以质量求发展,以服务铸品牌

Journal of Nursing ›› 2018, Vol. 25 ›› Issue (19): 5-9.doi: 10.16460/j.issn1008-9969.2018.19.005

Previous Articles     Next Articles

Influence Factors of Stigma of Patients with Lung Cancer

REN Zhi-linga, MAO Nai-quanb, GAN Hai-jiea, WEI Yu-quna, WEI Qiao-linga, SUN Yueb, PANG Yong-huic   

  1. a. Dept. of Respiratory Oncology; b. Dept. of Thoracic Surgery; c. Nursing Expert Steering Group, Affiliated Tumor Hospital of Guangxi Medical University, Nanning 530021, China
  • Received:2018-06-03 Online:2018-10-10 Published:2020-07-06

Abstract: Objective To investigate the status of stigma in lung cancer patients and analyze its correlation with self-efficacy and social support. Methods A total of 275 patients with lung cancer from a provincial-level tertiary grade A hospital from February to August 2017 were selected as the study subjects and investigated by using the general information questionnaire,Chinese Version of Lung Cancer Patient Stigma Scale, General Self-efficacy Questionnaire and Social Support Rating Scale. Factors affecting stigma in patients with lung cancer were analyzed by multiple stepwise linear regression analysis. Results The stigma score of lung cancer patients was 70.58±14.64, which suggested a moderately high level of stigma. The stigma score between different age, education background, residence, being employed or not, personal monthly income, disease analysis, disease course, whether with chronic diseases or not, whether smoking or not and image change caused by conscious treatment were statistically significant (P<0.05). Correlation analysis showed that general self-efficacy and social support were negatively correlated with stigma (P<0.05). Multiple stepwise linear regression analysis showed that monthly personal income, disease stage, whether with chronic diseases or not, self-efficacy and social support were important influence factors of stigma in patients with lung cancer (P<0.05), which could explain 52.7% of the variance. Conclusion The level of stigma in patients with lung cancer is high, and it is closely related to the patient’s personal income, disease stage, whether with chronic diseases or not, self-efficacy and social support. More emphasis should go to the stigma and adequate medical support will benefit improving patients’ self-efficacy and relieving the stigma of the patients.

Key words: lung cancer, stigma, self-efficacy, social support

CLC Number: 

