晚期癌症患者尊严现状及影响因素研究  

Dignity of Patients with Advanced Cancer and Its Influence Factors

作　　者：曹艳梅[1] 薛云珍[1] 葛国靖 牛润桂[2] 辛丽艳[2] 于静[3] CAO Yan-mei XUE Yun-zhen GE Guo-jing NIU Run-gui XIN Li-yan YU Jing(Teaching and Research Office of Medical Psychology, Shanxi Medical University, Taiyuan 030001, China Department of Hospice Care, Shanxi Tumor Hospital, Taiyuan 030001,China Dept, of Oncology,First Hospital of Shanxi Medical University, Taiyuan 030001,China)

机构地区：[1]山西医科大学医学心理学教研室,山西太原030001 [2]山西省肿瘤医院宁养院,山西太原030001 [3]山西医科大学第一医院肿瘤科,山西太原030001

出　　处：《护理学报》2017年第7期30-34,共5页Journal of Nursing（China）

基　　金：中美宗教文化心理学项目(FS06XYZ)

摘　　要：目的了解晚期癌症患者尊严状况,并分析其尊严的影响因素。方法采用一般资料问卷、中文版患者尊严量表、医院焦虑抑郁量表及癌症患者生命质量测定量表,对山西省某2所三级甲等医院的150例晚期癌症患者进行问卷调查,采用Pearson相关分析法和多元线性逐步回归法进行数据分析。结果 150例晚期癌症患者尊严得分≥50分有94例,存在明显尊严丧失,发生率为62.7%。多元线性逐步回归分析结果显示:情绪功能、角色功能、焦虑、是否转移、整体健康状况、经济困难是晚期癌症患者尊严状况的独立影响因素(P<0.05)。结论晚期癌症患者尊严存在一定受损,焦虑抑郁情绪发生率较高,晚期癌症患者尊严的影响因素涉及心理、医疗及经济等方面,尤其重视情绪失常、角色适应不良、整体健康状况较差及经济困难者的尊严状况,采取针对性措施保护晚期癌症患者尊严感。Objective To explore the status quo of dignity in patients with advanced cancer and its influence factors. Methods General Information Questionnaire ,Patient Dignity Inventory （PDI）, European Organization for Research of Treatment of Cancer Quality of Life Questionnaire Core-30 Chinese Version （EORTC-QLQ-C30） and Hospital Anxiety and Depression Scale （HAD） were adopted to investigate 150 advanced cancer patients. Pearson correlation and multiple stepwise regression were used to explore the influencing factors. Results The dignity score of 94 out of 150 cases of terminal cancer patients was more than 50 and the incidence rate of obvious loss of dignity was 62.7%. The main influence factors of the dignity were emotional function, role function, anxiety, cancer metastasis, quality of health, and financial difficulties （P〈0.05）G Conclusion The dignity of patients with advanced cancer is damaged in some degrees, and the incidence rates of anxiety and depression are highG The major influencing factors of dignity in advanced cancer patients involve psychological, medical, and economic conditions. More attention should be paid to the dignity of terminal cancer patients with emotional disorder, role maladjustment, poor holistic health and economic difficulties and specific measures to protect the dignity of patients with advanced cancer should be taken.

关 键 词：癌症 尊严 焦虑 抑郁 生命质量 影响因素 

分 类 号：R473.73[医药卫生—护理学]