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Analysis of the current status and influencing factors of life meaning feeling in advanced cancer patients

 

LIU Yanhua, LU Meiling, LUO Zhiqin
  

  1.  
    (Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060)
  • Received:2018-01-30 Revised:2018-07-19 Online:2019-02-28 Published:2019-05-06

晚期癌症患者生命意义感现状及影响因素分析

 

刘艳华   卢美玲   罗志芹
  

  1.  
    (天津医科大学肿瘤医院   国家肿瘤临床医学研究中心   天津市“肿瘤防治”重点实验室   天津市恶性肿瘤临床医学研究中心,天津   300060

Abstract: Objective: To understand the current status of life meaning feeling and analyze its influencing factors so as to provide a scientific basis for improving the feeling of advanced cancer patients. Methods: 220 patients with advanced cancer were selected as the study subjects by convenience sampling method. The subjects were investigated by using general data questionnaire, meaning in life scale for advanced cancer patients and M.D. Anderson symptom inventory, Social support rating scale and emotional intelligence scale. Results: The life meaning score of patients was(93.47±14.39). The symptom distress factors, social support factors and psychological factors had independent effects on patients’ life meaning feeling (R2= 0.214, F = 0.214, P<0.001). Conclusion: The score of life meaning of patients with advanced cancer were relatively low. The sense of life meaning in patients with advanced cancer need to be addressed, health care workers should pay attention to the holistic care for terminal cancer patients, so as to improve their quality of life.

Key words:  Advanced cancer, Meaning of life, influencing factors

摘要:  

目的:了解晚期癌症患者生命意义感现况并分析其影响因素,为提高晚期癌症患者生命意义感提供科学依据。方法:采用便利抽样的方法,选取220例晚期癌症患者。采用患者一般资料调查表、晚期癌症患者生命意义量表、社会支持评定量表、MD.Anderson症状调查量表及中文版情绪智力量表对患者进行问卷调查。结果:晚期癌症患者生命意义感总分为(93.47±14.39)分,其中症状困扰因素、社会支持因素及心理因素均对患者生命意义感具有独立影响(R2=0.214,F=19.559,P<0.001)。结论:晚期癌症患者生命意义感处于较低水平,症状困扰因素、社会支持因素及心理因素均对其生命意义感具有独立影响,提示亟待提升我国晚期癌症患者生命意义感,医护工作者应注重对晚期癌症患者的全人照护,从而提高其生活质量,实现善终的目的。

关键词: 晚期癌症, 生命意义, 现状, 影响因素