濒死焦虑在晚期肺癌患者家庭关怀与生存质量之间的中介效应研究
The mediating effect of dying anxiety between family care and quality of life in advanced lung cancer patients
张杰 1郭颖英 1俞新燕1
作者信息
- 1. 浙江省肿瘤医院胸部肿瘤内科,浙江杭州 310022
- 折叠
摘要
目的 探讨濒死焦虑在晚期肺癌患者家庭关怀与生存质量之间的中介效应.方法 采用便利抽样法选取 2023年 9-12 月在浙江省肿瘤医院住院的 180 例晚期肺癌患者,采用一般资料表、家庭关怀度指数量表、死亡与濒死焦虑量表及肺癌患者生存质量测定量表进行问卷调查.结果 晚期肺癌患者家庭关怀与濒死焦虑呈负相关(P<0.01);家庭关怀与生存质量呈正相关(P<0.01).濒死焦虑在晚期肺癌患者家庭关怀与生存质量中发挥部分中介效应,占总效应的 30.1%.结论 医护人员在治疗晚期肺癌患者的过程中,可采取多种干预方式降低患者的濒死焦虑,从而提升晚期肺癌患者的生存质量.
Abstract
Objective To explore the mediating effect of dying anxiety in the relationship between famlily care and quality of life in patients with advanced lung cancer.Methods A total of 180 patients with advanced lung cancer in Zhejiang Cancer Hospital from September to December 2023 were selected by convenience sampling method to conduct a questionnaire survey using the general information questionnaire,family adaptation,partnership,growth,affection and resolve index(APGAR),death and dying anxiety scale and quality of life instrument for lung cancer patients.Results There was a negative correlation between family care and dying anxiety in advanced lung cancer patients(P<0.01),and a positive correlation between family care and quality of life in advanced lung cancer patients(P<0.01).Dying anxiety had a partial mediating effect on family care and quality of life in advanced lung cancer patients,accounting for 30.1%of the total effect.Conclusion In the daily work of treating patients with advanced lung cancer,medical staff can take a variety of intervention ways to reduce patients'dying anxiety,so as to improve the quality of life of patients with advanced lung cancer.
关键词
晚期肺癌/家庭关怀/濒死焦虑/安宁疗护/中介效应/生存质量Key words
Advanced lung cancer/Family care/Dying anxiety/Hospice care/Mediating effect/Quality of life引用本文复制引用
基金项目
浙江省医药卫生科技计划项目(2022KY089)
出版年
2024
国家科技期刊平台
NSTL
万方数据