Oh Pok-Ja, Lee Yeon-Joo
Department of Nursing, Sahmyook University, Chungryang, Seoul, Korea.
Taehan Kanho Hakhoe Chi. 2008 Apr;38(2):270-7. doi: 10.4040/jkan.2008.38.2.270.
This study was done to identify predictors of the fighting spirit or helplessness/hopelessness in the patients' mental adjustment to cancer. Cancer patients' characteristics like performance status, metastasis and duration of diagnosis with demographic factors, spiritual support and social support were used as predictors of a fighting spirit or helplessness/hopelessness.
A total of 124 ambulatory cancer patients completed the Mental Adjustment to Cancer (MAC) scale and responded in a structured instrument about their characteristics, spiritual and social support.
The results of multiple regression analysis revealed that confidence in the supporter (R(2)=.114, p=.000), duration of cancer diagnosis (R(2)=.041, p=.000) and faith (R(2)=.030, p=.000) were predictive of a fighting spirit (R(2)=.185, p=.000); whereas, education (R(2)=.074, p=.001), performance status (R(2)=.055, p=.000), satisfaction with social support (R(2)=.046, p=.000), and metastasis (R(2)=.037, p=.000) were predictive of helplessness/hopelessness (R(2)=.202, p=.000).
Social support, spiritual support and disease related factors like metastasis, performance status, and duration of cancer diagnosis need to be considered in a psychosocial nursing intervention for a fighting spirit or helplessness/hopelessness.
本研究旨在确定癌症患者心理调适过程中斗志或无助/绝望情绪的预测因素。将癌症患者的特征，如体能状态、转移情况、确诊时长，与人口统计学因素、精神支持和社会支持一同作为斗志或无助/绝望情绪的预测因素。
共有124名门诊癌症患者完成了癌症心理调适（MAC）量表，并通过一份结构化问卷对自身特征、精神和社会支持情况进行了回答。
多元回归分析结果显示，对支持者的信心（R² = 0.114，p = 0.000）、癌症确诊时长（R² = 0.041，p = 0.000）和信仰（R² = 0.030，p = 0.000）可预测斗志（R² = 0.185，p = 0.000）；而受教育程度（R² = 0.074，p = 0.001）、体能状态（R² = 0.055，p = 0.000）、对社会支持的满意度（R² = 0.046，p = 0.000）和转移情况（R² = 0.037，p = 0.000）可预测无助/绝望情绪（R² = 0.202，p = 0.000）。
在针对斗志或无助/绝望情绪的心理社会护理干预中，需要考虑社会支持、精神支持以及与疾病相关的因素，如转移情况、体能状态和癌症确诊时长。
