Sharour Loai Abu, Omari Omar Al, Salameh Ayman Bani, Yehia Dalal
Associate Professor, Faculty of Nursing, Al-Zaytoonah University of Jordan, Jordan.
Associate Professor, School of Nursing, Sultan Qaboos University, Oman.
J Res Nurs. 2020 Mar;25(2):114-125. doi: 10.1177/1744987119846177. Epub 2019 Aug 22.
Up to 35% of cancer patients have clinically significant levels of psychological distress during their treatment. Accordingly, better understanding of health-related quality of life and its predictors will help oncology nurses plan appropriate interventions to improve health-related quality of life.
This study was conducted to investigate the relationship between hope, depression and anxiety and health-related quality of life among Jordanian cancer patients during their treatment period.
Cross-sectional descriptive correlational design was conducted using the Hospital Anxiety and Depression Scale, Herth Hope Index and Functional Assessment of Cancer Therapy-Colorectal surveys.
260 Jordanian patients with cancer from three Jordanian hospitals completed the study survey. The bivariate analysis indicated significant positive relationships between hope and quality of life ( = .57, < .0001). A significant negative relationship was found between anxiety and depression and quality of life ( = -.76, < .0001). A multiple regression analysis indicated that hope, Hospital Anxiety and Depression Scale and time since diagnosis were predictors of quality of life, and explained 66% of the variance in the quality of life for this sample.
The assessment of psychosocial elements including hope, depression, anxiety, and quality of life should be a part of daily nurse-caring behaviours and practices. Implement education programmes to increase nurses' competencies in the psychosocial assessment are recommended.
高达35%的癌症患者在治疗期间存在具有临床意义的心理困扰水平。因此,更好地了解健康相关生活质量及其预测因素将有助于肿瘤护士规划适当的干预措施以改善健康相关生活质量。
本研究旨在调查约旦癌症患者治疗期间希望、抑郁和焦虑与健康相关生活质量之间的关系。
采用横断面描述性相关设计,使用医院焦虑抑郁量表、赫思希望指数和癌症治疗功能评估-结直肠问卷进行调查。
来自约旦三家医院的260名约旦癌症患者完成了研究调查。双变量分析表明希望与生活质量之间存在显著正相关(r = 0.57,p < 0.0001)。焦虑和抑郁与生活质量之间存在显著负相关(r = -0.76,p < 0.0001)。多元回归分析表明,希望、医院焦虑抑郁量表和确诊后的时间是生活质量的预测因素,并且解释了该样本中生活质量变异的66%。
对包括希望、抑郁、焦虑和生活质量在内的心理社会因素的评估应成为护士日常护理行为和实践的一部分。建议实施教育计划以提高护士在心理社会评估方面的能力。