天津护理 ›› 2023, Vol. 31 ›› Issue (6): 651-655.DOI: 10.3969/j.issn.1006-9143.2023.06.005

• 论著 • 上一篇    下一篇

癌症患者生命意义感现状及影响因素分析

周巧 1 陈付蓉 2 黄玮 1 欧美军 3   

  1. ( 1. 长沙市第三医院,湖南 长沙 410035 ; 2. 南华大学护理学院; 3. 湖南省肿瘤医院 / 中南大学湘 雅医学院附属肿瘤医院)
  • 出版日期:2023-12-28 发布日期:2023-12-30

The status and influencing factors of meaning in life among cancer patients

ZHOU Qiao 1 , CHEN Furong 2 , HUANG Wei 1 , OU Meijun 3   

  1. (1.The Third Hospital of Changsha, Changsha Hunan 410035; 2.School of Nursing University of South China; 3. Hunan Cancer Hospital)
  • Online:2023-12-28 Published:2023-12-30

摘要: 目的:调查癌症患者生命意义感现状并分析其影响因素,为癌症患者身心康复干预策略的制定提供参考。 方法:选取 2021 年 1 月至 4 月湖南省某三级甲等医院的癌症患者为研究对象,采用一般资料调查表、生命意义感量表中文版( C-MLQ )、接纳与行动问卷 ( AAQ-Ⅱ )对 195 例癌症患者进行调查分析。结果:癌症患者生命意义感得分为( 46.52±4.72 )分;心理灵活性与生命意义感呈正相关 ( P<0.01 );多元线性回归分析显示,性别、文化程度、职业、医保类型、肿瘤部位、 AAQ-Ⅱ 得分是癌症患者的生命意义感的影响因素 ( P<0.05 )。 结论:癌症患者的生命意义感水平较低,临床医护人员应从多方面多维度提升患者心理灵活性,加强生命意义感寻找与获得的引导及支持,进而实现促进癌症患者身心健康、提高其生活质量的临床目标。

关键词: 癌症, 生命意义感, 心理灵活性, 影响因素

Abstract: Objective: To investigate the status of meaning in life among cancer patients and analyze its influencing factors, so as to provide reference for the formulation of psychosomatic rehabilitation intervention strategies for cancer patients. Methods: A total of 195 cancer patients in a Class A tertiary cancer hospital in Hunan Province were investigated from January to April 2021. The general information questionnaire, Chinese version of Meaning in Life Questionnaire( C-MLQ), and the Acceptance and Action Questionnaire (AAQ-Ⅱ) were used in the survey. Results: The score of meaning in life of cancer patients was 46.52±4.72. Psychological flexibility was positively correlated with the meaning in life (P<0.01). Multivariate linear regression analysis showed that gender, education level, occupation, medical insurance, tumor location, and AAQ-Ⅱ scores were the influencing factors of meaning in life among cancer patients (P<0.05). Conclusion: The level of meaning in life of cancer patients is relatively low. Health care providers should improve the psychological flexibility of patients from various aspects and dimensions, strengthen the guidance and support for finding and obtaining the meaning in life, so as to achieve the clinical goal of promoting the physical and mental health of cancer patients and improving their quality of life.

Key words: Cancer, Sense of meaning in life, Psychological flexibility, Influencing factor