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疼痛、威胁感知和情绪困扰对结直肠癌患者自杀风险的影响。

The Impact of Pain, Threat Perception and Emotional Distress on Suicide Risk in Individuals with Colorectal Cancer.

作者信息

Espuig Alba, Pons-Vinent Maria, Carbajo Eva, Lacomba-Trejo Laura

机构信息

Facultat de Psicologia i Logopèdia, Universitat de València, 46010 València, Spain.

Clinical and Health Psychology Unit, Consorcio Hospital General Universitario de València, 46014 València, Spain.

出版信息

Nurs Rep. 2024 Sep 25;14(4):2629-2639. doi: 10.3390/nursrep14040194.

Abstract

BACKGROUND

Colorectal cancer (CRC) can significantly impact mental health, increasing suicide risk. Variables such as pain and threat perception may be crucial. This study aims to identify predictors of suicide risk in individuals with CRC.

METHODS

A total of 71 participants (76.06% men) aged 27 to 88 years ( = 65.18, = 12.02) were assessed using the SF-36 for pain, the Brief Illness Perception Questionnaire (B-IPQ) for threat perception, the Hospital Anxiety and Depression Scale (HADS) for emotional distress, and the Plutchik suicide risk scale for suicide risk. Descriptive, comparative, and correlational analyses were performed, followed by a linear regression analysis.

RESULTS

Nearly 20% of participants exhibited high suicide risk. There was a moderate-to-high association between suicide risk and the perception of threat, pain, and emotional distress. The linear regression model explained 39% of the variance in suicide risk, with threat perception, pain, and emotional distress as significant predictors.

CONCLUSIONS

These results indicate the need for multidisciplinary care for individuals with CRC, including emotional support from health psychologists, and holistic, human-centered care from nursing and medical professionals. Future research is necessary to further explore these relationships and improve patient care strategies.

摘要

背景

结直肠癌(CRC)会对心理健康产生重大影响,增加自杀风险。疼痛和威胁感知等变量可能至关重要。本研究旨在确定CRC患者自杀风险的预测因素。

方法

共有71名年龄在27至88岁之间(平均年龄=65.18岁,标准差=12.02)的参与者(76.06%为男性)接受了评估,使用SF-36评估疼痛,使用简短疾病感知问卷(B-IPQ)评估威胁感知,使用医院焦虑抑郁量表(HADS)评估情绪困扰,使用普拉奇克自杀风险量表评估自杀风险。进行了描述性、比较性和相关性分析,随后进行线性回归分析。

结果

近20%的参与者表现出高自杀风险。自杀风险与威胁感知、疼痛和情绪困扰之间存在中度至高度关联。线性回归模型解释了自杀风险方差的39%,威胁感知、疼痛和情绪困扰是显著的预测因素。

结论

这些结果表明,需要为CRC患者提供多学科护理,包括健康心理学家的情感支持,以及护理和医疗专业人员提供的全面、以人为本的护理。未来有必要进行进一步研究,以进一步探索这些关系并改进患者护理策略。

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Suicide after colorectal cancer-a national population-based study.结直肠癌患者自杀:一项全国人群研究。
Colorectal Dis. 2024 Jul;26(7):1370-1377. doi: 10.1111/codi.17047. Epub 2024 Jun 3.
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Suicide risk and mortality among patients with cancer.癌症患者的自杀风险和死亡率。
Nat Med. 2022 Apr;28(4):852-859. doi: 10.1038/s41591-022-01745-y. Epub 2022 Mar 28.
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Global colorectal cancer burden in 2020 and projections to 2040.2020年全球结直肠癌负担及到2040年的预测。
Transl Oncol. 2021 Oct;14(10):101174. doi: 10.1016/j.tranon.2021.101174. Epub 2021 Jul 6.

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