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早期肺癌患者精神幸福感的潜在剖面分析及其与感知社会支持和希望的关系。

A latent profile analysis of spiritual well-being and their relation to perceived social support and hope in patients with early-stage lung cancer.

作者信息

Huang Peiwen, He Xueyu, Li Ling, Xu Jingwei, Wang Meifang, Li Yang

机构信息

Zhongnan Hospital of Wuhan University, Wuhan, 430062, Hubei, China.

The Central Hospital of Wuhan, Wuhan, 430014, Hubei, China.

出版信息

Support Care Cancer. 2024 Dec 11;33(1):14. doi: 10.1007/s00520-024-09045-6.

DOI:10.1007/s00520-024-09045-6
PMID:39661171
Abstract

PURPOSE

This study aimed to investigate the subtypes of spiritual well-being among patients with early-stage lung cancer, examine the characteristics of each subtype, and determine the relationship between spiritual well-being and perceived social support as well as hope within these subtypes.

METHODS

A sample of 418 patients with early-stage lung cancer from three hospitals in Hubei Province completed the general sociodemographic questionnaire, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being, the Perceived Social Support Scale, and the Herth Hope Index. Latent profile analysis (LPA) was used to identify the patterns of spiritual well-being in patients with early-stage lung cancer, and influencing factors of different patterns were identified by univariate analysis and multinomial logistic regression analysis.

RESULTS

Three latent classes were identified: the "low spiritual well-being" (C1, 33.97%), the "moderate spiritual well-being" (C2, 38.28%), and the "high spiritual well-being" (C3, 27.75%). Factors such as nationality, religion, annual household disposable income, perceived social support scores, and hope scores influenced the potential categories of spiritual well-being in patients with early-stage lung cancer.

CONCLUSIONS

The spiritual well-being of patients with early-stage lung cancer varies, necessitating customized spiritual care to meet the diverse needs of patients. Additionally, providing comprehensive social support and helping patients achieve positive states of spiritual well-being can promote better cancer treatment outcomes.

摘要

目的

本研究旨在调查早期肺癌患者精神健康的亚型,探讨各亚型的特征,并确定这些亚型中精神健康与感知社会支持以及希望之间的关系。

方法

来自湖北省三家医院的418例早期肺癌患者样本完成了一般社会人口学问卷、慢性病治疗功能评估-精神健康量表、感知社会支持量表和赫思希望指数。采用潜在类别分析(LPA)确定早期肺癌患者精神健康的模式,并通过单因素分析和多项逻辑回归分析确定不同模式的影响因素。

结果

确定了三个潜在类别:“低精神健康”(C1,33.97%)、“中等精神健康”(C2,38.28%)和“高精神健康”(C3,27.75%)。国籍、宗教、家庭年可支配收入、感知社会支持得分和希望得分等因素影响早期肺癌患者精神健康的潜在类别。

结论

早期肺癌患者的精神健康状况各不相同,需要定制精神护理以满足患者的多样化需求。此外,提供全面的社会支持并帮助患者实现积极的精神健康状态可以促进更好的癌症治疗效果。

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本文引用的文献

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The chain mediating effect of spiritual well-being and anticipatory grief between benefit finding and meaning in life of patients with advanced lung cancer: Empirical research quantitative.灵性健康和预期悲伤在晚期肺癌患者的获益发现与生命意义之间的中介作用链:实证研究定量分析。
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Spiritual care for adult patients with cancer: from maintaining hope and respecting cultures to supporting survivors-a narrative review.
成人癌症患者的精神关怀:从维持希望和尊重文化到支持幸存者——叙事评论。
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The effect of spiritual well-being on illness perception of lung cancer patıents.精神幸福感对肺癌患者疾病认知的影响。
Support Care Cancer. 2023 Jan 10;31(2):107. doi: 10.1007/s00520-022-07527-z.
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Patient-reported supportive care needs among Asian American cancer patients.亚裔美国癌症患者的报告的支持性护理需求。
Support Care Cancer. 2022 Nov;30(11):9163-9170. doi: 10.1007/s00520-022-07338-2. Epub 2022 Aug 30.
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Effects of family-oriented dignity therapy on dignity, depression and spiritual well-being of patients with lung cancer undergoing chemotherapy: A randomised controlled trial.以家庭为导向的尊严疗法对肺癌化疗患者尊严、抑郁及精神健康的影响:一项随机对照试验
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Psychosocial distress is dynamic across the spectrum of cancer care and requires longitudinal screening for patient-centered care.心理社会困扰在癌症治疗的整个过程中是动态变化的,需要进行纵向筛查,以提供以患者为中心的护理。
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Spiritual Well-Being and Associated Factors in Dutch Patients With Advanced Cancer.荷兰晚期癌症患者的精神健康状况及相关因素
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Nursing care based on the Support-Based Spiritual Care Model increases hope among women with breast cancer in Iran.基于支持型灵性关怀模式的护理可增强伊朗乳腺癌女性的希望。
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