乳腺癌患者对灵性照护需求现状及影响因素分析
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摘要
目的调查乳腺癌患者对灵性照护的需求水平及其影响因素。方法采用自行编制的一般资料问卷和中文版灵性护理需求量表对151名乳腺癌患者进行问卷调查。结果乳腺癌患者对灵性照护需求得分平均为(34.23±9.15)分,需求程度处于中度水平。年龄、宗教信仰、居住地是乳腺癌患者灵性照护需求的独立影响因素(P<0.05)。结论乳腺癌患者对灵性照护的需求处于中等水平,掌握灵性照护需求的影响因素有助于提高医护人员对灵性护理的认识,针对影响因素采取合适的干预措施。
Objective To explore the spiritual care needs of breast cancer patients and its influencing factors. Methods A total of 151 breast cancer patients were investigated by self-developed general information questionnaire and Chinese version of Patient Spiritual Needs Assessment(SNAP-CV). Results The average score of SNAP-CV of breast cancer patients was(34.23 ± 9.15), indicating a medium level of spiritual needs among patients. Multivariate regression analysis showed that age, religious belief and place of residence were the influencing factors of breast cancer patients' spiritual needs(P<0.05). Conclusion Findings showed a middle level of spiritual care needs among breast cancer patients. The appropriate interventions should be carried out according to the influencing factors of spiritual needs among patients.
Objective To explore the spiritual care needs of breast cancer patients and its influencing factors. Methods A total of 151 breast cancer patients were investigated by self-developed general information questionnaire and Chinese version of Patient Spiritual Needs Assessment(SNAP-CV). Results The average score of SNAP-CV of breast cancer patients was(34.23 ± 9.15), indicating a medium level of spiritual needs among patients. Multivariate regression analysis showed that age, religious belief and place of residence were the influencing factors of breast cancer patients' spiritual needs(P<0.05). Conclusion Findings showed a middle level of spiritual care needs among breast cancer patients. The appropriate interventions should be carried out according to the influencing factors of spiritual needs among patients.
引文
[1] 郑莹, 贺子夏, 崔爽. 1例晚期肺癌全身转移患者灵性照顾体会[J]. 护理学报, 2014, 21(13): 73-75.
[2] 杨灵, 张群, 袁传平, 等. 可手术乳腺癌患者不同阶段心理状况及生活质量的调查分析[J]. 中华肿瘤防治杂志, 2017, 24(1): 6-9.
[3] 崔檬, 王玉梅. 临终关怀改善晚期癌痛患者生活质量的研究[J]. 中国卫生统计, 2013, 30(6): 899-900.
[4] WINKELMAN W D, LAUDERDALE K, BALBONI M J, et al. The relationship of spiritual concerns to the quality of life of advanced cancer patients: preliminary findings[J]. J Palliat Med, 2011, 14(9): 1022-1028.
[5] VAN LEEUWEN R, TIESINGA L J, POST D, et al. Spiritual care: implications for nurses' professional responsibility[J]. J Clin Nurs, 2006, 15(7): 875-884.
[6] 谢海燕, 李梦奇, 王颖, 等. 中文版患者对护士提供灵性照护的需求量表信效度初步检验[J]. 中国护理管理, 2017, 17(5): 610-614.
[7] 朱宏锐, 吕晓凡, 鲁丰华, 等. 晚期癌症患者灵性照护的研究进展[J]. 解放军护理杂志, 2015, 32(17): 32-35.
[8] HOLMES C. Stakeholder views on the role of spiritual care in Australian hospitals: An exploratory study[J]. Health Policy, 2018, 122(4): 389-395.
[9] SCHULTZ M, BENTUR N, REI KOREN Z, et al. From pastoral care to spiritual care-transforming the conception of the role of the spiritual care provider[J]. Harefuah, 2017, 156(11): 735-739.
[10] 董凤齐. 灵性照护在终末期癌症患者中的研究进展[J]. 护士进修杂志, 2015, 30(20): 1853-1856.
[11] 李梦奇, 王颖, 谢海燕, 等. 癌症患者灵性护理需求的现状及其影响因素研究[J]. 中华护理杂志, 2017, 52(8): 930-934.
[12] HERSCHBACH P, BOOK K, BRANDL T, et al. Psychological distress in cancer patients assessed with an expert rating scale[J]. Br J Cancer, 2008, 99(1): 37-43.
[13] 底彦. 肿瘤患者心理痛苦及其相关因素的调查分析[D]. 石家庄: 河北医科大学, 2015.
[14] 杨静. 灵性对癌症患者康复的影响[D]. 南京: 南京大学, 2016.
[2] 杨灵, 张群, 袁传平, 等. 可手术乳腺癌患者不同阶段心理状况及生活质量的调查分析[J]. 中华肿瘤防治杂志, 2017, 24(1): 6-9.
[3] 崔檬, 王玉梅. 临终关怀改善晚期癌痛患者生活质量的研究[J]. 中国卫生统计, 2013, 30(6): 899-900.
[4] WINKELMAN W D, LAUDERDALE K, BALBONI M J, et al. The relationship of spiritual concerns to the quality of life of advanced cancer patients: preliminary findings[J]. J Palliat Med, 2011, 14(9): 1022-1028.
[5] VAN LEEUWEN R, TIESINGA L J, POST D, et al. Spiritual care: implications for nurses' professional responsibility[J]. J Clin Nurs, 2006, 15(7): 875-884.
[6] 谢海燕, 李梦奇, 王颖, 等. 中文版患者对护士提供灵性照护的需求量表信效度初步检验[J]. 中国护理管理, 2017, 17(5): 610-614.
[7] 朱宏锐, 吕晓凡, 鲁丰华, 等. 晚期癌症患者灵性照护的研究进展[J]. 解放军护理杂志, 2015, 32(17): 32-35.
[8] HOLMES C. Stakeholder views on the role of spiritual care in Australian hospitals: An exploratory study[J]. Health Policy, 2018, 122(4): 389-395.
[9] SCHULTZ M, BENTUR N, REI KOREN Z, et al. From pastoral care to spiritual care-transforming the conception of the role of the spiritual care provider[J]. Harefuah, 2017, 156(11): 735-739.
[10] 董凤齐. 灵性照护在终末期癌症患者中的研究进展[J]. 护士进修杂志, 2015, 30(20): 1853-1856.
[11] 李梦奇, 王颖, 谢海燕, 等. 癌症患者灵性护理需求的现状及其影响因素研究[J]. 中华护理杂志, 2017, 52(8): 930-934.
[12] HERSCHBACH P, BOOK K, BRANDL T, et al. Psychological distress in cancer patients assessed with an expert rating scale[J]. Br J Cancer, 2008, 99(1): 37-43.
[13] 底彦. 肿瘤患者心理痛苦及其相关因素的调查分析[D]. 石家庄: 河北医科大学, 2015.
[14] 杨静. 灵性对癌症患者康复的影响[D]. 南京: 南京大学, 2016.