Author Affiliations: Faculty of Nursing, Department of Obstetrics and Gynecologic Nursing, Hacettepe University (Mrs Uslu-Sahan and Dr Koc); and Faculty of Health Sciences, Atilim University (Dr Terzioglu), Ankara, Turkey.
Cancer Nurs. 2019 Sep/Oct;42(5):373-380. doi: 10.1097/NCC.0000000000000622.
Gynecologic cancer can create hopelessness and death anxiety and alter the lifestyle of the affected women and their caregivers. Perceived social support may facilitate coping with this illness.
The aim of this study was to determine whether hospitalized patients with gynecologic cancer and their caregivers differ in feelings of hopelessness and death anxiety and how those conditions may be related to their social support.
Two hundred patients with gynecologic cancer and their 200 caregivers from 1 university hospital were enrolled in this descriptive correlational study. Study measures included a demographic form, the Perceived Social Support Scale, the Beck Hopelessness Scale, and the Thorson-Powell's Death Anxiety Scale. Data were analyzed using Student t test, Pearson correlation test, and linear regression analyses.
Patients had higher hopelessness and death anxiety compared with caregivers (P < .001). Patients' perceived social support explained 35% of the total variance in hopelessness and 28% of the variance in death anxiety; caregivers' perceived social support explained 40% of the total variance in hopelessness and 12% of the variance in death anxiety.
Patients felt hopelessness and death anxiety in greater rates than caregivers. Social support had a significant effect on hopelessness and death anxiety of patients and their caregivers.
Nurses, who are the healthcare professionals spending time with patients and families from diagnosis forward, need to evaluate patients and their caregivers for hopelessness and death anxiety and consider their social support systems during this evaluation.
妇科癌症会给患者及其护理人员带来绝望和死亡焦虑，并改变他们的生活方式。感知到的社会支持可能有助于应对这种疾病。
本研究旨在确定妇科癌症住院患者及其护理人员在绝望感和死亡焦虑方面是否存在差异，以及这些情况如何与他们的社会支持相关。
本描述性相关性研究纳入了来自 1 所大学医院的 200 名妇科癌症患者及其 200 名护理人员。研究措施包括人口统计学表格、感知社会支持量表、贝克绝望量表和索森-鲍威尔死亡焦虑量表。使用学生 t 检验、皮尔逊相关检验和线性回归分析对数据进行分析。
与护理人员相比，患者的绝望感和死亡焦虑感更高（P<.001）。患者感知到的社会支持解释了绝望感总方差的 35%和死亡焦虑感总方差的 28%；护理人员感知到的社会支持解释了绝望感总方差的 40%和死亡焦虑感总方差的 12%。
与护理人员相比，患者感到绝望和死亡焦虑的程度更高。社会支持对患者及其护理人员的绝望感和死亡焦虑感有显著影响。
护士作为与患者及其家庭从诊断开始就一直相处的医疗保健专业人员，需要在评估过程中评估患者及其护理人员的绝望感和死亡焦虑感，并考虑他们的社会支持系统。
