Demands of illness in people treated for colorectal cancer.

Demands of illness in people treated for colorectal cancer.
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接受结直肠癌治疗的患者的疾病需求。

DOI：
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发表时间：
2000
期刊：
Oncology nursing forum
影响因子：
1.9
通讯作者：
J. Fernsler
J. Fernsler
中科院分区：
医学4区
文献类型：
--
作者：
P. Klemm;M. A. Miller;J. Fernsler

文献摘要

被引文献

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目的/目标 描述结直肠癌患者最常见和最强烈的疾病需求。 设计 描述性、比较性。 设置 结直肠癌患者是通过每周在线计算机发布的信息累积的。 样品 来自 35 个州 (n = 106) 和其他 6 个国家 (n = 15) 的 121 人（68 名男性和 53 名女性）接受了结肠癌、直肠癌或肛门癌治疗。 方法 邮寄的调查问卷包括包含 125 项的自我报告工具，其中包含七个分量表（疾病需求量表 (DOII)）和包含 14 项的人口统计表格。 主要研究变量 疾病需求、治疗后的时间、对疾病状态的感知、活动水平和年龄。 研究结果 对疾病的需求在个人意义领域最为强烈，超过 93% 的受试者表示他们思考过生命的价值以及自己可以活多久。超过 85% 的受访者报告了六个类似领域的不确定性。十大最强烈的需求主要是心理社会和存在主义问题。最年轻年龄组（< 45 岁）的受访者表示，在 DOII 七个领域中的六个领域的需求明显高于中年和老年群体。三个变量（治疗后的时间、对疾病的感知、活动水平）解释了 DOII 评分差异的 45%。 结论 结直肠癌给受访者带来了重大的心理社会和生存问题，尤其是最小的年龄组。 对护理实践的影响 护士应解决患者的这些担忧，同时继续确定和科学测试创造性策略，以尽量减少社会心理发病率。
PURPOSE/OBJECTIVES To describe the most common and most intense demands of illness in people with colorectal cancer. DESIGN Descriptive, comparative. SETTING People with colorectal cancer were accrued through weekly online computer postings. SAMPLE 121 people (68 men and 53 women) from 35 states (n = 106) and six other countries (n = 15) who were treated for colon, rectal, or anal cancer. METHODS Mailed questionnaires included a 125-item, self-report instrument with seven subscales (Demands of Illness Inventory (DOII) and a 14-item demographic form. MAIN RESEARCH VARIABLES Demands of illness, time since treatment, perception of illness state, activity level, and age. FINDINGS Demands of illness were greatest in the personal meaning domain, with more than 93% of subjects reporting that they thought about the value of life and how long they might live. More than 85% reported uncertainty in six similar areas. The 10 most intense demands were predominately psychosocial and existential concerns. Respondents in the youngest age group (< 45 years) reported significantly greater demands in six of seven domains of the DOII than the middle and older groups. Three variables (time since treatment, perception of illness, activity level) accounted for 45% of the variance in DOII scores. CONCLUSIONS Colorectal cancer imposed significant psychosocial and existential concerns on respondents, especially the youngest age group. IMPLICATIONS FOR NURSING PRACTICE Nurses should address these concerns with patients while continuing to identify and scientifically test creative strategies to minimize psychosocial morbidity.