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癌症患者的灵性和宗教信仰对其生活质量的影响。

Influence of Spirituality and Religiosity of Cancer Patients on Their Quality of Life.

机构信息

Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, ul. Michałowskiego 12, 31-126 Kraków, Poland.

Maria Sklodowska-Curie Memorial Institute of Oncology, ul. Garncarska 11, 31-115 Kraków, Poland.

出版信息

Int J Environ Res Public Health. 2022 Apr 19;19(9):4952. doi: 10.3390/ijerph19094952.

Abstract

Taking into account the spiritual and religious dimensions is important when it comes to taking care of patients with cancer and their quality of life. The study aimed to show the degree of dependence between the level of spirituality/religiosity of people who have just been diagnosed with cancer or have been diagnosed with cancer in the past and their quality of life. The Daily Spiritual Experience Scale (DSES), the EORTC QLQ-C30 quality of life and EORTC QLQ-FA12 fatigue-related quality of life questionnaire were used. One hundred one respondents of the Catholic faith obtained 65.22 points in DSES; 49.84 points on the QLQ-C30 functioning scale, 58.75 points on the physical scale, 60.73 points on the social scale, 50.17 points on the emotional scale, 64.69 points on the cognitive scale, 55.45 points in fulfilling one's role and 28.38 points in financial impact. In the QLQ-FA12, respondents obtained 45.94 points on the physical scale, 47.53 points on the emotional scale and 30.69 points on the cognitive scale. In the respondents' opinion, fatigue was the disease that reduced their quality of life the most-on average, 51.27 points. The oncological patients were characterized by a high level of spirituality/religiosity and an average level of quality of life. Spirituality/religiosity had a positive relationship with physical, emotional and social functioning. On the other hand, it was negatively associated with disease symptoms, such as pain or emotional and physical fatigue. Future research is needed in the context of the quality of life, focused on the spiritual and religious sphere of functioning of cancer patients, conducted in various cultural, ethnic and religious circles, which can serve to improve the education of nurses and develop their spiritual competences.

摘要

在照顾癌症患者及其生活质量时,考虑精神和宗教层面很重要。本研究旨在展示刚刚被诊断出患有癌症或过去被诊断出患有癌症的人群的灵性/宗教水平与其生活质量之间的依赖程度。使用了每日精神体验量表(DSES)、EORTC QLQ-C30 生活质量量表和 EORTC QLQ-FA12 疲劳相关生活质量量表。101 名天主教信仰者在 DSES 中获得了 65.22 分;QLQ-C30 功能量表得分为 49.84 分,身体量表得分为 58.75 分,社会量表得分为 60.73 分,情感量表得分为 50.17 分,认知量表得分为 64.69 分,角色履行得分为 55.45 分,财务影响得分为 28.38 分。在 QLQ-FA12 中,受访者在身体量表上获得了 45.94 分,在情感量表上获得了 47.53 分,在认知量表上获得了 30.69 分。在受访者看来,疲劳是降低他们生活质量最多的疾病-平均得分为 51.27 分。肿瘤患者的灵性/宗教水平较高,生活质量中等。灵性/宗教与身体、情感和社会功能呈正相关。另一方面,它与疾病症状(如疼痛或情感和身体疲劳)呈负相关。需要在生活质量的背景下进行未来的研究,重点关注癌症患者精神和宗教领域的功能,在不同的文化、种族和宗教环境中进行,这有助于提高护士的教育水平,并发展他们的精神能力。

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