开始化疗的癌症患者的精神困扰：一项横断面研究

2021

11/23

NursingResearch护理研究前

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鉴于所报告的精神痛苦程度，本研究提供了进一步的证据来支持护士评估灵性以提供包括精神领域在内的整体护理的必要性。

Abstract

Purpose

To assess spiritual distress in patients with cancer who were initiating chemotherapy.

Methods

This was a quantitative, observational, cross-sectional study. Data collection was conducted between February and June of 2019. The Spiritual Distress Scale (SDS) was administered to 332 patients with cancer.

Findings

Most participants (56.6%) were female, with the mean age at 60.3 years (SD = ±11.73). The mean SDS score was 56.6 (SD = ±13.39), with 30% of the participants reporting moderate and 9.6% reporting high levels of spiritual distress. Younger age (β = -0.687, p = .008) and participants having no religious affiliation were predictors of SDS (β = -8.322, p = .035) in patients with cancer initiating chemotherapy.

Conclusions

Given the degree of spiritual distress reported, this study provides further evidence to support the need for nurses to assess spirituality in order to provide holistic care inclusive of spiritual domain.

Clinical Relevance

These results are relevant to clinical practice and indicate a need for nurses to use the clinical reasoning process to assess spiritual distress and to plan nursing interventions aimed at meeting the spiritual needs of patients with cancer who are initiating chemotherapy.

摘要翻译（仅供参考）

目的

评估开始化疗的癌症患者的精神痛苦。

方法

这是一项定量的、观察性的、横断面研究。数据收集于 2019 年 2 月至 6 月期间进行。对 332 名癌症患者进行了精神困扰量表 (SDS)。

发现

大多数参与者 (56.6%) 是女性，平均年龄为 60.3 岁 ( SD = ±11.73)。平均 SDS 得分为 56.6 ( SD = ±13.39)，30% 的参与者报告中度精神困扰，9.6% 报告高度精神困扰。较年轻的年龄 (β = -0.687, p = .008 ) 和没有宗教信仰的参与者是开始化疗的癌症患者SDS (β = -8.322, p = .035) 的预测因素。