以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (7): 11-14.doi: 10.16460/j.issn1008-9969.2021.07.011

• 研究生园地 • 上一篇    下一篇

晚期癌症患者预期性悲伤的现状及影响因素分析

田丽1, 李梦媛2, 肖抒情1, 阎玲2   

  1. 1.天津中医药大学 研究生院,天津 300000;
    2.天津医科大学肿瘤医院 护理部,天津 300060
  • 收稿日期:2020-12-25 出版日期:2021-04-10 发布日期:2021-05-12
  • 通讯作者: 阎玲（1972-）,女,天津人,硕士,副主任护师,硕士研究生导师,护理部副主任。E-mail：yanling@tjmuch.com
  • 作者简介:田丽（1994-）,女,河北石家庄人,本科学历,硕士研究生在读,护士。

Prevalence and Influence Factors of Anticipatory Grief in Advanced Cancer Patients

TIAN Li1, LI Meng-yuan2, XIAO Shu-qing1, YAN Ling2   

  1. 1. Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 300000, China;
    2. Dept. of Nursing Administration, Tianjin Medical University Cancer Institute & Hospital, Tianjin 300060, China
  • Received:2020-12-25 Online:2021-04-10 Published:2021-05-12

PDF (PC)

663

赞

摘要： 目的 探讨晚期癌症患者预期性悲伤现状及影响因素,为制定针对性的护理措施提供参考。方法 采取便利抽样法,选取2020年6—9月在天津市某肿瘤专科医院住院的225例晚期癌症患者作为研究对象,采用一般资料调查表,预期性悲伤量表、死亡焦虑量表、希望水平量表、社会支持量表进行调查,采用多元线性回归分析研究对象预期性悲伤得分的影响因素。结果 预期性悲伤得分为（45.69±15.73）分,与死亡焦虑呈正相关（P<0.05）,与希望水平、社会支持呈负相关（P<0.05）。多元线性回归分析显示性别、家庭人均月收入、疼痛反应、死亡焦虑、希望水平、社会支持进入回归方程（P<0.05）,共解释晚期癌症患者预期性悲伤总变异的74.5%。结论 本组晚期癌症患者的预期性悲伤呈中等水平,医务人员要关注女性、收入较低、疼痛严重、死亡焦虑大、希望水平低、社会支持低的晚期癌症患者,并给予针对性的干预措施,以降低其预期性悲伤水平。

关键词: 晚期癌症, 预期性悲伤, 影响因素

Abstract: Objective To explore the current situation and influencing factors of anticipatory grief in advanced cancer patients, and to provide reference for the development of targeted nursing measures. Methods With convenient sampling, 225 advanced cancer patients hospitalized from June to September 2020 were selected from a specialized oncology hospital in Tianjin and surveyed by using general information questionnaire, the Anticipatory Grief Scale (AGS), the Death Anxiety Scale (DAS), Herth Hope Index and Social Support Rating Scale. Multiple linear regression was used to analyze the influence factors of anticipatory grief. Results The score of anticipatory grief was 45.69±15.73, which was positively correlated with death anxiety (P<0.05) but negatively with hope level and social support (P<0.05). Multiple linear regression analysis showed that gender, monthly per capita household income, pain response, death anxiety, hope level, and social support entered the regression equation (P<0.05), accounting for 74.5% of the total variance in anticipatory grief in patients with advanced cancer. Conclusion Anticipatory grief in this group of advanced cancer patients is in a moderate or below level. More attention should go to female patients, those with low income, severe pain, high death anxiety, low hope level, and less social support. Targeted interventions are conducive to alleviating their anticipatory grief.

Key words: advanced cancer, anticipatory grief, influence factor

中图分类号: 

