Status and influencing factors of existential distress in patients with advanced lung cancer
10.3760/cma.j.cn115682-20240205-00726
- VernacularTitle:晚期肺癌患者生存痛苦现状及影响因素分析
- Author:
Tingting XIN
1
;
Jinhong YANG
;
Lunan GAO
;
Jiang LIU
;
Yuxi WANG
;
Lin WANG
;
Shujuan CHEN
;
Yuxiu LIU
Author Information
1. 山东第二医科大学护理学院，潍坊 261053
- Keywords:
Lung neoplasm;
Existential distress;
Theory of unpleasant symptoms;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2024;30(32):4442-4447
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status of existential distress in patients with advanced lung cancer and analyze its influencing factors, so as to provide a reference for developing targeted intervention programs.Methods:A total of 320 patients with advanced lung cancer were selected using convenience sampling from two Class Ⅲ Grade A hospitals in Weifang between February 2022 and August 2023. The data were collected using a General Information Questionnaire, the Chinese Version of the Existential Distress Scale (EDS), the Social Support Revalued Scale (SSRS), the Chinese Version of the Strategies Used by People to Promote Health (SUPPH), and Patient Health Questionnaire-9 (PHQ-9). Spearman correlation analysis was conducted to analyze the relationships between EDS, SSRS, SUPPH, and PHQ-9 scores, and multiple linear regression analysis was used to identify the influencing factors of existential distress in patients with advanced lung cancer. A total of 320 questionnaires were distributed, with 318 valid responses, yielding a valid response rate of 99.38% (318/320) .Results:The total EDS score for the 318 patients was 3.00 (2.00, 4.00). EDS scores were positively correlated with PHQ-9 scores and negatively correlated with SSRS and SUPPH scores ( P<0.01). Multiple linear regression analysis showed that marital status, social support, self-management efficacy, and depression were influencing factors of existential distress in patients with advanced lung cancer ( P<0.05) . Conclusions:Patients with advanced lung cancer experience mild existential distress. Medical staff should assess existential distress levels, paying close attention to patients who are divorced or widowed, have low levels of social support and self-management efficacy, or are experiencing depression. Early interventions should be developed to alleviate negative emotions and help patients rebuild their sense of meaning, thereby improving psychological well-being and reducing survival distress.
