Au Tsay-Yi, Zauszniewski Jaclene A, King Tai-Ming
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
Oncol Nurs Forum. 2012 Sep;39(5):E390-7. doi: 10.1188/12.ONF.E390-E397.
PURPOSE/OBJECTIVES: To examine the relationships between two health-seeking behaviors (HSBs), spirituality and resourcefulness, as well as demographics, cancer-related factors, and sexuality indicators, within the context of Schlotfeldt's health-seeking model in rectal cancer survivors.
Secondary analysis, correlational, and cross-sectional.
A teaching hospital in southern Taiwan.
120 adults with rectal cancer.
Data were collected during face-to-face interviews using the Body-Mind-Spirit Well-Being Inventory-Spirituality scale; Resourcefulness Scale; Sexual Self-Schema Scale (male and female versions); Evaluating and Nurturing Relationship Issues, Communication, Happiness (ENRICH) Couple Scale-Communication; ENRICH Sexual Relationship Scale; International Index of Erectile Function; and the Female Sexual Function Index. Correlational analysis, one-way analyses of variance, and independent sample t tests were used to analyze data.
Spirituality, resourcefulness, HSBs, and sexuality.
Spirituality and resourcefulness were associated with sexual self-concept and sexual satisfaction in men and women. Spirituality was correlated with resourcefulness. Greater resourcefulness was found in women, as well as in men and women who had higher education and fewer comorbid conditions. Spirituality was not associated with gender, education, or number of comorbid conditions. Neither spirituality nor resourcefulness was associated with age, religion, stage of disease, time since surgery, type of cancer treatment, or sexual function.
Resourcefulness and spirituality were associated with the sexuality indicators of satisfaction and self-concept, which may have an impact on the physical and psychological health of adults with rectal cancer.
The findings suggest a need to focus on strengthening HSBs through teaching resourcefulness and encouraging spirituality to enhance sexual self-concept and improve sexual satisfaction in this patient group.
目的/目标：在直肠癌幸存者的施洛特费尔特健康寻求模型背景下，研究两种健康寻求行为（HSB）、精神性和足智多谋之间的关系，以及人口统计学、癌症相关因素和性取向指标之间的关系。
二次分析、相关性分析和横断面研究。
台湾南部的一家教学医院。
120名成年直肠癌患者。
在面对面访谈期间，使用身心灵幸福感量表-精神性量表、足智多谋量表、性自我图式量表（男性和女性版本）、评估和培养关系问题、沟通、幸福（ENRICH）夫妻量表-沟通、ENRICH性关系量表、国际勃起功能指数和女性性功能指数收集数据。采用相关性分析、单因素方差分析和独立样本t检验进行数据分析。
精神性、足智多谋、HSB和性取向。
精神性和足智多谋与男性和女性的性自我概念和性满意度相关。精神性与足智多谋相关。女性以及受过高等教育且合并症较少的男性和女性足智多谋程度更高。精神性与性别、教育程度或合并症数量无关。精神性和足智多谋均与年龄、宗教、疾病分期、手术后时间、癌症治疗类型或性功能无关。
足智多谋和精神性与满意度和自我概念的性取向指标相关，这可能会对成年直肠癌患者的身心健康产生影响。
研究结果表明，需要通过教授足智多谋和鼓励精神性来加强HSB，以提高该患者群体的性自我概念并改善性满意度。
