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[肺癌患者自我超越的现状及其影响因素]

[Current Status of Self-transcendence among Lung Cancer Patients 
and Its Influencing Factors].

作者信息

Yang Xue, Luo Yu, Ye Lijuan, Yu Yingli, Zhu Daxing

机构信息

Lung Cancer Center/Lung Cancer Institute, West China Hospital, Sichuan University, Chengdu 610041, China.

West China School of Nursing, Sichuan University, Chengdu 610041, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2024 Jul 20;27(7):523-528. doi: 10.3779/j.issn.1009-3419.2024.106.16.

Abstract

BACKGROUND

Different degrees of self-transcendence exist in lung cancer patients, which can stimulate patients' self-awareness and promote them to face negative events in life positively, thus improving patients' quality of life and treatment outcomes. However, there are few reports on self-transcendence in lung cancer patients in China, and the related influencing factors have not yet been clarified. This study aims to investigate the current situation of self-transcendence in lung cancer patients and explore its risk factors, so as to provide a theoretical basis for clinical intervention decision-making.

METHODS

243 lung cancer patients who were admitted to the Department of Lung Cancer Center of West China Hospital, Sichuan University from September 2023 to February 2024 were enrolled as the study subjects; general information questionnaire, self-transcendence scale, Herth hope scale and social support scale were used for the investigation. The influencing factors related to self-transcendence of lung cancer patients were analyzed.

RESULTS

The total mean score of self-transcendence in lung cancer patients was (44.73±8.94); the total mean score of hope level was (37.60±4.98), and the total mean score of social support was (41.31±7.27). Self-transcendence was positively correlated with hope level and social support (P<0.001, P<0.001). Education, hope level and social support were influencing factors of self-transcendence in lung cancer patients (P<0.05, P<0.001, P<0.05).

CONCLUSIONS

Self-transcendence in lung cancer patients was at a low level and was influenced by hope level and social support. Healthcare professionals should pay attention to improving the hope level of lung cancer patients, carrying out targeted psychological interventions, and at the same time guiding them to enhance the perception of social support, so as to promote the realization of self-transcendence in patients.

摘要

背景

肺癌患者存在不同程度的自我超越,可激发患者的自我意识,促使其积极面对生活中的负面事件,从而提高患者的生活质量和治疗效果。然而,国内关于肺癌患者自我超越的报道较少,相关影响因素尚未明确。本研究旨在调查肺癌患者自我超越的现状并探讨其危险因素,为临床干预决策提供理论依据。

方法

选取2023年9月至2024年2月在四川大学华西医院肺癌中心住院的243例肺癌患者作为研究对象;采用一般资料问卷、自我超越量表、赫斯希望量表和社会支持量表进行调查。分析肺癌患者自我超越的相关影响因素。

结果

肺癌患者自我超越总均分(44.73±8.94);希望水平总均分(37.60±4.98),社会支持总均分(41.31±7.27)。自我超越与希望水平、社会支持呈正相关(P<0.001,P<0.001)。文化程度、希望水平、社会支持是肺癌患者自我超越的影响因素(P<0.05,P<0.001,P<0.05)。

结论

肺癌患者自我超越处于较低水平,受希望水平和社会支持的影响。医护人员应注重提高肺癌患者的希望水平,开展针对性心理干预,同时引导其增强社会支持感知,以促进患者实现自我超越。

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