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消化道肿瘤老年患者治疗期间孤独感、疾病不确定感与感知社会支持的相关性研究

Study of the correlations between loneliness, disease uncertainty, and perceived social support among elderly patients with digestive tract tumors during treatment.

作者信息

Zheng Dan-Ning, Zheng Xin-Yi, Luo Qing-Bin, Cheng Ling, Cheng Huai-Dong

机构信息

The Second Affiliated Hospital of Anhui Medical University Hefei 230601, Anhui, China.

Department of Oncology, Anhui Zhongke Gengjiu Hospital Hefei 230051, Anhui, China.

出版信息

Am J Transl Res. 2024 Nov 15;16(11):6758-6769. doi: 10.62347/ZHCO4693. eCollection 2024.

Abstract

OBJECTIVE

To explore whether there are correlations between loneliness, disease uncertainty, and perceived social support among elderly patients with digestive tract tumors.

METHOD

A cross-sectional study was conducted on 149 patients with digestive tract tumors. A general information questionnaire, the Chinese version of the Cancer Patient Loneliness Scale, the Disease Uncertainty Scale, and the Perceived Social Support Assessment Scale were used.

RESULTS

The mean score on the Cancer Patient Loneliness Scale was 31.22±2.62 points; the mean score on the Disease Uncertainty Scale was 135.06±8.15 points; and the mean score on the Perceived Social Support Scale was 59.69±5.96 points. There was a positive correlation between loneliness and disease uncertainty (r=0.745, P<0.001), and there was a negative correlation between loneliness and perceived social support (r=-0.494, P<0.001).

CONCLUSION

Disease uncertainty and social support directly predicted loneliness among elderly patients with digestive tract tumors. Social support partially mediated the relationship between loneliness and disease uncertainty, accounting for 57.20% of the total effect. Clinical medical staff need to devote more attention to elderly patients being treated for digestive tract tumors, and psychological interventions should be implemented to enhance social support from society and families, thereby reducing patients' feelings of loneliness.

摘要

目的

探讨老年消化道肿瘤患者的孤独感、疾病不确定感与感知社会支持之间是否存在相关性。

方法

对149例消化道肿瘤患者进行横断面研究。采用一般资料问卷、中文版癌症患者孤独感量表、疾病不确定感量表和感知社会支持评定量表。

结果

癌症患者孤独感量表的平均得分为31.22±2.62分;疾病不确定感量表的平均得分为135.06±8.15分;感知社会支持量表的平均得分为59.69±5.96分。孤独感与疾病不确定感呈正相关(r=0.745,P<0.001),孤独感与感知社会支持呈负相关(r=-0.494,P<0.001)。

结论

疾病不确定感和社会支持直接预测老年消化道肿瘤患者的孤独感。社会支持在孤独感与疾病不确定感的关系中起部分中介作用,占总效应的57.20%。临床医护人员需要更加关注接受治疗的老年消化道肿瘤患者,应实施心理干预以增强社会和家庭的支持,从而减轻患者的孤独感。

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