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护理学报 ›› 2022, Vol. 29 ›› Issue (9): 1-4.doi: 10.16460/j.issn1008-9969.2022.09.001

• 研究生园地 •    下一篇

205例胃癌复发患者自我怜悯现状及影响因素分析

刘贺, 郑蔚, 苏闪闪, 王丹丹, 刘梦丽, 瞿小凤   

  1. 郑州大学第二附属医院 护理部,河南 郑州 450014
  • 收稿日期:2021-11-15 出版日期:2022-05-10 发布日期:2022-06-09
  • 通讯作者: 郑蔚（1962-）,女,河南郑州人,硕士,教授,硕士研究生导师。E-mail：zw112689zy@sina.com
  • 作者简介:刘贺（1997-）,女,河南郑州人,本科学历,硕士研究生在读。
  • 基金资助:
    河南省医学科技攻关省部共建项目（201701014）

Self-compassion and Its Influence Factors of Patients with Recurrent Gastric Cancer: A 205-case Study

LIU He, ZHENG Wei, SU Shan-shan, WANG Dan-dan, LIU Meng-li, QU Xiao-feng   

  1. Dept. of Nursing Administration, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou 450014, China
  • Received:2021-11-15 Online:2022-05-10 Published:2022-06-09

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摘要： 目的 调查胃癌患者复发后自我怜悯现状,分析其影响因素。方法 2020年6月—2021年7月,在郑州市3所三级甲等医院便利抽取205例胃癌复发患者,采用一般资料问卷、自悯量表、简化版失志量表、心理痛苦温度计对其进行调查。结果 胃癌复发患者自我怜悯得分（63.00±6.07）分,回归分析结果显示,患者的性别、复发类型、BI指数、失志水平以及心理痛苦是其影响因素（均P<0.05）,共解释总变异的36.0%。结论 胃癌复发患者自我怜悯水平较低,医护人员应重点关注女性患者、远处复发或转移、BI指数较低以及失志水平和心理痛苦程度较高的患者,采取有效的护理措施,帮助改善其自我怜悯水平。

关键词: 胃癌, 肿瘤复发, 自我怜悯, 失志, 心理痛苦

Abstract: Objective To understand the current situation of self-compassion among patients with recurrent gastric cancer and to explore the possible influence factors. Methods With convenient sampling, 205 patients from three tertiary Grade A hospitals in Zhengzhou from June 2020 to July 2021 were surveyed with general information questionnaire, Self-compassion Scale, the Short Demoralization Scale, and Distress Thermometer. Results The average total score of self-compassion was 63.00±6.07. Regression analysis showed that sex, type of recurrence, Barthel Index, demoralization and psychological distress affected self-compassion of patients（all P<0.05), which explained 36.0% of the total variance. Conclusion Patients with recurrent gastric cancer have a lower level of self-compassion. Medical staff should focus on female patients and patients with distant recurrence or metastasis, low level of BI index, high levels of demoralization and psychological distress. Effective nursing measures are needed to help to ameliorate patients' self-compassion.

Key words: gastric cancer, recurrence of cancer, self-compassion, demoralization, psychological distress

中图分类号: 

