晚期癌症患者预期性悲伤的现状及影响因素分析

doi:10.16460/j.issn1008-9969.2021.07.011

摘要/Abstract

摘要： 目的探讨晚期癌症患者预期性悲伤现状及影响因素,为制定针对性的护理措施提供参考。方法采取便利抽样法,选取2020年6—9月在天津市某肿瘤专科医院住院的225例晚期癌症患者作为研究对象,采用一般资料调查表,预期性悲伤量表、死亡焦虑量表、希望水平量表、社会支持量表进行调查,采用多元线性回归分析研究对象预期性悲伤得分的影响因素。结果预期性悲伤得分为（45.69±15.73）分,与死亡焦虑呈正相关（P<0.05）,与希望水平、社会支持呈负相关（P<0.05）。多元线性回归分析显示性别、家庭人均月收入、疼痛反应、死亡焦虑、希望水平、社会支持进入回归方程（P<0.05）,共解释晚期癌症患者预期性悲伤总变异的74.5%。结论本组晚期癌症患者的预期性悲伤呈中等水平,医务人员要关注女性、收入较低、疼痛严重、死亡焦虑大、希望水平低、社会支持低的晚期癌症患者,并给予针对性的干预措施,以降低其预期性悲伤水平。

关键词: 晚期癌症, 预期性悲伤, 影响因素

Abstract: Objective To explore the current situation and influencing factors of anticipatory grief in advanced cancer patients, and to provide reference for the development of targeted nursing measures. Methods With convenient sampling, 225 advanced cancer patients hospitalized from June to September 2020 were selected from a specialized oncology hospital in Tianjin and surveyed by using general information questionnaire, the Anticipatory Grief Scale (AGS), the Death Anxiety Scale (DAS), Herth Hope Index and Social Support Rating Scale. Multiple linear regression was used to analyze the influence factors of anticipatory grief. Results The score of anticipatory grief was 45.69±15.73, which was positively correlated with death anxiety (P<0.05) but negatively with hope level and social support (P<0.05). Multiple linear regression analysis showed that gender, monthly per capita household income, pain response, death anxiety, hope level, and social support entered the regression equation (P<0.05), accounting for 74.5% of the total variance in anticipatory grief in patients with advanced cancer. Conclusion Anticipatory grief in this group of advanced cancer patients is in a moderate or below level. More attention should go to female patients, those with low income, severe pain, high death anxiety, low hope level, and less social support. Targeted interventions are conducive to alleviating their anticipatory grief.

Key words: advanced cancer, anticipatory grief, influence factor

中图分类号:

R473.73

田丽, 李梦媛, 肖抒情, 阎玲. 晚期癌症患者预期性悲伤的现状及影响因素分析[J]. 护理学报, 2021, 28(7): 11-14.

TIAN Li, LI Meng-yuan, XIAO Shu-qing, YAN Ling. Prevalence and Influence Factors of Anticipatory Grief in Advanced Cancer Patients[J]. Journal of Nursing, 2021, 28(7): 11-14.

参考文献

[1] Nielsen MK, Neergaard MA, Jensen AB, et al.Do We Need to Change Our Understanding of Anticipatory Grief in Caregivers?A Systematic Review of Caregiver Studies during End-of-life Caregiving and Bereavement[J]. Clin Psychol Rev, 2016,44(3):75-93. DOI:10.1016/j.cpr.2016.01.002.
[2] 叶盈,辛大君,鲜莉,等.晚期癌症患者预感性悲伤评估量表汉化及信效度评价[J].西南医科大学学报,2018,41(3):268-272+276. DOI:10.3969/j.issn.2096-3351.2018.03.018.
[3] 杨红. 死亡焦虑量表的跨文化调适及其应用的研究[D].北京:北京中医药大学,2011.
[4] Herth K.Abbreviated Instrument to Measure Hope: Development and Psychometric Evaluation[J]. J Adv Nur, 1992, 17(6):1251-1259.DOI:10.1111/j.1365-2648.1992.tb01843.x.
[5] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J]. 临床精神医学杂志, 1994(2):98-100.
[6] Vergo MT, Whyman J, Li Z, et al.Assessing Preparatory Grief in Advanced Cancer Patients as an Independent Predictor of Distress in an American Population[J]. J Palliat Med, 2017, 20(1):48-52. DOI:10.1089/jpm.2016.0136.
[7] Brown JH, Torres HP, Maddi RD, et al.Cancer Patients’ Perceived Difficulties Filling Opioid Prescriptions after Receiving Outpatient Supportive Care[J]. J Pain Symptom Manage,2020,60(5):915-922. DOI:10.1016/j.jpainsymman.2020.06.015.
[8] Maddocks M, Evans C, Davidson M, et al.Palliative Care and the Management of Common Distressing Symptoms in Advanced Cancer: Pain, Breathlessness, Nausea and Vomiting, and Fatigue[J]. J Clin Oncol, 2020, 38(9):905-914. DOI:10.1200/JCO.19.00470.
[9] Lopes-Júnior LC, Rosa GS, Pessanha RM, et al.Efficacy of the Complementary Therapies in the Management of Cancer Pain in Palliative Care: A Systematic Review[J]. Rev Lat Am Enfermagem, 2020, 28(1):3377-3394. DOI:10.1590 / 1518-8345.4213.3377.
[10] Kashyap K, Bhatnagar S.Evidence for the Efficacy of Scrambler Therapy for Cancer Pain:A Systematic Review[J]. Pain physician, 2020, 23(4):349-364.
[11] Duin IA, Kaptein AA.Scared witless about Death--Ovarian Cancer Narratives Compared[J]. J Cancer Educ, 2013, 28(4):629-632. DOI:10.1007/s13187-013-0518-5.
[12] 陈淑娟,陶艳,胡成文,等.人生回顾对恶性肿瘤患者死亡焦虑的影响[J].医学与哲学(B),2016,37(8):86-89.DOI:10.12014/j.issn.1002-0772.2016.08b.
[13] Rogalla KB. Anticipatory Grief, Proactive Coping, Social Support,Growth: Exploring Positive Experiences of Preparing for Loss[J].Omega (Westport), 2020, 81(1):107-129. DOI:10.1177/0030222818761461.
[14] 张爱英,孙柳,付凤齐,等.128例膀胱肿瘤患者希望水平与应对方式的相关性研究[J].护理学报,2015,22(8):64-66.DOI:10.16460/j.issn1008-9969.2015.08.064
[15] Lipp NS, O’Brien KM. Bereaved College Students: Social Support, Coping Style, Continuing Bonds, and Social Media Use as Predictors of Complicated Grief and Posttraumatic Growth[J].Omega (Westport), 2020(2):0030222820941952. DOI:10.1177/0030222820941952.
[16] 王婧,刘芮寒,巩文花,等.自我效能在2型糖尿病患者社会支持和心理弹性的中介作用[J].护理学报, 2018,25(18):12-15. DOI:10.16460/j.issn1008-9969.2018.18.012.

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