, 2023, 4(6); doi: 10.25236/AJMHS.2023.040602.

Application progress of dignity therapy in spiritual care of cancer patients


Luo Liqun1, Wen Xiulin2, Wang Jingrong1, Xiao Qian1, Su Liuju1

Corresponding Author:
Wen Xiulin

1School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China

2The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, 710061, China


Through systematic literature review, this paper summarizes the current situation of spiritual care needs of cancer patients, clarifies the outline and evaluation tools of dignity therapy, and expounds the research and clinical practice of dignity therapy in spiritual care of cancer patients at home and abroad, the aim of the study is to provide a theoretical basis for the clinical practice of spiritual care in the Chinese mainland.


Dignity therapy, Spiritual needs, Spiritual care, Cancer patients

Cite This Paper

Luo Liqun, Wen Xiulin, Wang Jingrong, Xiao Qian, Su Liuju. Application progress of dignity therapy in spiritual care of cancer patients. Academic Journal of Medicine & Health Sciences (2023) Vol. 4, Issue 6: 9-14. https://doi.org/10.25236/AJMHS.2023.040602.


[1] Shen Yehong, Zhao Lianying, He Xiubang, et al. The effect of dignity therapy on the psychological status of patients with advanced cancer disease [J]. The Nursing Practice and Research, 2021, 18(14):2193-2196. 

[2] Ying Huiyun, Chen Linli. Thanksgiving emotional intervention on cancer fatigue and negative mood in patients with advanced lung cancer [J]. Nursing and rehabilitation, 2019, 18(03):9-13+17. 

[3] Wu Meiliyang,Liu Xiaohong,Zeng Tieying. Study on the applicability of dignity model in patients with advanced tumors [J]. Chinese Nursing Journal, 2015, 50 (10):1176-1183. 

[4] Hack T, McClement S, Chochinov HM, et al. Learning from dying pa-tients during their final days:life reflections gleaned from dignitytherapy[J]. Palliat Med, 2010, 24(7):715-723. 

[5] Reinert KG, Koenig HG. Re-examining definitions of spirituality in nursing research[J]. J Adv Nurs, 2013, 69(12):2622-2634. 

[6] Field MI, Cassel CK. Approaching death: Improving care at the end of life [M]. Washington D C: National Academy Press, 1997. 

[7] Wang Yujie, Lu Qian, Guo Renxiu. Progress in the spiritual needs and intervention methods of cancer patients [J]. Journal of Nursing, 2019, 26 (14): 34-37. 

[8] Chen J, Lin Y, Yan J, et al. The effects of spiritual care on quality of life and spiritual well-being among patients with terminal illness: A systematic review. Palliat Med. 2018, 32(7):1167-1179. 

[9] Zou Liyan, Cao Meijuan. Spiritual health and its assessment methods by their current status [J]. Journal of Nursing, 2015, 30 (21): 109-112. 

[10] Wei Yayun. Impact of spiritual care on the quality of life in patients with advanced cancer [J]. Psychology Monthly, 2021, 16 (18): 157-158. 

[11] Breitbart W, Heller KS. Reframing Hope: Meaning-Centered Care for Patients Near the End of Life[J]. Journal of Palliative Medicine, 2003, 6(6):979. . 

[12] Astrow Ab, Sharma R K, Huang Y, et al. A Chinese version of the spiritual needs assessment for patients survey instrument[J]. J Palliat Med, 2012, 15(12):1297-1315. 

[13] Hocker A, Krull A, Koch U, et al. Exploring spiritual needs and their associated factors in an urban sample of early and advanced cancer patients[J]. Eur J Cancer Care(Engl), 2014, 23(6):786-794. 

[14] Hsiao S, Gau M, Ingleton C, et al. An exploration of spiritual needs of Taiwanese patients with advanced cancer during the therapeutic processes[J]. J Clin Nurs, 2011, 20(7/8):950-959. 

[15] Li Mengqi, Wang Ying, Xie Haiyan, et al. Current status of spiritual care needs of cancer patients and their influencing factors [J]. Chinese Nursing Journal, 2017, 52 (8): 930-934. 

[16] Chochinov, HM. Dignity Therapy: A Novel Psychotherapeutic Intervention for Patients Near the End of Life[J]. Journal of Clinical Oncology Official Journal of the American Society of Clinical Oncology, 2005, 23(24):5520. 

[17] Ma Lili, Liu Lihui, Chuang Dongmei, et al. Analysis of the dignity model of patients with end-stage disease from the perspective of Traditional Chinese culture [J]. Nursing Management in China, 2020, 20 (04): 582-587. 

[18] Rosenberg F R, Rosenberg M. Self-esteem and delinquency[J]. Journal of Youth and Addlescence, 1978, 7:279-291. 