  • R473.73
[1] Neff KD, Bluth K, Toth-Kiraly I, et al.Development and Validation of the Self-compassion Scale for Youth[J]. J Pers Assess, 2021, 103(1): 92-105. DOI:10.1080/00223891.2020.1729774.
[2] 齐伟静,胡洁,李来有.2018.V1版《NCCN癌症临床指南:心理痛苦的处理》解读[J].中国全科医学, 2018, 21(15): 1765-1768.
[3] Sirois FM, Hirsch JK.Self-compassion and Adherence in Five Medical Samples: The Role of Stress[J]. Mindfulness (N Y), 2019,10(1):46-54.DOI:10.1007/s12671-018-0945-9.
[4] Brown SL, Hughes M, Campbell S, et al.Could Worry and Rumination Mediate Relationships Between Self-compassion and Psychological Distress in Breast Cancer Survivors?[J]. Clin Psychol Psychother, 2020,27(1):1-10.DOI:10.1002/cpp.2399.
[5] 胡雁,王志稳.护理研究[M].5版.北京:人民卫生出版社,2017.
[6] 任雅钰,赵海平.癌症患者自我同情的研究进展[J].解放军护理杂志,2021,38(6):58-61.DOI:10.3969/j.issn.1008-9993.2021.06.015.
[7] 王丹丹, 郑蔚, 康婷婷, 等. 简化版失志量表的汉化及信效度检验[J]. 现代预防医学, 2021,48(4):594-598.
[8] 潘兰,刘东英.癌症患者心理困扰相关测评工具研究进展[J].中国临床护理,2020,12(5):469-473.DOI:10.3969/j.issn.1674-3768.2020.05.027.
[9] 张洁琼, 余晓燕. 胎儿异常孕妇自我同情现状及影响因素分析[J]. 护理学杂志, 2018,33(2):13-16.
[10] 方丹, 巫秋霞, 苏翠群, 等. 脑出血恢复期病人自我怜悯现状及影响因素[J]. 护理研究, 2021,35(3):554-557.
[11] Chen QY, Zhong Q, Zhou JF, et al.Conditional Survival and Recurrence of Remnant Gastric Cancer after Surgical Resection: A Multi-institutional study[J].Cancer Sci, 2020, 111(2):502-512. DOI:10.1111/cas.14231.
[12] Dinkel A, Marten-Mittag B, Kremsreiter K.Association between Daily Worry, Pathological Worry, and Fear of Progression in Patients with Cancer[J]. Front Psychol, 2021, 12:648623. DOI:10. 3389/fpsyg.2021.648623.
[13] Patzak A, Kollmayer M, Schober B.Buffering Impostor Feelings with Kindness: The Mediating Role of Self-compassion between Gender-role Orientation and the Impostor Phenomenon[J]. Front Psychol, 2017,8:1289.DOI:10.3389/fpsyg.2017.01289.
[14] Ajani JA, D’Amico TA, Bentrem DJ, et al. Gastric Cancer, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology[J]. J Natl Compr Canc Netw, 2022, 20(2):167-192. DOI:10.6004/jnccn. 2022.0008.
[15] Abdollahi A, Taheri A, Allen KA.Self-Compassion Moderates the Perceived Stress and Self-care Behaviors Link in Women with Breast Cancer[J]. Psychooncology, 2020, 29(5):927-933. DOI:10.1002/pon.5369.
[16] 任美玲, 陈瑜, 刘成刚, 等. 石河子垦区老年人生活自理能力及影响因素分析[J]. 现代预防医学, 2018,45(19):3559-3562.
[17] An E, Lo C, Hales S, et al.Demoralization and Death Anxiety in Advanced Cancer[J]. Psychooncology, 2018, 27(11):2566-2572.DOI:10.1002/pon.4843.
[18] 张苹,陈莉军,尹永田,等.癌症患者失志的研究进展[J].中国老年学杂志,2021,41(12):2681-2684.
[19] Vehling S, Kissane DW, Lo C, et al.The Association of Demoralization with Mental Disorders and Suicidal Ideation in Patients with Cancer[J]. Cancer, 2017, 123(17):3394-3401. DOI:10. 1002/cncr. 30749.
[20] 黄薇, 梁清桃, 曾培容, 等. 470例癌症复发后患者心理痛苦现状及影响因素分析[J]. 护理学报, 2021,28(9):58-61.DOI:10.16460/j.issn1008-9969.2021.09.058.
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[6] 江丹丹, 陈红宇, 胡君娥. 心理痛苦筛查工具在肺癌患者中的应用研究进展[J]. 护理学报, 2019, 26(7): 25-27.
[7] 傅双, 王巧桂, 芮琳. 视频喉镜辅助胃癌患者术中置入鼻肠管的效果观察[J]. 护理学报, 2019, 26(5): 63-65.
[8] 张红梅, 傅荣, 张宁. 正念疗法对糖尿病患者糖尿病相关心理痛苦影响的Meta分析[J]. 护理学报, 2019, 26(13): 44-49.
[9] 彭青,李雪,张雪,苏建萍. 112例宫颈癌术后化疗期患者创伤后成长水平及影响因素分析[J]. 护理学报, 2018, 25(3): 5-10.
[10] 周菁鑫, 顾珺. 胃癌患者护理专业性社会支持获得与需求的现况分析[J]. 护理学报, 2018, 25(24): 37-42.
[11] 贾葵,陆利生,何敏英,潘色杰,周静,曾艳明. 降低胃癌快速康复治疗患者术后腹泻发生率的护理专案管理[J]. 护理学报, 2017, 24(3): 18-20.
[12] 严芳,张莉,艾春波. 胃癌化疗患者希望护理干预效果观察[J]. 护理学报, 2017, 24(18): 57-61.
[13] 龚青霞,范润平,王宇,巩文花,王芳. 冠心病患者心理痛苦现状及影响因素分析[J]. 护理学报, 2017, 24(12): 1-4.
[14] 蒋超南,李振炎,袁秀红,林小玲,张俊娥,张美芬. 胃癌术后患者化疗期间癌因性疲乏与其缓解方式的相关性分析[J]. 护理学报, 2016, 23(8): 64-67.
[15] 杨笑梅,曾凡,刘小红(综述),陈阳阳(审校). 正念训练概述及其在癌症患者中的应用进展[J]. 护理学报, 2016, 23(17): 42-46.
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