Department of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China.
Shanghai Yangpu Mental Health Center, Shanghai, China.
Asia Pac J Clin Oncol. 2023 Jun;19(3):403-412. doi: 10.1111/ajco.13888. Epub 2022 Nov 6.
To examine the factors that influence meaning in life (MiL) in patients with advanced lung cancer who are undergoing radiochemotherapy.
A cross-sectional, multivariate stepwise regression analysis and structural equation modeling were used to examine factors influencing MiL in 231 patients with lung cancer in an oncology department of a tertiary hospital in China. Their mood state, family care, social support, and psychological distress were measured.
Sex, marital status, and family income significantly affected MiL (p < .05). MiL was significantly correlated (p < .01) with psychological distress (r = -.203), and most significantly (F = 66.883, p < .01; 46.2% of MiL) with mood state (r = -.631), family care (r = .384), and social support (r = .410).
To enhance MiL, nurses need to consider patients' mood states and family/social support, as well as tailor patient care toward different sexes and backgrounds. Clinical staff should pay attention to the psychological changes, family care, and social support of patients with advanced lung cancer.
探讨正在接受放化疗的晚期肺癌患者生活意义（MiL）的影响因素。
采用横断面、多元逐步回归分析和结构方程模型，对中国一家三级医院肿瘤内科的 231 例肺癌患者的情绪状态、家庭关怀、社会支持和心理困扰进行测量，分析影响 MiL 的因素。
性别、婚姻状况和家庭收入显著影响 MiL（p<.05）。MiL 与心理困扰显著相关（p<.01，r=-.203），与情绪状态的相关性最强（F=66.883，p<.01；MiL 的 46.2%由情绪状态决定，r=-.631），与家庭关怀（r=-.384）和社会支持（r=-.410）显著相关。
为了提高 MiL，护士需要考虑患者的情绪状态和家庭/社会支持，并针对不同性别和背景的患者调整护理。临床工作人员应关注晚期肺癌患者的心理变化、家庭关怀和社会支持。
