摘要
目的探讨晚期胃癌患者死亡焦虑的相关因素。方法采用便利抽样法选取2024年4月-2025年4月天津市北辰医院收治的148例晚期胃癌患者作为研究对象,采用一般资料调查问卷、死亡焦虑量表(DAS)、领悟社会支持量表(PSSS)、希望指数量表(HHI)进行单中心横断面调查,通过多元线性回归分析其死亡焦虑的影响因素。结果148例晚期胃癌患者死亡焦虑总分为(8.04±3.90)分,DAS总分0-15分,>7分为高焦虑;单因素分析结果显示,不同性别、年龄、躯体症状数量、受教育水平胃癌患者的DAS评分比较,差异有统计学意义(P<0.05)。晚期胃癌患者PSSS得分为(46.45±9.70)分,HHI得分为(21.85±3.88)分,与死亡焦虑之间均存在显著的负相关性(P<0.05)。多元线性回归分析结果显示,女性、年龄18-34岁、躯体症状3种及以上、受教育水平初中及以下、低PSSS总分及低HHI总分是晚期胃癌患者死亡焦虑的影响因素(P<0.05)。结论晚期胃癌患者的死亡焦虑程度总体处于偏高水平,除性别、年龄、教育程度及躯体症状等客观因素外,社会支持与希望水平是关键可调节因素,提示临床应在症状管理基础上,重点通过增强社会支持与希望干预减轻患者的死亡焦虑,提升其临终舒适度与尊严。
Objective To explore the related factors of death anxiety in patients with advanced gastric cancer.Methods Convenience sampling was used to select 148 patients with advanced gastric cancer admitted to Tianjin Beichen Hospital from April 2024 to April 2025.A single center cross-sectional survey was conducted using a general information questionnaire,Death Anxiety Scale(DAS),Perceived Social Support Scale(PSSS),and Hope Index(HHI).Multiple linear regression was used to analyze the influencing factors of death anxiety.Results The total score of death anxiety in 148 patients with advanced gastric cancer was(8.04±3.90)points,and the DAS total score was 0-15 points,a score greater than 7 points was considered high anxiety.The results of univariate analysis showed that there were statistically significant differences(P<0.05)in DAS scores among gastric cancer patients of different genders,ages,number of physical symptoms,and education levels.The PSSS score of advanced gastric cancer patients was(46.45±9.70)points,and the HHI score was(21.85±3.88)points,both of which showed a significant negative correlation with death anxiety(P<0.05).Multiple linear regression analysis showed that female age,18-34 years old,three or more physical symptoms,education level of junior high school or below,low PSSS and HHI total scores were the influencing factors of death anxiety in patients with advanced gastric cancer(P<0.05).Conclusion The overall level of death anxiety in patients with advanced gastric cancer is relatively high.In addition to objective factors such as gender,age,education level,and physical symptoms,social support and hope level are key modifiable factors.This suggests that clinical practice should focus on enhancing social support and hope intervention on the basis of symptom management to alleviate death anxiety,improve patient end-of-life comfort and dignity.
作者
张立平
屈芳
王伟佳
Zhang Liping;Qu Fang;Wang Weijia(Tianjin Beichen Hospital,Tianjin 300400,China)
出处
《首都食品与医药》
2025年第24期123-126,共4页
Capital Food Medicine
关键词
晚期胃癌
死亡焦虑
希望
领悟社会支持
影响因素
Advanced gastric cancer
Death anxiety
Hope
Understand social support
influencing factors
