上海护理2026，Vol.26Issue(5)：15-20,6.DOI:10.3969/j.issn.1009-8399.2026.05.004
人生回顾对老年晚期食管癌放疗患者生命意义感的影响
Effects of Life Review Therapy on the Sense of Meaning in Life in Elderly Patients with Advanced Esophageal Cancer Undergoing Radiotherapy
摘要
Abstract
Objective To explore the effects of life review therapy on the sense of meaning in life,dignity level,death anxiety and anxiety&depression in elderly patients with advanced esophageal cancer undergoing radio-therapy.Methods By convenience sampling,the study selected 77 advanced esophageal cancer patients who were hospitalized in the Radiation Oncology Department at a Grade Ⅲ-A hospital in Tianjin to undergo ra-diotherapy from January 2023 to December 2024.They were randomly assigned to either the intervention group(n=38)or the control group(n=39).The control group received routine supportive care,while the inter-vention group additionally received an 8-week life review therapy.The therapy comprised three stages:prepa-ration,structured intervention(covering themes such as childhood memories,occupational attainments,and family roles),and consolidation(involving family participation and creation of a"life story"memory book).Pa-tients were assessed using the Meaning in Life Questionnaire,Patient Dignity Inventory,Templer's Death Anxi-ety Scale and Hospital Anxiety and Depression Scale before the first radiotherapy session and after the final ra-diotherapy session,respectively.Results After the intervention,the intervention group showed significantly higher scores for meaning in life(P<0.05),signifi-cantly improved dignity levels(P<0.05)and signifi-cantly lower scores for death anxiety and anxiety&depression(P<0.05),compared to the control group.Conclusion Life review therapy is an effective psy-chological care to improve patients'mood in clinical practice,as it effectively enhances the sense of meaning in life and dignity levels and alleviates death anxiety and anxiety&depression in elderly patients with ad-vanced esophageal cancer undergoing radiotherapy.关键词
人生回顾疗法/食管癌/生命意义感/尊严水平/死亡焦虑Key words
Life review therapy/Esophageal cancer/Sense of meaning in life/Dignity level/Death anxiety分类
医药卫生引用本文复制引用
冯亚娟,张庆芬,王娴..人生回顾对老年晚期食管癌放疗患者生命意义感的影响[J].上海护理,2026,26(5):15-20,6.基金项目
天津市医学重点学科建设资助(TJYXZDXK-3-004B) （TJYXZDXK-3-004B）
天津医科大学肿瘤医院护理创新人才项目(HL2021-13). （HL2021-13）
