Londoudi Agoritsa, Skampardonis Konstantinos, Alikari Victoria, Prapa Paraskevi-Maria, Toska Aikaterini, Saridi Maria, Lavdaniti Maria, Zyga Sofia, Fradelos Evangelos C
General Hospital of Volos, 38 222 Volos, Greece.
Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41 500 Larissa, Greece.
Nurs Rep. 2024 Jan 29;14(1):317-327. doi: 10.3390/nursrep14010024.
The purpose of this study was to examine the relationship between fear of cancer recurrence, spiritual well-being, and mental health among cancer patients. The study involved 217 patients undergoing chemotherapy. Data were collected with the following instruments: a demographic and clinical information recording form, the fear of cancer recurrence inventory, the Athens insomnia scale, the FACIT-Sp-12 scale for the assessment of spirituality, and the HADS scale for the assessment of mental health. For statistical analysis, SPSS statistical software was used, with the significance threshold set at 0.05;andtl number, -test, one-way ANOVA, and multiple regression tests were used. The sample consisted of 217 cancer patients with a mean age of 63.7 years (SD = 11.6 years), 39.2% male and 60.8% female. The minimum value on the scale of fear of cancer recurrence was 0 and the maximum was 33 points, with a mean value of 14.1 points (SD = 8.2 points). The hospital scale of anxiety and depression was correlated, both in the dimension of anxiety and in the dimension of depression, significantly and positively with the scale of fear of cancer recurrence. Thus, greater fear of recurrence was associated with greater anxiety and depression. On the contrary, the correlations of anxiety and depression with the dimensions and the overall chronic disease treatment rating scale were significant and negative. So, greater spiritual well-being, in each domain and overall, were associated with less anxiety and depression. Finally, less fear of cancer recurrence was associated with finding greater meaning in life, greater peace, and overall greater spiritual well-being. In summary, fear of cancer recurrence is a predictor of psychological distress in cancer patients. However, spirituality can prevent the development of mental illness and FCR.
本研究的目的是探讨癌症患者对癌症复发的恐惧、精神健康和心理健康之间的关系。该研究纳入了217名正在接受化疗的患者。使用以下工具收集数据：一份人口统计学和临床信息记录表、癌症复发恐惧量表、雅典失眠量表、用于评估精神性的FACIT-Sp-12量表以及用于评估心理健康的HADS量表。进行统计分析时，使用了SPSS统计软件，显著性阈值设定为0.05；并使用了t检验、单因素方差分析和多元回归检验。样本包括217名癌症患者，平均年龄为63.7岁（标准差=11.6岁），男性占39.2%，女性占60.8%。癌症复发恐惧量表的最小值为0分，最大值为33分，平均值为14.1分（标准差=8.2分）。医院焦虑抑郁量表在焦虑维度和抑郁维度上均与癌症复发恐惧量表显著正相关。因此，对复发的恐惧越大与焦虑和抑郁程度越高相关。相反，焦虑和抑郁与维度及总体慢性病治疗评定量表的相关性显著为负。所以，在各个领域及总体上，更高的精神健康与更低的焦虑和抑郁相关。最后，对癌症复发的恐惧越小与在生活中找到更大意义、更多安宁以及总体上更高的精神健康相关。总之，对癌症复发的恐惧是癌症患者心理困扰的一个预测指标。然而，精神性可以预防精神疾病和癌症复发恐惧的发生。
