濒死焦虑在晚期肺癌患者家庭关怀与生存质量之间的中介效应研究  

The mediating effect of dying anxiety between family care and quality of life in advanced lung cancer patients

作　　者：张杰 郭颖英[1] 俞新燕[1] ZHANG Jie;GUO Yingying;YU Xinyan(Department of Thoracic Oncology,Zhejiang Cancer Hospital,Hangzhou 310022,Zhejiang,China)

机构地区：[1]浙江省肿瘤医院胸部肿瘤内科,浙江杭州310022

出　　处：《中国现代医生》2024年第18期30-33,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2022KY089)。

摘　　要：目的探讨濒死焦虑在晚期肺癌患者家庭关怀与生存质量之间的中介效应。方法采用便利抽样法选取2023年9—12月在浙江省肿瘤医院住院的180例晚期肺癌患者,采用一般资料表、家庭关怀度指数量表、死亡与濒死焦虑量表及肺癌患者生存质量测定量表进行问卷调查。结果晚期肺癌患者家庭关怀与濒死焦虑呈负相关(P<0.01);家庭关怀与生存质量呈正相关(P<0.01)。濒死焦虑在晚期肺癌患者家庭关怀与生存质量中发挥部分中介效应,占总效应的30.1%。结论医护人员在治疗晚期肺癌患者的过程中,可采取多种干预方式降低患者的濒死焦虑,从而提升晚期肺癌患者的生存质量。Objective To explore the mediating effect of dying anxiety in the relationship between famlily care and quality of life in patients with advanced lung cancer.Methods A total of 180 patients with advanced lung cancer in Zhejiang Cancer Hospital from September to December 2023 were selected by convenience sampling method to conduct a questionnaire survey using the general information questionnaire,family adaptation,partnership,growth,affection and resolve index(APGAR),death and dying anxiety scale and quality of life instrument for lung cancer patients.Results There was a negative correlation between family care and dying anxiety in advanced lung cancer patients(P<0.01),and a positive correlation between family care and quality of life in advanced lung cancer patients(P<0.01).Dying anxiety had a partial mediating effect on family care and quality of life in advanced lung cancer patients,accounting for 30.1%of the total effect.Conclusion In the daily work of treating patients with advanced lung cancer,medical staff can take a variety of intervention ways to reduce patients’dying anxiety,so as to improve the quality of life of patients with advanced lung cancer.

关 键 词：晚期肺癌 家庭关怀 濒死焦虑 安宁疗护 中介效应 生存质量 

分 类 号：R473.73[医药卫生—护理学]