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癌症幸存者的精神幸福感与生活质量之间的关系。

The relationship between spiritual well-being and quality of life in cancer survivors.

机构信息

Surgical Diseases Nursing Department, Nursing Division, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey.

The Konya Chamber of Commerce, Karatay University, Konya, Turkey.

出版信息

Palliat Support Care. 2020 Feb;18(1):55-62. doi: 10.1017/S1478951519000464.

Abstract

OBJECTIVE

To evaluate the relationship between spiritual well-being (SpWB) and quality of life (QoL) in cancer (CA) survivors.

METHODS

The current study was conducted in the oncology center at a university hospital in Central Anatolia/Turkey. In this study, a descriptive cross-sectional survey design was used. The data collected included: a questionnaire form, the current study was conducted in the oncology center at a university hospital in Central Anatolia/Turkey. In this study, a descriptive cross-sectional survey design was used. SpWB was assessed by the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, version 4 (FACIT-Sp12, v. 4), including Meaning, Peace, and Faith subscales. The QoL was evaluated using the Functional Assessment of Cancer Therapy-General scale (FACT-G, v. 4). The results were analyzed using descriptive statistics, Pearson correlations, independent sample t-test, Kruskal-Wallis, and Mann-Whitney U test.

RESULTS

One hundred fifty patients participated in this study: 61.30% female, 78% 45 years of age or older, 94.70% married, 46% had finished, and 69% had gastrointestinal tract CA. The mean age was 53.48 (SD = 9.43). The majority of participants (96.7%) endorsed "a force pushing them a will to live" while 59.3% supported "the power of relationships with others." There was a positive, strong correlation between overall QoL and SpWB (r = 0.619, p < 0.01). The Meaning dimensions of SpWB with Functional Well-Being (FWB) and overall QoL (r = 0.512; 0.595, p < 0.000 respectively), Peace with Emotional Well-Being (EWB) and FWB (r = 0.598; 0.540, p < 0.000 respectively) dimensions of FACT-G and overall QoL (r = 0.609, p < 0.001) were strong correlated. Faith and QoL were not significantly correlated.

SIGNIFICANCE OF RESULTS

This study demonstrates that SpWB positively contributed to the QoL of CA survivors. SpWB is not necessarily limited to any specific types of beliefs or practices. For some people, faith in self, others and/or God constitutes, in large part, the meaning, purpose, and fulfillment they find in life.

摘要

目的

评估癌症幸存者的精神幸福感(SpWB)与生活质量(QoL)之间的关系。

方法

本研究在土耳其安纳托利亚中部的一所大学医院的肿瘤中心进行。本研究采用描述性的横断面调查设计。收集的数据包括:问卷表,本研究在土耳其安纳托利亚中部的一所大学医院的肿瘤中心进行。本研究采用描述性的横断面调查设计。SpWB 通过慢性疾病治疗的功能评估-精神幸福感量表,第 4 版(FACIT-Sp12,v.4)进行评估,包括意义、平静和信仰分量表。使用癌症治疗功能评估-一般量表(FACT-G,v.4)评估 QoL。使用描述性统计、Pearson 相关分析、独立样本 t 检验、Kruskal-Wallis 和 Mann-Whitney U 检验对结果进行分析。

结果

本研究共纳入 150 名患者:61.30%为女性,78%年龄在 45 岁或以上,94.70%已婚,46%已完成学业,69%患有胃肠道癌。平均年龄为 53.48(SD=9.43)。大多数参与者(96.7%)表示“有一种力量推动他们活下去的意愿”,而 59.3%的人表示“与他人关系的力量”。总体 QoL 与 SpWB 呈正相关,且相关性较强(r=0.619,p<0.01)。SpWB 的意义维度与功能良好(FWB)和总体 QoL(r=0.512;0.595,p<0.000 分别),和平维度与情感良好(EWB)和 FWB(r=0.598;0.540,p<0.000 分别)和总体 QoL(r=0.609,p<0.001)之间存在较强的相关性。信仰与 QoL 无显著相关性。

意义

本研究表明,SpWB 对癌症幸存者的生活质量有积极贡献。SpWB 不一定局限于任何特定类型的信仰或实践。对某些人来说,对自己、他人和/或上帝的信念在很大程度上构成了他们在生活中找到的意义、目的和满足感。

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