晚期癌症患者灵性健康现状及影响因素研究

doi:10.3761/j.issn.1672-9234.2019.03.004

Abstract

Abstract: Objestive To investigate the spiritual health status of patients with terminal cancers and to analyze its influencing factors. Methods Convenience sampling was applied to recruit 160 patients from 3 tertiary hospitals from January to October 2018 using the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale（FACIT-Sp-12）to assess the status of spiritual health and its influencing factors. Results The total score of FACIT-Sp-12 was（25.63±2.64）. Multiple linear regression results showed that gender,age,marriage,religious belief,educa-tion level,monthly income and course of disease could explain 45.3% of the total variation of spiritual health in terminal cancer patients. Conclusion The spiritual health of patients with advanced cancer is below the medium level. Gender,age,marriage,religious belief,educational level,monthly income and course of disease are the main factors affecting the spiritual health of patients with advanced cancer. Clinicians and nurses can take specific spiritual care according to the specific conditions of patients to improve their quality of life.

Key words: Neoplasms, Spirituality, Questionnaires, Risk Factors, Spritual health

Xuan YANG,Hui-ying WANG,Yu-ling WANG,Cui-yu DENG,Jing-ran LI,Hui-zi TIAN. Spiritual health status and influencing factors of patients with terminal cancers[J].Chinese Journal of Nursing Education, 2019, 16(3): 183-187.

Figures/Tables 4

References 39

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维度	得分范围	最低得分	最高得分	得分（x±s）
信念	0~16	6	13	8.99±1.10
平和	0~16	4	12	8.44±1.49
意义	0~16	3	12	8.19±1.53
总分	0~48	18	34	25.63±2.64

项目	类别	例数（%）	灵性健康得分	统计量值	P 值
性别	男	109（68.1）	25.01±2.13	4.573^1）	<0.001
	女	51（31.9）	26.94±3.13
疾病类型	食管癌	17（10.6）	25.29±2.52	0.783^2）	0.603
	胃癌	32（20.0）	25.41±2.84
	肝癌	23（14.4）	26.22±2.33
	胰腺癌	20（12.5）	25.25±2.05
	乳腺癌	18（11.3）	26.61±3.16
	结直肠癌	21（13.1）	25.14±3.17
	宫颈癌	8（5.0）	26.00±1.60
	肺癌	21（13.1）	25.43±2.56
婚姻	无配偶	19（11.9）	24.47±1.07	2.044^1）	0.043
	有配偶	141（88.1）	25.78±2.75
文化程度	小学至初中	71（44.4）	24.89±2.19	11.971^2）	<0.001
	高中至大专	54（33.8）	25.46±2.30
	本科及以上	35（21.9）	27.37±3.19
宗教信仰	无	106（66.3）	25.05±2.38	4.061^1）	<0.001
	有	54（33.8）	26.76±2.79
病情知晓	否	106（66.3）	25.30±2.78	2.194^1）	0.030
	是	54（33.8）	26.26±2.22
病程（月）	<12	95（59.4）	26.23±2.30	8.353^2）
	12~24	27（16.9）	25.41±2.42		<0.001
	>24	38（23.8）	24.26±3.08
照顾者	有	131（81.9）	25.82±2.46	1.970^1）
	无	29（18.1）	24.76±3.27		0.051
工作状态	在职	32（20.0）	26.28±2.07
	退休	42（26.2）	25.57±3.13	1.294^2）	0.277
	其他	86（53.8）	25.40±2.56
劳力状况	轻度体力	10（6.3）	25.10±3.51
	中度体力	130（81.3）	25.83±2.52	2.284^2）	0.105
	重度体力	20（12.5）	24.55±2.76
支付方式	自费	25（15.6）	25.44±2.10
	新农合	52（32.5）	25.44±2.23	0.342^2）	0.795
	医疗保险	69（43.1）	25.87±2.98
	商业保险	14（8.8）	25.43±3.27
月收入（元）	≤1 500	19（11.9）	24.05±1.72
支付方式	1 501~3 000	67（41.9）	25.06±1.87	12.283^2）	<0.001
	3 001~5 000	47（29.4）	25.74±2.23
	≥5 001	27（16.9）	27.93±3.84

自变量	赋值情况
性别	以“男”为参照设置哑变量,哑变量X1：女=1,男=0
婚姻	以“无配偶”为参照设置哑变量,哑变量X1：有配偶=1,无配偶=0
文化程度	以“小学至初中”为参照设置哑变量,
	哑变量X1：高中至大专=1;“小学至初中”“本科及以上”=0
	哑变量X2：本科及以上=1;“小学至初中”“高中至大专”=0
宗教信仰	以“无”为参照设置哑变量,哑变量X1：有=1,无=0
病情知晓	以“否”为参照设置哑变量,哑变量X1：是=1,否=0
平均月收入（元）	以“≤1500”为参照设置哑变量,
	哑变量X1：1501~3000=1;“≤1500”“3001~5000”“≥5001”=0
	哑变量X2：3001~5000=1;“≤1500”“1501~3000”“≥5001”=0
	哑变量X3：≥5001=1;“≤1500”“1501~3000”“3001~5000”=0
病程（月）	以“<12”为参照设置哑变量,
	哑变量X1：12~24=1;“<12”“>24”=0
	哑变量X2：>24=1;“<12”“12~24”=0

自变量	回归系数	标准误	标准回归系数	t 值	P 值
常数项	20.593	1.171	-	17.579	<0.001
年龄	0.033	0.015	0.133	2.167	0.032
性别（男=参照组）
女	1.217	0.356	0.215	3.423	0.001
婚姻（无配偶=参照组）
有配偶	1.152	0.509	0.141	2.263	0.025
文化程度（小学至初中=参照组）
高中至大专	0.248	0.375	0.045	0.662	0.509
大学及以上	1.150	0.464	0.180	2.478	0.014
宗教信仰（无=参照组）
有	1.193	0.339	0.214	3.517	0.001
病情知晓（否=参照组）
是	0.646	0.335	0.116	1.929	0.056
月收入（≤1 500=参照组）
1 501~3 000	1.016	0.535	0.190	1.898	0.060
3 001~5 000	1.525	0.553	0.264	2.757	0.007
≥5 001	2.858	0.652	0.407	4.382	0.000
病程（<12=参照组）
12~24	-1.310	0.453	-0.186	2.892	0.004
>24	-1.852	0.388	-0.299	4.775	<0.001

Spiritual health status and influencing factors of patients with terminal cancers

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