  • R473.73
[1] Chapple A, Ziebland S, Mcpherson A. Stigma, Shame,Blame Experienced By Patients With Lung Cancer: Qualitative Study[J]. BMJ, 2004, 328(7454):1470. DOI:10.1136/bmj.38111.639734.7C.
[2] 耿峰,董毅,King M,等. 精神疾病病耻感量表中文版在精神分裂症患者中应用的信效度[J]. 中国心理卫生杂志, 2010,24(5):343-346.DOI:10.3969/j.issn.1000-6729.2010.05.007.
[3] Ernst J, Mehnert A, Taubenheim S, et al.Stigmatization in Employed Patients with Breast, Intestinal, Prostate and Lung Cancer[J]. Psychother Psych Med, 2017, 67(7):304-311. DOI:10.1055/s-0043-110138.
[4] 李荔,刘丽娟. 基于GoPubMed对病耻感相关文献的计量学分析[J]. 中国心理卫生杂志, 2017, 31(11):857-861. DOI:10.3969/j.issn.1000-6729.2017.11.005.
[5] 杨贵军,尹剑,王维真. 应用抽样技术:新编[M].北京:中国统计出版社, 2015:256.
[6] Cataldo J K, Slaughter R, Jahan T M, et al.Measuring Stigma in People with Lung Cancer: Psychometric Testing of the Cataldo Lung Cancer Stigma Scale[J]. Oncol Nurs Forum, 2011, 38(1):E46-54. DOI:10.1188/11.ONF.
[7] 杨茜茜,刘化侠,杨春玲,等. 中文版Cataldo肺癌污名量表的信效度研究[J]. 护理学杂志, 2014, 29(5):17-19. DOI:10.3870/hlxzz.2014.05.017.
[8] 胡象岭,田春凤,孙方尽. 中文版一般自我效能量表的信度和效度检验[J]. 心理学探新, 2014, 34(1):53-56. DOI:10.3969/j.issn.1003-5184.2014.01.011.
[9] 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.
[10] 郝丽琼,吴师容,曹丹,等. 肺癌化疗患者癌因性疲乏发生情况及与社会支持的相关性研究[J].解放军医药杂志, 2017,29(7):37-40. DOI:10.3969/j.issn.2095-140X.2017.07.010.
[11] 李菲,黄美凌,曾迎春,方晓敏.高危产妇产后抑郁发生现状及影响因素分析[J].护理学报,2017,24(23):1-4. DOI:10.16460/j.issn1008-9969.2017.23.001.
[12] Brown Johnson C G, Brodsky J L, Cataldo J K. Lung Cancer Stigma, Anxiety, Depression, and Quality of Life[J]. J Psychosoc Oncol,2014,32(1):59-73.DOI:10.1080/07347332.2013.855963.
[13] Carter-Harris L.Lung Cancer Stigma as A Barrier to Medical Help-Seeking Behavior: Practice Implications[J]. J Am Acad Nurse Prac, 2015, 27(5):240-245. DOI:10.1002/2327-6924.12227.
[14] 杨茜茜,刘化侠,田靖,等. 肺癌患者病耻感现状及其影响因素的调查分析[J]. 中国实用护理杂志, 2015, 31(35):2708-2711.DOI:10.3760/cma.j.issn.1672-7088.2015.35.019.
[15] Cataldo J K, Brodsky J L. Lung Cancer Stigma, Anxiety, Depression and Symptom Severity[J]. Oncology, 2013, 85(1):33-40. DOI:10.1159/000350834.
[16] 王黎,于媛,张娜,等. 肺癌患者病耻感体验的质性研究[J]. 中华现代护理杂志, 2016, 22(30):4358-4362. DOI:10.3760/cma.j.issn.1674-2907.2016.30.016.
[17] 刘帅,张歆,刘国祥,等. 城市地区肺癌经济负担影响因素分析[J]. 中国公共卫生,2017,33(8):1224-1228. DOI:10.11847/zgggws2017-33-08-17.
[18] 于媛,王黎,张娜,等. 肺癌患者病耻感水平及其影响因素调查分析[J]. 中国护理管理, 2016, 16(2):256-259. DOI:10.3969/j.issn.1672-1756.2016.02.028.
[19] 孙辉,张海龙,王海峰,等. 非小细胞肺癌常见肺内合并症研究进展[J]. 实用医学杂志, 2016,32(1):22-24. DOI:10.3969/j.issn.1006-5725.2016.01.008.
[20] 施亮,王增,俞婷婷,等. 慢性病及其治疗药物可能会影响肺癌患者术后5年生存率(英文)[J]. 中国药学杂志,2017,26(2):147-155.DOI:10.5246/jcps.2017.02.014.
[21] 牟倩倩,余春华,李俊英. 肺癌初治患者心理痛苦的现状调查及相关因素分析[J]. 北京大学学报(医学版), 2016,48(3):507-514. DOI:10.3969/j.issn.1671-167X.2016.03.023.
[22] 刘莉莉,林平,赵振娟. 自我效能、社会支持及应对方式对急性心肌梗死患者心理弹性影响的路径分析[J]. 中华护理杂志, 2016,51(1):21-25. DOI:10.3761/j.issn.0254-1769.2016.01.004.
[23] Liu H, Yang Q, Narsavage G L, et al.Coping With Stigma: The Experiences of Chinese Patients Living with Lung Cancer[J]. Springer Plus,2016,5(1):1790.DOI:10.1186/s40064-016-3486-5.
[1] WANG Li-min, FANG Ji-hong, WU Feng-Qin, ZHU Jing, CHEN Wan-xuan. Mediating effect of kinesiophobia between self-efficacy and early functional exercise compliance in school-age children with limb fractures [J]. Journal of Nursing, 2025, 32(3): 1-5.
