Li Yu-Chi, Ho Chung-Han, Wang Hsiu-Hung
Author Affiliations: Department of Nursing (Mrs Li) and Department of Medical Research (Dr Ho), Chi-Mei Medical Center, Tainan; and College of Nursing, Kaohsiung Medical University, Taiwan (Mrs Li and Dr Wang).
Cancer Nurs. 2017 Jan/Feb;40(1):E54-E60. doi: 10.1097/NCC.0000000000000352.
Demoralization frequently occurs in hospice, cancer, and critically ill patients. Severe demoralization can lead to suicidal ideation, making this issue of great import to healthcare providers.
The aim of this study is to inform nursing professionals of the risk factors of demoralization in cancer patients via investigating its relationship with cancer patients' demographic data and disease characteristics.
This is a cross-sectional descriptive study using a structured questionnaire including assessments of demographic data and disease characteristics, as well as the Demoralization Scale Mandarin version. Univariate logistic regression was used to explore the relations between demoralization and these other variables.
The mean (SD) Demoralization Scale Mandarin version score was 30.08 (13.68) (range, 0-73). Demoralization was significantly related to age (r = 0.1, P = .050), marital status (r = 0.11, P = .034), education (r = 0.17, P < .001), monthly income (r = 0.22, P < .001), disease status (r = 0.10, P = .050), and treatment type (r = 0.12, P = .014).
This study demonstrates the factors influencing demoralization among cancer patients. Future studies might expand to include patients with other chronic or critical illnesses or disadvantaged groups to better understand the prevalence of demoralization. This would help draw more attention from clinical healthcare providers, healthcare institutions, and other healthcare authorities to demoralization.
The results provide reference data for nursing professionals about the care of cancer patients.
士气低落现象在临终关怀患者、癌症患者和重症患者中经常出现。严重的士气低落会导致自杀念头，这一问题对医疗服务提供者至关重要。
本研究旨在通过调查癌症患者士气低落与人口统计学数据及疾病特征之间的关系，让护理专业人员了解癌症患者士气低落的风险因素。
这是一项横断面描述性研究，使用结构化问卷，包括人口统计学数据和疾病特征评估，以及中文版士气低落量表。采用单因素逻辑回归分析来探讨士气低落与其他变量之间的关系。
中文版士气低落量表的平均（标准差）得分为30.08（13.68）（范围为0 - 73）。士气低落与年龄（r = 0.1，P = 0.050）、婚姻状况（r = 0.11，P = 0.034）、教育程度（r = 0.17，P < 0.001）、月收入（r = 0.22，P < 0.001）、疾病状态（r = 0.10，P = 0.050）和治疗类型（r = 0.12，P = 0.014）显著相关。
本研究揭示了影响癌症患者士气低落的因素。未来的研究可以扩大到包括其他慢性或重症疾病患者或弱势群体，以更好地了解士气低落的普遍程度。这将有助于临床医疗服务提供者、医疗机构和其他卫生当局更加关注士气低落问题。
研究结果为护理专业人员护理癌症患者提供了参考数据。
