Pan Tzu-Hsuan, Yeh Hui-Fang, Kuo Pi-Hui, Chuang Chu-Hsin
Department of Nursing, Chi Mei Medical Center Liouying, Taiwan, The Republic of China.
Department of Nursing, Fooyin University PhD, NP, RN, Taiwan, The Republic of China.
Florence Nightingale J Nurs. 2025 May 29;33(1):1-8. doi: 10.5152/FNJN.2025.24239.
The purpose of this study is to explore the relationships among demoralization, patient dignity, and quality of life of inpatients with cancer and to identify the predictors and mediators of patient dignity. METHOD: This cross-sectional study involved a sample of 460 patients with cancer. The research instruments were the Patient Dignity Inventory, the Demoralization Scale-Mandarin Version, and the 30-item Quality of Life Questionnaire of the European Organisation for Research and Treatment of Cancer. RESULTS: Positive correlations were found between demoralization and patient dignity (r=.76, p < .001),but negative correlations were found between demoralization and quality of life (r=-.42, p < .001) andbetween patient dignity and quality of life (r=-.46, p < .001). Patient dignity mediated the relationshipbetween demoralization and quality of life (β= .2599, p < .001). CONCLUSION: These findings confirm that patient dignity mediates the relationship between demoralization and quality of life. They may be used to facilitate patient dignity and reduce demoralization in healthcare settings.
本研究旨在探讨癌症住院患者的士气低落、患者尊严和生活质量之间的关系，并确定患者尊严的预测因素和中介因素。方法：这项横断面研究涉及460名癌症患者。研究工具包括患者尊严量表、士气低落量表中文版以及欧洲癌症研究与治疗组织的30项生活质量问卷。结果：发现士气低落与患者尊严之间呈正相关（r = 0.76，p < 0.001），但士气低落与生活质量之间呈负相关（r = -0.42，p < 0.001），患者尊严与生活质量之间也呈负相关（r = -0.46，p < 0.001）。患者尊严在士气低落与生活质量之间起中介作用（β = 0.2599，p < 0.001）。结论：这些发现证实患者尊严在士气低落与生活质量之间起中介作用。它们可用于促进医疗环境中的患者尊严并减少士气低落。
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