癌症患者的韧性及其与人口统计学、心理因素和生活方式的相关性。
Resilience in cancer patients and how it correlates with demographics, psychological factors, and lifestyle.
机构信息
Klinik für Innere Medizin II, Hämatologie und Internistische Onkologie, Universitätsklinikum Jena, Friedrich-Schiller Universität Jena, Am Klinikum 1, 07747, Jena, Germany.
Klinik für HNO-Erkrankungen, Kopf-Hals-Chirurgie, Interdisziplinäre, Palliativstation, Südharz Klinikum Nordhausen, Dr.-Robert-Koch-Straße 39, 99734, Nordhausen, Germany.
出版信息
J Cancer Res Clin Oncol. 2023 Jul;149(8):5279-5287. doi: 10.1007/s00432-022-04480-6. Epub 2022 Nov 18.
BACKGROUND
Being diagnosed with cancer is challenging. Many patients wish to be actively involved in treatment and contribute to therapy, but the patients' coping abilities and desire for involvement differ. The individual level of resilience seems to play a major role. Our study aims to learn more about the associations of resilience and factors as demographics and psychological factors.
METHODS
This multicentric cross-sectional study was conducted in ten oncological centers in Germany in summer 2021. The questionnaire collected information on demographics, resilience, self-efficacy, general satisfaction with life, and sense of coherence. Considered lifestyle-aspects were diet and physical activity. 416 patients were included in the analyses.
RESULTS
A moderate mean resilience score was achieved (M = 69). Significant correlations in demographics were found for resilience and education (r = 0.146, p = 0.003), income (r = 0.205, p = 0.001), and time since receiving diagnosis (r = - 0.115, p = 0.021). Resilience and self-efficacy correlated on a high level (r = 0.595, p < 0.001), resilience and sense of coherence, and resilience and general satisfaction with life in a moderate way (r = 0.339, p < 0.001; r = 0.461, p = 0.001).
CONCLUSIONS
Resilience portrays an important aspect in cancer treatment. Detecting patients at risk, stabilizing, or improving resilience are important to focus on and strengthen them accordingly. Possible negatively influencing factors (e.g., low self-efficacy) need to be considered. Factors affecting resilience but difficult to influence, as educational background, should be screened for. Also, the combination of low resilience and low income seems to describe a vulnerable patient group.
背景
被诊断患有癌症具有挑战性。许多患者希望积极参与治疗并为治疗做出贡献,但患者的应对能力和参与意愿存在差异。个体的韧性水平似乎起着重要作用。我们的研究旨在更多地了解韧性与韧性相关因素(如人口统计学和心理因素)之间的关联。
方法
这是一项 2021 年夏季在德国 10 家肿瘤中心进行的多中心横断面研究。问卷收集了人口统计学、韧性、自我效能感、对生活的总体满意度和生活意义感等信息。考虑到的生活方式方面包括饮食和身体活动。共纳入 416 例患者进行分析。
结果
获得了中等水平的平均韧性评分(M=69)。在人口统计学方面,韧性与教育程度(r=0.146,p=0.003)、收入(r=0.205,p=0.001)和诊断后时间(r=-0.115,p=0.021)呈显著相关。韧性与自我效能感呈高度相关(r=0.595,p<0.001),韧性与生活意义感和对生活的总体满意度呈中度相关(r=0.339,p<0.001;r=0.461,p=0.001)。
结论
韧性是癌症治疗的一个重要方面。检测处于风险中的患者,稳定或提高韧性是很重要的,应相应地加强韧性。需要考虑可能产生负面影响的因素(例如,自我效能感低)。对于那些难以影响但影响韧性的因素,如教育背景,应进行筛选。此外,低韧性和低收入的结合似乎描述了一个脆弱的患者群体。
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