[2] ZENG Hui, SHI Yan-ru, LI Qi, DONG Yan, XU Yuan-ping, LIANG Miao-miao. Current status of medical narrative competence and its influencing factors: a case study of 666 nurses in military hospitals [J]. Journal of Nursing, 2024, 31(5): 73-78.
[3] WU Qian, JIANG Yu, JIN Meng-jie, FAN En, SHI Li, WANG Mei-xin. Current status of social alienation of young patients with newly-treated pulmonary tuberculosis and its influencing factors: a 321-case study [J]. Journal of Nursing, 2024, 31(4): 65-69.
[4] HE Hong, WANG Jia-lin, YUAN Zhong-qing, TENG Mei, REN Qian-qian, YU Meng. Mediating effects of perceived social support between emergency response capacity ability and mental workload among nurses [J]. Journal of Nursing, 2024, 31(3): 63-67.
[5] WU Ping, YU Wan-chen, LIU Jia-yi, WANG Shan-shan, HU Yan. Social support among prediabetes population: a scoping review [J]. Journal of Nursing, 2024, 31(21): 49-54.
[6] DAI Qi, LI Fang, ZHU Yuan, ZHANG Xiao-tong. Intelligent care need of patients undergoing lung cancer surgery based on KANO model [J]. Journal of Nursing, 2024, 31(17): 57-60.
[7] YANG Jian, ZHANG Ying, CHEN Xiao-yan, FENG Bi-long, HE Xue-yu. Doctor-nurse-patient accelerated rehabilitation clinical nursing pathway in patients with thoracoscopic resection of lung cancer [J]. Journal of Nursing, 2024, 31(13): 73-78.
[8] LI Li-xiang, LIU Qiong-ling, WAN Chong-hua, WANG Li-ping, LIN Hua-min, ZHU Xiao-jia, CHEN Zhen-fei, LIANG Wen-xin, LI Qi-zhen. Mediating effect of resourcefulness between family resilience and anticipatory grief in patients with advanced lung cancer [J]. Journal of Nursing, 2024, 31(12): 54-58.
[9] LI Dao-xing, ZUO Li, YANG Jie, TIAN Yu-fei, LIU Yu-an. Current status of moral resilience and its influencing factors in pediatric nurses: a 316-case study [J]. Journal of Nursing, 2024, 31(12): 59-64.
[10] HUANG Wen-yan, SONG Ling-hua, LIAO Shao-na, GONG Xue, YANG Chen , SONG Hui-juan. Mediating effect of regulatory emotion self-efficacy between narrative competence and rumination of ICU nurses [J]. Journal of Nursing, 2024, 31(1): 17-21.
[11] WEI Jia-hao, BU Meng-ru, BAI Zi-ye, ZHOU Jin. Measurement property of traditional Chinese medicine clinical effectiveness evaluation scales for lung cancer: a systematic review [J]. Journal of Nursing, 2023, 30(22): 56-62.
[12] SUN Shu-yi, SUN Guo-zhen, GAO Min, YU Tian-xi, LIU Shen-xinyu, TANG Zhi-jie, LU Jing. Mediating effect of self-efficacy between self-regulatory fatigue and exercise adherence in patients with chronic heart failure [J]. Journal of Nursing, 2023, 30(22): 63-67.
[13] FU Li-ting, ZHANG Xing-hai, SUN Xuan. Relationship between perceived ageism and suicide ideation in elderly people in nursing home [J]. Journal of Nursing, 2023, 30(20): 1-5.
[14] LUO Jia-hui, LUO Yuan-yuan, FANG Qing-hong, YE Yan-xin, LIU Su-ting, YANG Zhi-hui, MIAO Jing-xia, ZHANG Li-li. Status quo and influencing factors of cognitive function in lung cancer patients [J]. Journal of Nursing, 2023, 30(18): 1-5.
[15] CHEN Yuan, LI Jia-ling, OU Lu, ZOU Huang-jue, GAN Min-fei, WANG Wei-hong. Mediating effects of career outcome expectations between perceived social support and professional commitment in masters of nursing [J]. Journal of Nursing, 2023, 30(16): 7-11.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!