中青年晚期肿瘤患者预感性悲伤现状及其影响因素的研究  

Study on the Current Status and Influencing Factors of Anticipatory Sadness in Young and Middle-aged Patients with Advanced Tumors

作　　者：胡梦蝶 郑薇 陶慧颖 蔡冰清 孔凡晶 郑茜 刘燕 Hu Mengdie;Zheng Wei;Tao Huiying;Cai Bingqing;Kong Fanjing;Zheng Qian;Liu Yan(Department of VIP Medical Services,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital/Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China;不详)

机构地区：[1]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院特需医疗部,北京市100021 [2]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院胸外科,北京市100021

出　　处：《中国病案》2024年第11期88-92,共5页Chinese Medical Record

基　　金：中国癌症基金会北京希望马拉松专项基金(LC2021C01)。

摘　　要：目的调查中青年晚期肿瘤患者预感性悲伤现况及其影响因素,为临床制定有针对性的干预方案提供科学的依据。方法选取2023年1月1日-2023年5月31日于北京市某三级甲等肿瘤医院就诊的331名中青年晚期肿瘤患者,作为横断面调查的方便样本,采用一般资料调查表、晚期癌症预感性悲伤量表,家庭关怀度指数量表,恐惧疾病进展简化量表进行问卷调查。采用Pearson法进行相关性分析,探讨预感性悲伤与家庭关怀度、恐惧疾病进展程度的相关性,采用多元线性回归分析预感性悲伤的影响因素。结果中青年晚期肿瘤患者的预感性悲伤得分为(69.41±15.09)分,处于较高水平,影响中青年晚期肿瘤患者预感性悲伤的因素主要有家庭关怀度(P=0.010)、恐惧疾病进展程度(P<0.001)、性别(P=0.007)和文化程度(P=0.017)。结论中青年晚期肿瘤患者预感性悲伤处于较高水平。不同家庭关怀度、恐惧疾病进展程度、性别和文化程度的中青年晚期肿瘤患者预感性悲伤有差异性。护理人员在临床工作中应加强对此类患者预感性悲伤水平的评估,制定和采取有针对性的干预方案和策略,提供多方面的帮助与教育,从而降低其预感性悲伤水平,改善患者的心理状态。Objectives This study aims to investigate the current status and influencing factors of anticipatory sadness in young and middle-aged patients with advanced cancer,and to provide a scientific basis for the development of targeted intervention programs in clinics.Methods A total of 331 young and middle-aged patients with advanced tumors who visited a tertiary-level A-class cancer hospital in Beijing from January 1,2023 to May 31,2023 were selected as a convenience sample for the cross-sectional survey.The questionnaire survey was conducted using general information questionnaire,advanced cancer anticipatory sadness scale,family care index scale,and simplified fear of disease progression scale.Pearson's method was used for correlation analysis to explore the correlation between anticipatory sadness and family care and fear of disease progression.Multiple linear regression was used to analyze the influencing factors of anticipatory sadness.Results The score of prognosiding sadness in young and middle-aged patients with advanced cancer was 69.41±15.09,which was at a high level.The main factors affecting prognostic sadness in young and middle-aged patients with advanced cancer were family care(P=0.010),degree of fear disease progression(P<0.001),gender(P=0.007),and educational level(P=0.017).Conclusions The anticipatory sadness is at a high level in young and middle-aged patients with advanced cancer.There are differences in anticipatory grief among middle-aged and young adults with advanced cancer based on varying levels of family care,degree of fear of disease progression,gender,and educational background.Clinical nursing staff should strengthen the assessment of anticipatory grief levels in such patients,develop and implement targeted intervention plans and strategies,and provide comprehensive support and education.This will help reduce their anticipatory grief levels and improve the patients'psychological well-being.

关 键 词：中青年 肿瘤 预感性悲伤 影响因素 

分 类 号：R473.73[医药卫生—护理学]