[1]陈海霞,裴菊红,南锐伶,等.晚期胃癌患者预感性悲伤现状及其影响因素[J].军事护理,2021,38(09):11-15.[doi:10.3969/j.issn.1008-9993.2021.09.003]
　CHEN Haixia,PEI Juhong,NAN Ruiling,et al.The Status Quo of Anticipatory Grief among Patients with Advanced Gastric Cancer and its Influencing Factors[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(09):11-15.[doi:10.3969/j.issn.1008-9993.2021.09.003]
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晚期胃癌患者预感性悲伤现状及其影响因素
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年09期
页码:
11-15
栏目:
论著
出版日期:
2021-09-15

文章信息/Info

Title:
The Status Quo of Anticipatory Grief among Patients with Advanced Gastric Cancer and its Influencing Factors
文章编号:
1008-9993(2021)09-0011-05
作者:
陈海霞1; 裴菊红1; 南锐伶1; 鲁娟娟2; 豆欣蔓1
(1.兰州大学 护理学院,甘肃 兰州 730000; 2.兰州大学第二医院 肿瘤外科,甘肃 兰州 730000)
Author(s):
CHEN Haixia1; PEI Juhong1; NAN Ruiling1; LU Juanjuan2; DOU Xinman1
(1.School of Nursing,Lanzhou University,Lanzhou 730000,Gansu Province,China; 2.Department of Oncology Surgery,the Second Affiliated Hospital of Lanzhou University,Lanzhou 730000,Gansu Province,China)
关键词:
预感性悲伤;  胃癌;  晚期癌症;  影响因素
Keywords:
anticipatory grief;  gastric cancer;  advanced cancer;  influencing factors
分类号:
R471
DOI:
10.3969/j.issn.1008-9993.2021.09.003
文献标志码:
A
摘要:
目的 了解预感性悲伤(anticipatory grief,AG)在晚期胃癌患者中的现状及特征,分析其影响因素。方法 2020年7-11月便利抽样选取某市4所三级甲等医院住院的晚期胃癌患者338例,采用一般资料表、晚期癌症患者预感性悲伤量表(preparatory grief in advanced cancer patients,PGAC)、医院焦虑抑郁评定量表(hospital anxiety and depression scale,HADS)、阿森斯失眠量表对其进行调查。结果 PGAC总得分为(33.75±16.020),各维度得分存在差异。回归结果显示,失眠、焦虑及抑郁程度、躯体症状与PGAC得分呈正相关,年龄与PGAC得分负相关(均P<0.05); 癌症复发是影响晚期胃癌患者AG的独立危险因素。结论 预感性悲伤的心理反应在晚期胃癌患者中普遍存在,并且与焦虑、抑郁等心理问题以及睡眠状况密切相关。医务人员应加强对晚期胃癌患者预感性悲伤的评估,医院应制定合理的心理筛查诊断机制,并对患者给予有针对性的积极干预。
Abstract:
Objective To understand the status quo and characteristics of anticipatory grief(AG)among patients with advanced gastric cancer,and analyze its influencing factors.Methods Convenient sampling was used to select 338 patients with advanced gastric cancer hospitalized in four tertiary hospitals of one city from July to October,2020.The general information questionnaire,the Preparatory Grief in Advanced Cancer patients(PGAC)scale,the Hospital Anxiety and Depression Scale(HADS),and the Athens Insomnia Scale were adopted for investigation.Results The PGAC total score was(33.75±16.020),and there were differences in the scores of each dimension.Regression analysis showed that insomnia,the degree of anxiety and depression,and physical symptoms were positively correlated with the PGAC score,and the age was negatively correlated with the PGAC score(all P<0.05).Cancer recurrence was an independent risk factor of AG among patients with advanced gastric cancer.Conclusions The psychological reaction of anticipatory grief is common among patients with advanced gastric cancer,and closely related with some mental issues,such as anxiety and depression,and sleep conditions.Therefore,medical staff should emphasize the assessment of anticipatory grief among patients with advanced gastric cancer. Hospitals should develop a reasonable psychological screening and diagnosis system to provide active and targeted intervention for the patients.

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(本文编辑:陈晓英)

备注/Memo

备注/Memo:
【 收稿日期 】 2021-05-08 【 修回日期 】 2021-08-01
【 基金项目 】 甘肃省重点研发计划(20YF8FA077)
【 作者简介 】 陈海霞,硕士在读,主管护师,研究方向为肿瘤护理、循证护理
【 通信作者 】 豆欣蔓,电话:0931-8942249
更新日期/Last Update: 2021-09-15