Duke University Medical Center, Durham, North Carolina 27708, USA.
J Pain Symptom Manage. 2010 Aug;40(2):174-82. doi: 10.1016/j.jpainsymman.2010.01.014. Epub 2010 Jun 25.
Hope may be important in explaining the variability in how patients adjust to lung cancer.
The aim of this study was to examine how hope, as conceptualized by Snyder et al., is associated with multiple indices of adjustment to lung cancer. This theoretical model of hope suggests that people with high levels of hope are able to think about the pathways to goals (pathways) and feel confident that they can pursue those pathways to reach their goals (agency).
We hypothesized that higher levels of hope, as measured by Snyder et al.'s hope scale, would be related to lower levels of pain and other lung cancer symptoms (i.e., fatigue and cough) and lower psychological distress (i.e., depression). Participants in this study included patients with a diagnosis of lung cancer (n=51). All participants provided demographic and medical information and completed measures of hope, lung cancer symptoms, and psychological distress.
Data analyses found that hope was inversely associated with major symptoms of cancer (i.e., pain, fatigue, and cough) and psychological distress (i.e., depression), even after accounting for important demographic and medical variables (i.e., age and cancer stage).
The findings of this cross-sectional study highlight the potential importance of hope in understanding adjustment to lung cancer. Future longitudinal research could help reveal how hope and adjustment interact over the course of cancer survivorship.
希望可能是解释患者对肺癌适应程度差异的重要因素。
本研究旨在探讨 Snyder 等人提出的希望概念与肺癌适应的多个指标之间的关系。该希望理论模型表明，具有高度希望的人能够思考实现目标的途径（途径），并对自己能够追求这些途径以实现目标（能动性）充满信心。
我们假设，Snyder 等人的希望量表测量的较高水平的希望与较低水平的疼痛和其他肺癌症状（即疲劳和咳嗽）以及较低的心理困扰（即抑郁）相关。本研究的参与者包括肺癌诊断患者（n=51）。所有参与者均提供人口统计学和医疗信息，并完成了希望、肺癌症状和心理困扰的测量。
数据分析发现，希望与癌症的主要症状（即疼痛、疲劳和咳嗽）和心理困扰（即抑郁）呈负相关，即使考虑到重要的人口统计学和医学变量（即年龄和癌症分期）也是如此。
这项横断面研究的结果强调了希望在理解肺癌适应中的潜在重要性。未来的纵向研究可以帮助揭示希望和适应在癌症生存过程中的相互作用。
