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一项纵向研究,旨在探索妇科癌症女性未满足的护理需求、社会支持和希望。

A longitudinal study to explore unmet care needs, social support, and hope of women with gynecological cancer.

机构信息

Department of Nursing, Tzu Chi University, Hualien, Taiwan.

Department of Nursing, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

出版信息

Nurs Health Sci. 2022 Sep;24(3):742-751. doi: 10.1111/nhs.12975. Epub 2022 Aug 16.

Abstract

The experience of a life-threatening illness, such as cancer, can have an array of health impacts and social and psychological well-being can be compromised. This study compared differences in unmet care needs, social support, and hope of Taiwanese women with either newly diagnosed (n = 72) or recurring (n = 39) gynecological cancer at baseline (T0) and three follow-up surveys every 2 months (T1; T2; T3). Sociodemographic questions and three standardized self-administered questionnaires were used. The generalized estimating equations (GEE) method was used to analyze data. Women with recurrent cancer reported higher levels of care needs and lower levels of hope than those with a primary diagnosis. Significant positive correlations between social support and hope scores were observed for women with recurring cancer at T1 and T2. However, these women reported less hope at T3 compared to those with a primary diagnosis. Routine assessment of women's care needs related to their medical condition and provision of different kinds of support can aim to improve well-being and their hope for the future.

摘要

患有危及生命的疾病(如癌症)的经历会对健康产生一系列影响,社会和心理健康可能会受到影响。本研究比较了基线(T0)时新诊断(n=72)或复发性(n=39)妇科癌症的台湾女性在未满足的护理需求、社会支持和希望方面的差异,以及在接下来的每 2 个月进行 3 次随访调查(T1;T2;T3)。使用了社会人口统计学问题和三个标准化的自我管理问卷。采用广义估计方程(GEE)方法分析数据。与初诊患者相比,复发性癌症患者报告的护理需求更高,希望水平更低。在 T1 和 T2,复发性癌症患者的社会支持和希望评分之间存在显著的正相关。然而,与初诊患者相比,这些患者在 T3 时的希望较低。对女性与医疗状况相关的护理需求进行常规评估,并提供各种支持,可以提高幸福感和对未来的希望。

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