决定癌症患者疾病接受程度和生活满意度的因素。
Factors Determining the Level of Acceptance of Illness and Satisfaction with Life in Patients with Cancer.
作者信息
Piotrkowska Renata, Kruk Agnieszka, Krzemińska Aneta, Mędrzycka-Dąbrowska Wioletta, Kwiecień-Jaguś Katarzyna
机构信息
Department of Surgical Nursing, Medical University of Gdansk, Dębinki 7, 80-211 Gdańsk, Poland.
Department of Anaesthesiology Nursing and Intensive Care, Medical University of Gdansk, Dębinki 7, 80-211 Gdańsk, Poland.
出版信息
Healthcare (Basel). 2023 Apr 19;11(8):1168. doi: 10.3390/healthcare11081168.
INTRODUCTION
Cancer threatens life and brings about many negative emotions in patients, which influence their satisfaction with life and contribute to a low level of their acceptance of illness. This is why the acceptance of illness is a serious problem among patients with cancer; contributes to the intensification of symptoms; and influences the patient's physical, mental, emotional, social, and spiritual condition.
AIM
The purpose of this work is to assess the acceptance of illness and satisfaction with life in patients with cancer, as well as to identify social, demographical, and clinical factors that significantly differentiate their acceptance of illness and satisfaction with life.
MATERIALS AND METHODS
The study involved 120 patients with cancer aged 18 to 88. The study was conducted in the form of a questionnaire based on standard research tools: Acceptance of Illness (AIS), Satisfaction with Life Scale (SWLS), and Numerical Rating Scale (NRS). Social, demographical, and clinical data were collected in the original questionnaire.
RESULTS
A group of 120 patients was studied, including 55.83% ( = 67) women and 44.16% ( = 53) men. The average age was 56. A general acceptance-of-illness index obtained by the patients was 21.6 ± 7.32 and a general satisfaction-with-life index was 19.14 ± 5.78. The statistical analysis indicated a significant correlation between the acceptance of illness and the intensity of pain (rHO = -0.19; < 0.05), fatigue (( 1.92; > 0.05), and diarrhoea ( = 2.54; < 0.05). The correlation between the intensity of pain and satisfaction with life was negative (rHO = -0.20; < 0.05).
CONCLUSION
The greater acceptance of illness, the greater satisfaction with life in patients with cancer. Pain, fatigue, and diarrhoea decrease the acceptance of illness. In addition, pain decreases the level of satisfaction with life. Social and demographical factors do not determine the level of acceptance of illness and satisfaction with life.
引言
癌症威胁生命，并给患者带来许多负面情绪，这些情绪会影响他们对生活的满意度，并导致他们对疾病的接受程度较低。这就是为什么疾病接受度在癌症患者中是一个严重问题；它会导致症状加剧，并影响患者的身体、心理、情感、社会和精神状况。
目的
这项研究的目的是评估癌症患者对疾病的接受程度和对生活的满意度，并确定显著区分他们对疾病的接受程度和对生活满意度的社会、人口统计学和临床因素。
材料与方法
该研究纳入了120名年龄在18至88岁之间的癌症患者。该研究以问卷调查的形式进行，基于标准研究工具：疾病接受度量表（AIS）、生活满意度量表（SWLS）和数字评分量表（NRS）。社会、人口统计学和临床数据在原始问卷中收集。
结果
共研究了120名患者，其中女性占55.83%（n = 67），男性占44.16%（n = 53）。平均年龄为56岁。患者获得的总体疾病接受度指数为21.6 ± 7.32，总体生活满意度指数为19.14 ± 5.78。统计分析表明，疾病接受度与疼痛强度（rHO = -0.19；P < 0.05）、疲劳（r = 1.92；P > 0.05）和腹泻（r = 2.54；P < 0.05）之间存在显著相关性。疼痛强度与生活满意度之间的相关性为负（rHO = -0.20；P < 0.05）。
结论
癌症患者对疾病的接受程度越高，对生活的满意度越高。疼痛、疲劳和腹泻会降低对疾病的接受程度。此外，疼痛会降低生活满意度水平。社会和人口统计学因素并不能决定对疾病的接受程度和生活满意度水平。
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