Taşdemir Gülay, Köktaş Nesrin Çunkuş, Aşcı Fatma, Kara Ezgi
Department of Nursing, Faculty of Health Sciences, Pamukkale University, Denizli, Turkey.
Bilecik Training and Research Hospital Emergency Service, Bilecik, Turkey.
J Clin Nurs. 2025 Apr 28. doi: 10.1111/jocn.17780.
This study was conducted to examine the relationship between psychological resilience, ruminative thoughts and spiritual well-being of individuals diagnosed with cancer.
Cancer, which can cause fear, anger and future anxiety in individuals from the moment of diagnosis, is a disease that individuals can associate with death, pain, and suffering.
A descriptive and correlational research design was employed.
The study sample consisted of 382 patients receiving outpatient treatment at an oncology center affiliated with a university hospital in Turkey. Data were collected using the Introductory Information Form, Ruminative Reactions Scale, Psychological Resilience Scale, and FACIT-Sp Spiritual Well-Being Scale. We evaluated the data via descriptive statistics, Pearson correlation, and multiple regression analyses.
The resilience score of the participants was 52.48 ± 6.96, the ruminative reactions score was 44.26 ± 15.11, and the FACIT-Sp total score was 38.97 ± 8.23. In the study, there was a moderate and statistically significant positive relationship between the mean psychological resilience score and the mean scores of FACIT-Sp on the meaning, FACIT-Sp peace, FACIT-Sp faith sub-dimensions, and the total scale of FACIT-Sp (p < 0.05). Also, a moderate and statistically significant negative relationship existed between the mean psychological resilience and the ruminative response scores (p < 0.05).
Participants' psychological resilience was slightly higher than moderate, their ruminative thoughts were moderate, and their spiritual well-being was high. In addition, there was a relationship between psychological resilience, ruminative reactions, and spiritual well-being.
They may be important for nurses to plan and implement interventions that will reduce patients' ruminative thinking and increase their spiritual well-being and resilience. Therefore, the results obtained in this study may help nursing care be more effective.
The reporting of the results of the study was conducted in accordance with the STROBE guidelines.
本研究旨在探讨被诊断患有癌症的个体的心理韧性、反刍思维与精神幸福感之间的关系。
癌症从确诊之时起就会在个体中引发恐惧、愤怒和对未来的焦虑，是一种会让个体将其与死亡、痛苦联系在一起的疾病。
采用描述性和相关性研究设计。
研究样本包括在土耳其一所大学医院附属肿瘤中心接受门诊治疗的382名患者。使用基本信息表、反刍反应量表、心理韧性量表和FACIT-Sp精神幸福感量表收集数据。我们通过描述性统计、皮尔逊相关性分析和多元回归分析对数据进行评估。
参与者的心理韧性得分是52.48±6.96，反刍反应得分是44.26±15.11，FACIT-Sp总分是38.97±8.23。在该研究中，心理韧性平均得分与FACIT-Sp在意义、FACIT-Sp安宁、FACIT-Sp信仰子维度以及FACIT-Sp总量表上的平均得分之间存在中度且具有统计学意义的正相关关系（p<0.05）。此外，心理韧性平均得分与反刍反应得分之间存在中度且具有统计学意义的负相关关系（p<0.05）。
参与者的心理韧性略高于中等水平，他们的反刍思维处于中等水平，精神幸福感较高。此外，心理韧性、反刍反应和精神幸福感之间存在关联。
护士计划和实施能够减少患者反刍思维并提高其精神幸福感和心理韧性的干预措施可能很重要。因此，本研究获得的结果可能有助于提高护理效果。
本研究结果的报告遵循STROBE指南。
