Factors influencing suicidal ideation among Chinese patients with stomach cancer: qualitative study
Factors influencing suicidal ideation among Chinese patients with stomach cancer: qualitative study
复制标题
DOI：
10.1111/inr.12344
复制
发表时间：
2017-09
影响因子：
4.1
通讯作者：
X. K. Zhang;X. K. Zhang;Nicholas Procter;Qunyan Xu;X. Y. Chen;F. L. Lou
中科院分区：
文献类型：
--
作者：
X. K. Zhang;X. K. Zhang;Nicholas Procter;Qunyan Xu;X. Y. Chen;F. L. Lou
目的探讨胃癌患者自杀意念的影响因素。最近，自杀和癌症之间的联系已经建立起来。对于癌症住院患者来说，护士是在临床环境中科普自杀问题的第一线。方法本研究是一项更大的研究的一部分，该研究调查了与自杀意念相关的心理压力和相关因素。32名胃癌患者参加了面对面访谈。定性资料采用专题分析法进行分析。结果四个主题被确定为自杀意念的保护因素：自杀否认和恐惧的污名化;积极的应对技巧;家庭连通性;和渴望活得更好和更长。讨论与以前的研究一致，这四个保护因素可能会鼓励参与者更积极地思考生活和癌症。结论我们的研究结果表明，有针对性的自杀预防的四个保护因素，这可能会在未来的自杀预防计划中发挥重要作用，中国胃癌患者诊断。护士通过讨论信仰、家庭和生活意义，以及提供有关积极应对技能的健康教育，可能有助于更有效地降低患者自杀意念的风险。对卫生政策的影响临床护士，医院和政府应该相互合作。建议在未来的精神卫生工作计划中考虑制定中国自杀高危人群工作指南。
AIM The aim of this qualitative descriptive study was to explore the influencing factors of suicidal ideation in Chinese patients diagnosed with stomach cancer. INTRODUCTION More recently, links have been made between suicide and cancer. For inpatients with cancer, nurses are at the front line to cope with suicidal issues in clinical settings. METHOD This study was part of a larger study that investigated psychological strains and related factors associated with suicidal ideation. Thirty-two patients with stomach cancer participated in a face-to-face interview. Thematic analysis was used to analyse the qualitative data. FINDINGS Four themes were identified as protective factors against suicidal ideation: suicidal denial and fears of stigmatization; positive coping skills; family connectedness; and desire to live well and longer. DISCUSSION Consistent with previous research, these four protective factors may encourage participants to think more positively about life and cancer. CONCLUSION Our findings suggest four protective factors for targeted suicide prevention, which may play an important role in future suicide-prevention programmes for Chinese patients diagnosed with stomach cancer. IMPLICATIONS FOR NURSING Nurses may help reduce patients' risk for suicidal ideation more effectively by discussing beliefs, family and meaning in life perspectives, as well as offering health education about positive coping skills. IMPLICATIONS FOR HEALTHY POLICY Clinical nurses, hospitals and the government should work collaboratively with each other. It is suggested that Chinese national guidelines for working with the high-risk suicide populations should be considered within a future mental health working plan.