Park Sun A, Chung Seung Hyun, Lee Youngjin
Division of Nursing Science, Suwon University, Korea National University of Transportation Republic of Korea. Email:
Asian Pac J Cancer Prev. 2016 Nov 1;17(11):4831-4836. doi: 10.22034/APJCP.2016.17.11.4831.
The study aimed to find out to what degree suicidal thoughts and associated factors affect the suicide risk of advanced cancer patients. The frequency of suicidal thoughts among patients with cancer, especially in the advanced stages, is about 3 times greater than the adult average in South Korea. We recruited 457 participants with four types of cancers (colon, breast, cervical, and lung) using stratified sampling. Data collection was carried out through oneon- one interviews by trained nurses using a structured questionnaire. Advanced cancer patients with high, vs. low, levels of anxiety and pain had a higher suicide risk. In contrast, having one’s spouse as the primary care provider was associated with a low suicide risk. Overall, the three factors of anxiety, pain, and the primary caregiver being one’s spouse explained 17.2% of the variance in suicide risk. In conclusion, we derived influencing factors of suicide risk using a sample of patients with various types of advanced cancer. The results provide systematic baseline data for preparing nurse-led interventions to prevent suicidal thoughts and suicide attempts among advanced cancer patients.
该研究旨在查明自杀念头及相关因素在多大程度上影响晚期癌症患者的自杀风险。癌症患者，尤其是晚期患者的自杀念头出现频率约为韩国成年人平均水平的3倍。我们采用分层抽样法招募了457名患有四种癌症（结肠癌、乳腺癌、宫颈癌和肺癌）的参与者。数据收集通过经过培训的护士使用结构化问卷进行一对一访谈来完成。焦虑和疼痛程度高的晚期癌症患者比程度低的患者有更高的自杀风险。相比之下，配偶作为主要照顾者与较低的自杀风险相关。总体而言，焦虑、疼痛以及主要照顾者为配偶这三个因素解释了自杀风险差异的17.2%。总之，我们使用各类晚期癌症患者样本得出了自杀风险的影响因素。研究结果为制定由护士主导的干预措施以预防晚期癌症患者的自杀念头和自杀企图提供了系统的基线数据。
