Dignity and Related Factors in Patients with Cancer: A Cross-Sectional Study

IF 2.1 3区医学 Q2 NURSING Asian Nursing Research Pub Date : 2023-02-01 DOI:10.1016/j.anr.2022.12.001

Yu-Chi Li , Yin-Hsun Feng , Shu-Ching Ma , Hsiu-Hung Wang

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引用次数: 2

Abstract

Purpose

Dignity is a basic human right that is related to psychological distress factors in patients with cancer such as depression and demoralization. Hence, the dignity issue is of great importance to healthcare professionals. The present study aimed to advise healthcare professionals regarding the related distress factors of dignity in patients with cancer by investigating its relationship with patients’ demographics, disease characteristics, and psychological distress.

Methods

This was a cross-sectional study design. A convenience sample of 267 patients with cancer from a medical center was recruited into this study. Each patient completed demographics and disease characteristics questionnaires, the Patient Dignity Inventory Mandarin Version, the Demoralization Scale Mandarin Version (DS-MV), and the Patient Health Questionnaire-9 (PHQ-9). Data were analyzed with SPSS 22.0 software.

Results

Dignity was significantly correlated with age, demoralization, and depression. Cancer patients aged 65 or above were more likely to have a lower sense of dignity. In the present study, the sensitivity and specificity of the Patient Dignity Inventory Mandarin Version for demoralization (DS-MV≥30) were 84.8% and 79.1% and for depression (PHQ-9≥10) were 73.8% and 70.9% in patients with cancer with an aggregate score of 35 or above.

Conclusions

Dignity is significantly correlated with personal demographic characteristics and psychological distress in patients with cancer. The results provide reference data for healthcare professionals to understand and enable dignity in patients with cancer and aid in the development of methods that promote their dignity.

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癌症患者的尊严及其相关因素:一项横断面研究

目的尊严是癌症患者的一项基本人权，它与抑郁、沮丧等心理困扰因素有关。因此，尊严问题对医疗专业人员来说非常重要。本研究旨在通过调查癌症患者的人口统计学、疾病特征和心理困扰的关系，向医疗保健专业人员提供有关尊严的相关困扰因素的建议。方法采用横断面研究设计。这项研究招募了来自医疗中心的267名癌症患者作为方便样本。每个患者都完成了人口统计和疾病特征问卷、患者尊严量表普通话版、降级量表普通话版本（DS-MV）和患者健康问卷-9（PHQ-9）。数据采用SPSS 22.0软件进行统计分析。结果尊严与年龄、士气低落和抑郁情绪显著相关。65岁或以上的癌症患者更有可能有较低的尊严感。在本研究中，在总分为35分或以上的癌症患者中，患者尊严量表普通话版对士气低落（DS-MV≥30）的敏感性和特异性分别为84.8%和79.1%，对抑郁症（PHQ-9≥10）的敏感性为73.8%和70.9%。结论癌症患者的抑郁程度与个体人口学特征和心理压力显著相关。研究结果为医疗保健专业人员了解和提高癌症患者的尊严提供了参考数据，并有助于开发促进他们尊严的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.