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有意义的生活和社会健康对癌症患者自杀意念的预测作用。

Importance of worthwhile life and social health as predictors of suicide ideation among cancer patients.

机构信息

Department of Biomedical Science, Seoul National University College of Medicine and Hospital, Seoul, South Korea.

Department of Family Medicine, Seoul National University College of Medicine and Hospital, Seoul, South Korea.

出版信息

J Psychosoc Oncol. 2022;40(3):303-314. doi: 10.1080/07347332.2021.1901830. Epub 2021 Apr 19.

Abstract

OBJECTIVE

We identify the most associative factors among existential well-being, health-related quality of life, and health behaviors' sub-factors for cancer patients' suicidal ideation (SI) to develop practical intervention tools for general cancer patients in South Korea.

PARTICIPANTS

We surveyed 766 cancer patients from two hospitals in South Korea. The eligibility criteria were as follows: 18 years of age or older, diagnosed with cancer, aware of the stage, and capable of understanding the purpose of the study.

METHODS

We performed a multidimensional multivariate analysis to find the factors that are most associated with SI for cancer patients.

RESULTS

The results showed that life worthwhile (adjusted odds ratio (aOR), 3.946; 95% CI, 1.64-9.48), social functioning (aOR, 2.817; 95% CI, 1.19-6.65), and living with loved ones (aOR, 0.353; 95% CI, 0.15-0.84) were the most predictive factors for SI.

CONCLUSION

To prevent SI in cancer patients, it might be necessary to help them feel that their lives are worthwhile while helping them maintain a high degree of social health.

IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS OR POLICY

It is important to help cancer patients value their life and lead the high-quality social life to reduce their SI.

摘要

目的

确定与癌症患者自杀意念(SI)最相关的生存幸福感、健康相关生活质量和健康行为子因素,为韩国普通癌症患者开发实用的干预工具。

参与者

我们调查了来自韩国两家医院的 766 名癌症患者。入选标准如下:年龄 18 岁或以上,诊断患有癌症,了解疾病分期,能够理解研究目的。

方法

我们进行了多维多变量分析,以找出与癌症患者 SI 最相关的因素。

结果

结果表明,生活有意义(调整后的优势比(aOR),3.946;95%置信区间,1.64-9.48)、社会功能(aOR,2.817;95%置信区间,1.19-6.65)和与亲人一起生活(aOR,0.353;95%置信区间,0.15-0.84)是 SI 的最具预测性因素。

结论

为了预防癌症患者的 SI,可能有必要帮助他们感到自己的生活有意义,同时帮助他们保持高度的社会健康。

对心理社会服务提供者或政策的影响

帮助癌症患者重视自己的生命并过上高质量的社会生活,以减少他们的 SI,这一点很重要。

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