摘要
目的:探讨初诊癌症患者不同阶段的死亡焦虑水平及其影响因素。方法:选取某三级甲等肿瘤专科医院的癌症患者266例,使用自编一般资料调查表、Templer死亡焦虑量表(T-DAS)、接纳与行动问卷第二版(AAQ-Ⅱ)、生命意义感量表中文版(C-MLQ),分别在入院时(T1)、出院时(T2)、出院后1个月(T3)进行调查。采用Kruskal-Wallis H检验、广义估计方程分析患者不同时间点的死亡焦虑水平及影响因素。结果:Kruskal-Wallis H检验结果显示,3个时间点的T-DAS总分及4个维度得分差异均有统计学意义(均P<0.01),T1得分最高,T3得分最低。广义估计方程结果显示,男性(β=1.25)、初中受教育程度(β=2.59)、工人(β=1.46)及农民(β=1.67)、呼吸(β=1.74)及消化系统肿瘤(β=2.51)、AAQ-Ⅱ得分(β=0.23)正向预测患者的死亡焦虑;头颈部(β=-1.73)及乳腺肿瘤(β=-1.84)、Ⅰ期(β=-2.58)及Ⅱ期肿瘤(β=-2.11)、存在生命意义感得分(β=-0.15)负向预测患者的死亡焦虑。结论:癌症患者的死亡焦虑在入院时最高,出院后逐渐缓解。
Objective:To investigate the level of death anxiety and its related factors in patients with newly diagnosed cancer at different stages.Methods:A total of 266 cancer patients in a tertiary oncology hospital were se-lected and investigated at admission(T1),discharge(T2),and 1 month after discharge(T3).They were assessed with the self-compiled general information questionnaire,Templer′s Death Anxiety Scale(T-DAS),Acceptance and Action Questionnaire Second Edition(AAQ-II.),and the Chinese version of the Meaning in Life Questionnaire(C-MLQ).The Kruskal-Wallis H test and generalized estimating equation were used to analyze the level of death anxi-ety and its influencing factors in cancer patients at different time points.Results:The Kruskal-Wallis H test showed that the total T-DAS scores and the difference in the scores of the four dimensions were statistically significant at three time points(Ps<0.01),with the highest T1 score and the lowest T3 score.The results of generalized estima-ting equation showed that male gender(β=1.25),junior high school education(β=2.59),worker(β=1.46),farmer(β=1.67),respiratory(β=1.74),digestive system tumor(β=2.51),and AAQ-II score(β=0.23)posi-tively predicted death anxiety in patients with cancer.Head and neck(β=-1.73),breast tumors(β=-1.84),stage I(β=-2.58)and stage II tumors(β=-2.11),and C-MLQ score(β=-0.15)negatively predicted death anxiety in patients with cancer.Conclusion:Death anxiety in patients with newly diagnosed cancer is highest on ad-mission and gradually relieves after discharge.
作者
陈付蓉
谌永毅
刘翔宇
肖芷蕊
许湘华
CHEN Furong;CHEN Yongyi;LIU Xiangyu;XIAO Zhirui;XU Xianghua(The Affiliated Cancer Hospital of Xiangya School of Medicine,Central South University/Hunan Cancer Hospital,Changsha 410013,China;School of Nursing,University of South China,Hengyang 412009,Hunan Province,China)
出处
《中国心理卫生杂志》
CSCD
北大核心
2023年第12期1052-1058,共7页
Chinese Mental Health Journal
基金
国家自然科学基金项目“基于接纳承诺疗法的癌症患者死亡焦虑虚拟现实干预机制及效果研究”(82103026)
2020年度湖南省临床医疗技术创新引导项目“癌症患者死亡焦虑机制及干预策略研究”(2020SK51105)。
关键词
癌症患者
死亡焦虑
纵向研究
patients with cancer
death anxiety
longitudinal studies
