308例癌症中年患者希望水平现状及影响因素分析

Level of Hope of Middle-aged Cancer Patients and Its Influence Factors: A 308-case Study

目的探讨癌症中年患者希望水平状况,分析其影响因素。方法采用一般资料问卷、中文版Herth量表、癌症应对问卷对湖南省2所肿瘤专科医院及2所三级甲等医院肿瘤科住院的308例癌症中年患者进行调查。采用多元线性回归分析其影响因素。结果 308例癌症中年患者希望水平总分为(35.66±3.68)分,多元线性回归结果显示,应对方式中的面对及屈服维度、职业、文化程度进入回归方程(P<0.01)。结论癌症中年患者希望水平得分处于中等水平,且受职业、文化程度,应对方式中面对及屈服维度的影响。针对文化程度低、无职业的癌症中年患者,着重为其提供来自医务人员方面的疾病相关知识及关怀支持。护理人员应正确认识患者应对方式与希望水平之间的关系,明确希望对癌症患者的积极意义,及时评估患者的应对方式,了解其内心感受,当发现消极的应对方式,及时有效帮助其疏导心理问题,帮助其建立正确的病情应对方式,从而促进患者希望水平的提高。

Objective To investigate the level of hope of middle-aged cancer patients and analyze its influence factors. Methods Totally 308 cases of middle-aged cancer patients in 2 oncology hospitals and 2 tertiary Grade A hospitals in Hunan Province were investigated by the general information questionnaire, Herth Hope Index and Cancer Coping Modes Questionnaire. Multiple linear regression was used to analyze the influence factors. Results The total score of the level of hope of middle-aged cancer patients was35.66±3.68, showing a medium level of hope. Multiple linear regression analysis showed that confrontation, resignation, occupation and education background were the principal influence factors(P<0.01). Conclusion The total score of the level of hope of middleaged cancer patients is at a medium level. For less-educated patients and those unemployed, disease-related health education and care and support are needed. Clear recognition on the relationship of coping style with the level of hope and the recognition on the value of hope for patients are critical for nursing staff. Psychological guidance according to the characteristics of the patients is significant to help patients take positive coping styles to improve their hope level.