妇科恶性肿瘤患者灵性需求现状及影响因素分析

Analysis of spiritual needs of patients with gynecological malignant tumor and influencing factors

目的了解妇科恶性肿瘤患者灵性需求现状并分析其影响因素。方法选取2021年10月至2023年10月赣州市人民医院收治的145例妇科恶性肿瘤患者作为研究对象,采用中文版领悟社会支持量表(PSSS)、中文版灵性需求量表(SNS)及一般资料调查表进行调查,根据患者是否存在灵性需求分为需求组(n=107)、对照组(n=38),通过单因素分析、logistic回归分析妇科恶性肿瘤患者灵性需求的影响因素。结果145例妇科恶性肿瘤患者灵性需求评分为(76.94±10.85)分,其中107例存在灵性需求,占比为73.79%;需求组与对照组患者的年龄、婚姻状况、子女数量、居住地、疾病种类、肿瘤分期、固定照顾者比较,差异无统计学意义(P>0.05);两组患者的文化水平、宗教信仰、病程、家庭人均收入及社会支持比较,差异有统计学意义(P<0.05)。logistic回归分析结果提示,专科及以上文化水平(β=1.138,OR=3.119,95%CI=1.098~8.864)、有宗教信仰(β=2.231,OR=10.108,95%CI=1.236~82.627)、病程>12月(β=1.385,OR=3.994,95%CI=1.491~10.698)、家庭人均收入≥4000元(β=1.668,OR=5.408,95%CI=1.443~20.265)及社会支持高(β=1.002,OR=2.724,95%CI=1.109~6.691)是妇科恶性肿瘤患者灵性需求的危险因素(P<0.05)。结论妇科恶性肿瘤患者灵性需求处于中高水平,其水平受患者文化水平、宗教信仰、病程、家庭人均收入及社会支持的影响。

Objective To investigate the spiritual needs of patients with gynecological malignant tumors and analyze the influencing factors.Methods A total of 145 gynecological malignant tumor patients admitted to Ganzhou People's Hospital from October 2021 to October 2023 were selected as the study objects,the Chinese version of perceptive social support scale(PSSS),Chinese version of spiritual need scale(SNS)and general data questionnaire were used for investigation.Patients were divided into demand group(n=107)and control group(n=38)according to whether they had spiritual needs.The influencing factors of spiritual needs of patients with gynecological malignant tumors were analyzed by univariate analysis and logistic regression.Results The spiritual need score of 145 patients with gynecological malignant tumor was(76.94±10.85),among which 107 patients had spiritual need,accounting for 73.79%.There were no significant differences in age,marital status,number of children,place of residence,disease type,tumor stage and permanent caregiver between the demand group and control group(P>0.05).There were significant differences in cultural level,religious belief,course of disease,per capita family income and social support between the two groups(P<0.05).Logistic regression analysis results indicated that the education level of college or above(β=1.138,OR=3.119,95%CI=1.098-8.864),religious belief(β=2.231,OR=10.108,95%CI=1.236-82.627),disease duration>12 months(β=1.385,OR=3.994,95%CI=1.491-10.698),family per capita income≥4000 yuan(β=1.668,OR=5.408,95%CI=1.443-20.265)and high social support(β=1.002,OR=2.724,95%CI=1.109-6.691)were risk factors for spiritual needs in patients with gynecological malignant tumors(P<0.05).Conclusion The spiritual needs of patients with gynecological malignant tumors are at a medium to high level,which is influenced by the patients'cultural level,religious belief,disease course,family per capita income and social support.