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精神幸福感对癌症患者生活质量的影响:一项横断面研究。

The Impact of Spiritual Well-Being on the Quality of Life of Cancer Patients: A Cross-Sectional Study.

机构信息

An-Najah National University, Nablus, West Bank and Gaza Strip, Palestine.

An-Najah National University Hospital, Nablus, West Bank and Gaza Strip, Palestine.

出版信息

Integr Cancer Ther. 2023 Jan-Dec;22:15347354231210841. doi: 10.1177/15347354231210841.

DOI:10.1177/15347354231210841
PMID:37961876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10647945/
Abstract

BACKGROUND

Quality of life is a multidimensional concept that involves physical, social, emotional, and functional well-being. Spirituality represents a potentially influential factor in the quality of life. This study aimed to evaluate the quality of life and spirituality among cancer patients.

METHODS

A cross-sectional study was carried out on 354 cancer patients in Palestine. A self-administered questionnaire was used for data collection. The questionnaire was made up of 4 sections: sociodemographic factors, clinical data, FACT-G, and FACIT-sp.

RESULTS

A total of 354 cancer patients with a mean age of 46.4 ± 15.3 years were enrolled in the study. The spiritual well-being of patients reported in this study was measured by using the median FACIT-Sp total score, and it was 35 (IQR: 29-42). The quality of life of patients was measured using the median of the FACT-G total score, and it was 63 (IQR: 52-85). The FACT-G score was significantly variable based on several factors including age, marital status, cancer type, presence of metastasis, presence of treatment side effects, and the period since diagnosis (-value < .05). The FACIT-Sp total score had a significantly strong positive relationship with FACT-G total score ( = .705,  < .001). Moreover, moderate to strong significant correlations were found between spirituality and quality of life subscales.

CONCLUSIONS

Quality of life among cancer patients is affected by their basic and clinical characteristics and is highly correlated with their spirituality level. Thus, addressing palliative support through spiritual care besides primary clinical treatment is of great importance to improve the quality of life among cancer patients.

摘要

背景

生活质量是一个多维度的概念,涉及身体、社会、情感和功能健康。灵性代表了生活质量中一个潜在的影响因素。本研究旨在评估癌症患者的生活质量和灵性。

方法

在巴勒斯坦对 354 名癌症患者进行了横断面研究。使用自我管理问卷收集数据。问卷由 4 个部分组成:社会人口统计学因素、临床数据、FACT-G 和 FACIT-sp。

结果

共纳入 354 名年龄 46.4±15.3 岁的癌症患者。本研究通过中位数 FACIT-Sp 总分来衡量患者的精神幸福感,为 35(IQR:29-42)。通过中位数 FACT-G 总分来衡量患者的生活质量,为 63(IQR:52-85)。FACT-G 评分因年龄、婚姻状况、癌症类型、是否有转移、是否有治疗副作用以及诊断后时间等因素而显著不同(-值<.05)。FACIT-Sp 总分与 FACT-G 总分呈显著正相关( = .705, < .001)。此外,灵性与生活质量各维度之间存在中度至强显著相关性。

结论

癌症患者的生活质量受其基本和临床特征的影响,与他们的灵性水平高度相关。因此,通过精神关怀除了主要的临床治疗之外,提供姑息支持对提高癌症患者的生活质量非常重要。

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