癌症患者灵性状况调查及影响因素分析

Spiritual status and its influencing factors in cancer patients of in a 3A grade hospital of Changsha

目的调查癌症患者的灵性水平并分析影响因素。方法采用便利抽样法选取2016年10月至2017年10月在长沙市中心医院就诊的住院患者196例,采用一般情况调查表、中文版慢性疾病治疗功能评估-灵性量表(FACIT-Sp-12)、社会支持评定量表、创伤后成长量表调查患者的灵性水平并分析影响因素。结果癌症患者总的灵性水平得分为(31.09 ± 8.89)分,意义维度为(10.71 ± 2.75)分,平和维度为(9.84 ± 3.19)分,信念维度为(10.54 ± 2.98)分。多元回归分析结果显示,年龄、癌症分期、教育程度、社会支持中的主观支持度、创伤后成长中的精神转变是癌症患者灵性状况的影响因素。结论癌症患者灵性健康呈中等水平,与年龄、教育程度、癌症分期、主观支持、人际关系和个人力量密切相关,医护人员应有针对地提供灵性照护,改善患者的心理精神状况和生命质量。

Objective To investigate the level of spirituality in cancer patients in a 3A grade hospital of Changsha and to analyze the influencing factors.Methods In this study, convenience sampling method was used to select 196 patients with cancer from three hospitals in a 3A grade hospital of Changsha from October 2016 to October 2017. The general situation questionnaire, the functional assessment of chronic illness therapy (FACIT-Sp-12), the social support scale and the post traumatic growth inventory were used to investigate the patient′s spiritual status and to analyze the influencing factors.Results The total spiritual score of cancer patients was 31.09±8.89, the score of meaning dimension was 10.71±2.75, and the peace dimension was 9.84±3.19 and the belief dimension was 10.54±2.98. The results of multiple regression analysis showed that age, cancer stage, education level, the subjective support of Social Support, relating to others and personal strength of The Posttraumatic Growth were the influencing factors for the spiritual status of cancer patients.Conclusions the spiritual status of cancer patients in a 3A grade hospital of Changsha is at medium level, and the spiritual status is closely related to age, education level, cancer stage, social support and post traumatic growth level. Medical staff should provide spiritual care for patients to improve their psychology and Mental Health and quality of life.