一项针对 COVID-19 大流行期间接受化疗的癌症患者的 COVID 焦虑、精神健康和适应力水平的研究：伊朗南部的一项横断面研究。
A study of COVID anxiety, spiritual well-being and resilience levels in patients with cancer undergoing chemotherapy during the COVID-19 pandemic: a cross-sectional study in the south of Iran.
机构信息
Department of Gerontology, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
Department of Nursing, Sirjan School of Medical Sciences, Sirjan, Iran.
出版信息
BMC Psychol. 2023 Mar 20;11(1):75. doi: 10.1186/s40359-023-01126-1.
BACKGROUND
Patients with cancer are at higher risk of contracting COVID-19 with poor prognosis. Therefore, the present study was conducted to investigate anxiety, spiritual well-being, and resilience levels in patients with cancer undergoing chemotherapy during the COVID-19 pandemic in the south of Fars Province, Iran.
METHODS
This is a descriptive study with a cross-sectional design conducted on the patients undergoing chemotherapy at Dr. Ali Shariati Hospital in Fasa from November 2021 to February 2022. Cancer patients undergoing chemotherapy were included in the study by census method. Out of 210 patients, 155 participated in the study. Data were collected electronically using the standard instruments of Ellison's Spiritual Well-being Scale, COVID-19 anxiety questionnaire, and Connor-Davidson resilience scale. The collected data were analyzed in SPSS 22 using descriptive statistics, Pearson correlation tests, T-test, ANOVA and multivariate linear regression at a level of significance of P < 0.05.
RESULTS
The participants' resilience mean score was 46.35 ± 26.51 and their spiritual well-being mean score was 69.58 ± 9.32. In addition, their COVID anxiety mean, score was found to be 16.85 ± 10.51. The results showed a significant direct correlation between the patients' spiritual well-being and resilience (r = 0.47, P < 0.001) and a significant inverse correlation between the patients' spiritual well-being and COVID-19-related anxiety (r = - 0.275, P < 0.001). In addition, there was a significant inverse correlation between the variables of resilience and COVID-19-related anxiety (r = - 0.637, P < 0.001). Based on multivariate linear regression, the most common predictors in resilience were age and history of infection with COVID-19, and in spiritual health and anxiety, was a history of infection with COVID-19.
CONCLUSION
Enhancement of spiritual well-being and resilience in patients should be an integral part of care as these qualities are valuable resources in fighting cancer and lowering patients' anxiety, especially during the COVID-19 pandemic.
背景
癌症患者感染 COVID-19 的风险较高，预后较差。因此，本研究旨在调查伊朗法尔斯省南部在 COVID-19 大流行期间接受化疗的癌症患者的焦虑、精神健康和韧性水平。
方法
这是一项描述性研究，采用横断面设计，于 2021 年 11 月至 2022 年 2 月在法斯的阿里沙里亚特医院对接受化疗的患者进行。采用整群抽样法将接受化疗的癌症患者纳入研究。在 210 名患者中，有 155 名患者参加了研究。使用 Ellison 精神健康量表、COVID-19 焦虑问卷和 Connor-Davidson 韧性量表的标准量表，通过电子方式收集数据。使用 SPSS 22 进行数据分析，采用描述性统计、Pearson 相关检验、T 检验、方差分析和多元线性回归，显著性水平为 P<0.05。
结果
患者的韧性平均得分为 46.35±26.51，精神健康平均得分为 69.58±9.32。此外，他们的 COVID 焦虑平均得分为 16.85±10.51。结果表明，患者的精神健康与韧性呈显著正相关(r=0.47，P<0.001)，精神健康与 COVID-19 相关焦虑呈显著负相关(r=-0.275，P<0.001)。此外，韧性和 COVID-19 相关焦虑的变量之间呈显著负相关(r=-0.637，P<0.001)。基于多元线性回归，韧性的最常见预测因素是年龄和感染 COVID-19 的病史，而在精神健康和焦虑方面，感染 COVID-19 的病史是最常见的预测因素。
结论
在 COVID-19 大流行期间，增强患者的精神健康和韧性应成为护理的一个组成部分，因为这些素质是对抗癌症和降低患者焦虑的宝贵资源。
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