Downe-Wamboldt Barbara, Butler Lorna, Coulter Lynn
Dalhousie University School of Nursing, Nova Scotia, Canada.
Cancer Nurs. 2006 Mar-Apr;29(2):111-9. doi: 10.1097/00002820-200603000-00006.
This article explores the relationship between meaning of illness, perceived social support resources, coping strategies used, and quality of life (QOL) by patients with lung cancer and their family members. The study was cross-sectional using interview data from 85 patients and associated family members. Regression results showed that total QOL in patients with lung cancer is predicted most by meaning of illness, specifically, the illness being perceived as manageable. QOL in family members is predicted most by meaning of illness, specifically, less adverse impact. Interestingly, the overall meaning of illness, coping strategies used, and social support were similar in the 2 groups. The results of the study emphasize the importance of acknowledging the circumstances of people's lives, both patients surviving lung cancer and their family members, which contribute to QOL.
本文探讨了肺癌患者及其家庭成员对疾病意义的认知、所感知到的社会支持资源、所采用的应对策略与生活质量（QOL）之间的关系。该研究采用横断面研究方法，收集了85名患者及其相关家庭成员的访谈数据。回归结果表明，肺癌患者的总体生活质量最能由疾病意义来预测，具体而言，即疾病被认为是可控制的。家庭成员的生活质量最能由疾病意义来预测，具体而言，是负面影响较小。有趣的是，两组在疾病的总体意义、所采用的应对策略和社会支持方面相似。研究结果强调了认识到肺癌患者及其家庭成员的生活状况对生活质量的重要性。
