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肺癌确诊后患者对疾病的接受程度及其希望

The Degree of Acceptance of the Disease by Patients After a Diagnosis of Lung Cancer and Their Hope.

作者信息

Waleczko Agnieszka, Baczewska Bożena, Barańska Beata, Mielnik-Błaszczak Maria, Leśniewski Krzysztof

机构信息

Department of Internal Medicine and Internal Medicine in Nursing, Faculty of Health Sciences, Medical University of Lublin, Chodźki 7, 20-093 Lublin, Poland.

Institute of Health, The State University of Applied Sciences in Przemyśl, ul. Książąt Lubomirskich 6, 37-700 Przemyśl, Poland.

出版信息

J Clin Med. 2025 Jun 18;14(12):4356. doi: 10.3390/jcm14124356.

Abstract

: The aim of this study was twofold: first, to assess the extent to which patients diagnosed with lung cancer accept their condition and, second, to characterize the profiles and dimensions of the hope experienced by these patients. : In order to achieve the aforementioned goals, the following research tools were utilized: the NCN-36 scale to examine hope, the AIS to ascertain the acceptance of one's condition, and the KI scale to present socio-demographic-temperamental variables. : The patients exhibited an average level of acceptance of their disease while simultaneously demonstrating a high level of hope. Cluster analysis identified four groups of patients that differed significantly in terms of disease acceptance and felt hope ( < 0.001). Significantly higher acceptance of the disease was found in urban patients ( = 0.038) and those with higher education ( = 0.011), while lower acceptance was noted in those aged over 75 ( = 0.006). In turn, the experienced hope was influenced by variables such as age, place of residence, education, housing situation (living alone or with family), overall pace of activity, basic mood, and social and professional status. The researchers identified four distinct attitudes among the patients based on their disease-related experiences. These attitudes were categorized as follows: non-accepting-fearful, indifferent-desperate, non-accepting-fighting, and accepting-trusting.

摘要

本研究的目的有两个

第一,评估被诊断为肺癌的患者接受自身病情的程度;第二,描述这些患者所体验到的希望的特征和维度。为了实现上述目标,使用了以下研究工具:用NCN - 36量表来检测希望,用AIS量表来确定对自身病情的接受程度,用KI量表来呈现社会人口统计学 - 气质变量。患者对疾病的接受程度处于平均水平,同时表现出较高水平的希望。聚类分析确定了四组患者,他们在疾病接受程度和感受到的希望方面存在显著差异(<0.001)。城市患者(=0.038)和受过高等教育的患者(=0.011)对疾病的接受程度明显更高,而75岁以上的患者接受程度较低(=0.006)。反过来,所体验到的希望受到年龄、居住地点、教育程度、住房状况(独居或与家人同住)、总体活动节奏、基本情绪以及社会和职业地位等变量的影响。研究人员根据患者与疾病相关的经历确定了四种不同的态度。这些态度分类如下:不接受 - 恐惧型、冷漠 - 绝望型、不接受 - 抗争型和接受 - 信任型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e13/12194530/ce8adcdb37b8/jcm-14-04356-g001.jpg

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