  • R473.73
[1] Nielsen MK, Neergaard MA, Jensen AB, et al.Do We Need to Change Our Understanding of Anticipatory Grief in Caregivers?A Systematic Review of Caregiver Studies during End-of-life Caregiving and Bereavement[J]. Clin Psychol Rev, 2016,44(3):75-93. DOI:10.1016/j.cpr.2016.01.002.
[2] 叶盈,辛大君,鲜莉,等.晚期癌症患者预感性悲伤评估量表汉化及信效度评价[J].西南医科大学学报,2018,41(3):268-272+276. DOI:10.3969/j.issn.2096-3351.2018.03.018.
[3] 杨红. 死亡焦虑量表的跨文化调适及其应用的研究[D].北京:北京中医药大学,2011.
[4] Herth K.Abbreviated Instrument to Measure Hope: Development and Psychometric Evaluation[J]. J Adv Nur, 1992, 17(6):1251-1259.DOI:10.1111/j.1365-2648.1992.tb01843.x.
[5] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J]. 临床精神医学杂志, 1994(2):98-100.
[6] Vergo MT, Whyman J, Li Z, et al.Assessing Preparatory Grief in Advanced Cancer Patients as an Independent Predictor of Distress in an American Population[J]. J Palliat Med, 2017, 20(1):48-52. DOI:10.1089/jpm.2016.0136.
[7] Brown JH, Torres HP, Maddi RD, et al.Cancer Patients’ Perceived Difficulties Filling Opioid Prescriptions after Receiving Outpatient Supportive Care[J]. J Pain Symptom Manage,2020,60(5):915-922. DOI:10.1016/j.jpainsymman.2020.06.015.
[8] Maddocks M, Evans C, Davidson M, et al.Palliative Care and the Management of Common Distressing Symptoms in Advanced Cancer: Pain, Breathlessness, Nausea and Vomiting, and Fatigue[J]. J Clin Oncol, 2020, 38(9):905-914. DOI:10.1200/JCO.19.00470.
[9] Lopes-Júnior LC, Rosa GS, Pessanha RM, et al.Efficacy of the Complementary Therapies in the Management of Cancer Pain in Palliative Care: A Systematic Review[J]. Rev Lat Am Enfermagem, 2020, 28(1):3377-3394. DOI:10.1590 / 1518-8345.4213.3377.
[10] Kashyap K, Bhatnagar S.Evidence for the Efficacy of Scrambler Therapy for Cancer Pain:A Systematic Review[J]. Pain physician, 2020, 23(4):349-364.
[11] Duin IA, Kaptein AA.Scared witless about Death--Ovarian Cancer Narratives Compared[J]. J Cancer Educ, 2013, 28(4):629-632. DOI:10.1007/s13187-013-0518-5.
[12] 陈淑娟,陶艳,胡成文,等.人生回顾对恶性肿瘤患者死亡焦虑的影响[J].医学与哲学(B),2016,37(8):86-89.DOI:10.12014/j.issn.1002-0772.2016.08b.
[13] Rogalla KB. Anticipatory Grief, Proactive Coping, Social Support,Growth: Exploring Positive Experiences of Preparing for Loss[J].Omega (Westport), 2020, 81(1):107-129. DOI:10.1177/0030222818761461.
[14] 张爱英,孙柳,付凤齐,等.128例膀胱肿瘤患者希望水平与应对方式的相关性研究[J].护理学报,2015,22(8):64-66.DOI:10.16460/j.issn1008-9969.2015.08.064
[15] Lipp NS, O’Brien KM. Bereaved College Students: Social Support, Coping Style, Continuing Bonds, and Social Media Use as Predictors of Complicated Grief and Posttraumatic Growth[J].Omega (Westport), 2020(2):0030222820941952. DOI:10.1177/0030222820941952.
[16] 王婧,刘芮寒,巩文花,等.自我效能在2型糖尿病患者社会支持和心理弹性的中介作用[J].护理学报, 2018,25(18):12-15. DOI:10.16460/j.issn1008-9969.2018.18.012.
[1] 李丹妮, 邱丽燕, 吴隆燕, 谭铮可可, 陈欣, 杨丽. 前交叉韧带损伤日间手术患者恐动症的潜在剖面分析及影响因素研究[J]. 护理学报, 2025, 32(4): 12-17.
[2] 杜易梅, 刘莉, 郭立丽, 卢吉, 付苗苗, 刘杰. 妇科恶性肿瘤患者性健康研究进展[J]. 护理学报, 2025, 32(4): 28-33.
[3] 李长娥, 徐真真, 张文忠, 吴燕, 季红. 新生儿父母脐带血储存决策影响因素的定性研究[J]. 护理学报, 2025, 32(3): 74-78.
[4] 魏利, 赵兴颖, 刘佳, 何雨璇, 陈晓梅, 杨雪, 鲜继淑, 杨燕妮. 神经外科重症住院患者家庭照顾者照顾负担及影响因素分析[J]. 护理学报, 2025, 32(2): 1-6.
[5] 杨蓓, 叶红芳, 张宁, 相卢伟, 路诗雨. 老年2型糖尿病患者体力活动现状及影响因素研究[J]. 护理学报, 2025, 32(2): 7-12.
[6] 刘畅, 张维, 王翠雪, 岳鹏. ICU实施非限制性探视制度的影响因素研究进展[J]. 护理学报, 2025, 32(1): 34-38.
[7] 王进波, 吴姗, 黄蓉蓉, 陈代凤, 洪梅, 李审绥. 头颈癌患者自杀影响因素及干预的研究进展[J]. 护理学报, 2025, 32(1): 39-43.
[8] 陈莹莹, 丁红, 张根生. 患儿术后谵妄影响因素的研究进展[J]. 护理学报, 2024, 31(9): 32-35.
[9] 曹娟, 李方, 于跃, 戴丽, 杨丹丹, 李志华, 徐欣怡, 戴琪, 陈柯宇. 食管癌术后静脉血栓栓塞症风险预测模型的构建及验证[J]. 护理学报, 2024, 31(8): 63-68.
[10] 朱心悦, 嵇冰聪, 蓝雪芬, 季晓珍. 糖尿病患者电子健康素养研究进展[J]. 护理学报, 2024, 31(7): 36-39.
[11] 李莹, 周志欢. ICU护理缺失的研究进展[J]. 护理学报, 2024, 31(6): 43-46.
[12] 黄鑫, 余丽君, 张二明, 哈丽娜. 稳定期COPD患者的能量摄入现状及影响因素分析[J]. 护理学报, 2024, 31(5): 12-16.
[13] 张思爱, 赖翠薇, 李佳佳, 张亚军, 汪张毅, 张正涛, 法天锷. 护士专业态度的影响因素研究进展[J]. 护理学报, 2024, 31(4): 38-41.
[14] 林梅燕, 张星星, 李瑞华, 陶思琪, 甄莉. 肠造口患者居家睡眠质量特点及影响因素研究进展[J]. 护理学报, 2024, 31(24): 27-32.
[15] 赵阳, 王岚, 尹雪梅. 正常分娩中非必要干预的研究进展[J]. 护理学报, 2024, 31(24): 33-36.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!