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肺癌患者的精神需求及其与心理困扰和生活质量的关系。

Spiritual Needs of Lung Cancer Patients and Their Relation to Psychological Distress and Quality of Life.

作者信息

Fradelos Evangelos C, Albani Eleni, Papathanasiou Ioanna V, Prapa Paraskevi-Maria, Tsomaka Effrosyni, Bakalis Vissarion, Artemi Sofia, Lavdaniti Maria

机构信息

Department of Nursing, University of Thessaly, Larissa, GRC.

Department of Nursing, University of Patras, Patras, GRC.

出版信息

Cureus. 2021 Dec 7;13(12):e20225. doi: 10.7759/cureus.20225. eCollection 2021 Dec.

Abstract

Background This study aimed to investigate the spiritual needs of patients suffering from lung cancer in relation to their mental health and quality of life. Methodology A cross-sectional quantitative study design was employed to investigate 110 lung cancer patients receiving chemotherapy. A four-part self-assessment instrument was used to gather the data comprising a sheet containing demographic and clinical information, Spiritual Needs Questionnaire, The Depression, Anxiety, and Stress Scale-21 Items, and the 12-item Health Survey. Descriptive inferential statistics were applied. Results Of the 110 patients, 71.8% were men, the mean age was 64.25 (±9.3) years, and 71.8% were married. In total, 40.9% of the patients were retired, and 92.7% had a public insurance company. Regarding education, 30% were primary school graduates and 31.8% were high school graduates. Regarding the clinical features of the sample, 23.6% of the patients had small-cell carcinoma, 71.9% had non-small-cell carcinoma, and 4.5% had large-cell carcinoma. Spiritual needs have a negative effect on the mental health component of quality of life (p < 0.001) and can increase psychological distress in lung cancer patients. Conclusions In contrast to the findings of other international studies, spiritual needs appeared to be lower; however, similar to other studies, spiritual needs increased in those suffering from depression and anxiety. Moreover, the subtype of lung cancer also appeared to play a role.

摘要

背景 本研究旨在调查肺癌患者的精神需求及其与心理健康和生活质量的关系。方法 采用横断面定量研究设计,对110例接受化疗的肺癌患者进行调查。使用一份由四部分组成的自我评估工具收集数据,该工具包括一张包含人口统计学和临床信息的表格、精神需求问卷、21项抑郁、焦虑和压力量表以及12项健康调查。应用描述性推断统计方法。结果 在110例患者中,71.8%为男性,平均年龄为64.25(±9.3)岁,71.8%已婚。共有40.9%的患者已退休,92.7%拥有公共保险公司。在教育程度方面,30%为小学毕业生,31.8%为高中毕业生。关于样本的临床特征,23.6%的患者患有小细胞癌,71.9%患有非小细胞癌,4.5%患有大细胞癌。精神需求对生活质量的心理健康成分有负面影响(p < 0.001),并会增加肺癌患者的心理困扰。结论 与其他国际研究的结果相反,精神需求似乎较低;然而,与其他研究相似,抑郁症和焦虑症患者的精神需求会增加。此外,肺癌的亚型似乎也起了一定作用。

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