[19] Ji Yifu, Yu Xin. The self-esteem scale [J]. Chinese Journal of Mental Health, 1999, (Supplement): 318-320. 

[20] Tian Lumei. Rosenberg (1965) Self-esteem Scale Chinese version of the ointment [J]. Psychology, 2006, (02): 88-91. 

[21] Heatherton TF, Polivy J. Development and validation of a scale for measuring state self-esteem[J]. J Pers Soc Psychol, 1991, 60 (6):895-910. 

[22] LanXinggirl. An experimental study on the stability of self-esteem in college students with depressive symptoms [D]. Chongqing: Southwest University, 2008. 

[23] Chang AM. State self-esteem following stroke[J]. Stroke, 1998, 29 (11) :2325-2328. 

[24] Zhang Jun'e, Zheng Meichun, Su Xiaoyin, et al. Effect of social support on changes in self-esteem in patients with a colostomy [J]. Chinese Nursing Journal, 2005 (07): 489-492. 

[25] Chochinov HM, Hassard T, McClement S, et al. The patient dignityinventory:a novel way of measuring dignity-related distress in palli-ative care[J]. J Pain Symptom Manage, 2008, 36(6):559-571. 

[26] Dai HP. Effect of life dignity therapy on dignity-related pressure andhoping level in liver cancer patients [J]. J Nurs Sci, 2011, 26(23):66-67. 

[27] Montross L, Winters KD, Irwin SA. Dignity therapy implementationin a community-based hospice setting [J]. J Palliat Med, 2011, 14(6):729-734. 

[28] Wei Yahong, Liu Wei. Progress in Dignity therapy in patients with advanced cancer [J]. Clinical Oncology in China, 2016, 43 (19): 873-876. 

[29] Liu Fang, Xu Lin. Credit validity of Patient Dignity Scale [J]. Chinese Journal of Practical Nursing, 2015, 31 (1): 26-29. 

[30] Puchalski CM, Sbrana A, Ferrell B, et al. Interprofessional spiritual care in oncology: a literature review. ESMO Open, 2019, 4(1):e000465. 

[31] Chochinov Hm, Kristjanson Lj, Breitbart W, et al. Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trial[J]. Lancet Oncol, 2011, 12(8):753-762. 

[32] Brożek B, Fopka-Kowalczyk M, Łabuś-Centek M, et al. Dignity Therapy as an aid to coping for COPD patients at their end-of-life stage. Adv Respir Med, 2019, 87(3):135-145. 

[33] Zaki-Nejad M, Nikbakht-Nasrabadi A, Manookian A, et al. The effect of dignity therapy on the quality of life of patients with cancer receiving palliative care[J]. Iranian journal of nursing and midwifery research, 2020, 25(4):286. 

[34] Li Y C, Feng Y H, Chiang H Y, et al. The effectiveness of dignity therapy as applied to end-of-life patients with cancer in Taiwan:a quasi-experimental study[J]. Asian Nurs Res (Korean Soc Nurs Sci), 2020, 14 (4):189-195. 

[35] Chen Jingyi. Analysis of the spiritual needs of patients with blood tumors and the dignity therapy intervention study [D]. Fujian Medical University, 2018. 

[36] Wang Ning, Jiang Yan, and Liu Zhen. Application of Dignity therapy in terminal care for patients with advanced lung cancer [J]. Clinical and Rehabilitation of Oncology in China, 2017, 24 (08): 999-1001. 

[37] Chen Jinsong. Discuss the goals, principles and functions of spiritual social work [J]. Social Construction, 2019, 6 (03): 3-13. 

[38] Ricci-Allegra P. Spiritual Perspective, Mindfulness, and Spiritual Care Practice of Hospice and Palliative Nurses[J]. Journal of Hospice & Palliative Nursing, 2018, 20(02):172-179. 

[39] BALDACCHINO D R. Teaching on spiritual care:The perceived impact on qualified nurses[J]. Nurse Educ Pract, 2011, 11(1):47-53. 

[40] HARRAD R, COSENTINO C, KEASLEY R, et al. Spiritual care in nursing:an overview of the measures used to assess spiritual care provision and related factors amongst nurses[J]. Acta Biomed for Health Professions, 2019, 90(4):44-55. 

[41] Fnp-Bc D, Fnp-Bc L , Fyke JP , et al. Spiritual Care Practices of Advanced Practice Nurses: A Multinational Study[J]. The Journal for Nurse Practitioners, 2016, 12( 8):536-544. 

[42] BALDACCHINO D R. Nursing competencies for spiritual care[J]. Journal of Clinical Nursing, 2006, 15(7):885-896. 

[43] Mamier I, Taylor E J, Winslow B W. Nurse Spiritual Care: Prevalence and Correlates [J]. Western Journal of Nursing Research, 2018, 41( 04) : 537-554.