|
|
A study on the status and influencing factors of stigma for digestive system tumor patients after operation |
FU Min1,2 HU Shaohua3 WANG Weili4 LUAN Beibei5 WANG Ting1,2 |
1.Department of General Surgery, the First Affiliated Hospital of Anhui Medical University, Anhui Province, Hefei 230022, China;
2.Department of Gastrointestinal Surgery, the First Affiliated Hospital of Anhui Medical University, Anhui Province, Hefei 230022, China;
3.Deparment of Nursing, the First Affiliated Hospital of Anhui Medical University, Anhui Province, Hefei 230022, China;
4.College of Nursing, Anhui Medical University, Anhui Province, Hefei 230022, China;
5.Department of Pediatrics, the First Affiliated Hospital of Anhui Medical University, Anhui Province, Hefei 230022, China |
|
|
Abstract Objective To understand the current status and influencing factors of stigma in patients with digestive system tumors. Methods A total of 300 patients with digestive system tumors who were diagnosed in the gastrointestinal ward area of general surgery in a top three hospital in Anhui Province from July 2017 to December 2018 were selected by the convenience sampling method. The general information questionnaire, social impact scale, and social support scale were used to investigate patients′ general information, stigma, and social support status, while the relationship between stigma and social support and general information were analyzed. Results There were 294 valid questionnaires, and the effective recovery rate was 98%. The total score of 294 patients were (59.50±9.85) points, which was at a medium level. There were statistically significant differences in the scores of stigma among patients of different genders, places of residence, education, religion, marital status, and whether living with their children in the past month (P < 0.05). There was a negative correlation between social support and stigma scores (P < 0.01). Gender, marital status, religious beliefs, and awareness of social support levels were the influencing factors of the stigma score of patients with digestive system tumors (P < 0.01). Conclusion Patients with gastrointestinal cancer have a high score of stigma. Medical staff need to strengthen their social support level to reduce the level of stigma.
|
|
|
|
|
[1] Bray F,Ferlay J,Soerjomataram I,et al. Global Cancer Statistics 2018:GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries [J]. CA Cancer J Clin,2018,68(6):394-424.
[2] Cho J,Choi EK,Kim SY,et al. Association between cancer stigma and depression among cancer survivors:a nationwide survey in Korea [J]. Psychooncology,2013,22(10):2372-2378.
[3] Ernst J,Mehnert A,Taubenheim S,et al. Stigmatization in employed patients with breast,intestinal,prostate and lung cancer [J]. Psychother Psychosom Med Psychol,2017,67(7):304-311.
[4] Webb LA,McDonnell KK,Adams SA,et al. Exploring Stigma Among Lung Cancer Survivors:A Scoping Literature Review [J]. Oncol Nurs Forum,2019,46(4):402-418.
[5] Fife BL,Wright ER. The dimensionality of stigma:a comparison of its impact on the self of persons with HIV/AIDS and cancer [J]. J Health Soc Behav,2000,41(1):50-67.
[6] Pan AW,Chung L,Fife BL,et al. Evaluation of the psychometrics of the Social Impact Scale:a measure of stigmatization [J]. Int J Rehabil Res,2007,30(3):235-238.
[7] 张晓娜.恶性肿瘤化疗患者病耻感程度现状及其影响因素研究[D].唐山:华北理工大学,2018:4.
[8] 张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005.
[9] 徐芳芳,于卫华,王胜琴,等.直肠癌永久性肠造口患者病耻感及影响因素分析[J].中华现代护理杂志,2017,23(1):34-37.
[10] 吴燕,虞正红,徐建鸣.永久性肠造口病人病耻感状况调查[J].护理研究,2015,29(1):170-173.
[11] 廖春艳,崔飞博,樊慧,等.基于自我效能理论的健康教育干预对胃癌患者生活质量的影响[J].中国医药导报,2019,16(26):156-159.
[12] 叶子文,甄莉,朱木兰,等.220例预防性肠造口患者病耻感现状及影响因素分析[J].护理学报,2019,26(3):40-45.
[13] Tsai W,Wu IHC,Lu Q. Acculturation and quality of life among Chinese American breast cancer survivors:The mediating role of self-stigma,ambivalence over emotion expression,and intrusive thoughts [J]. Psychooncology,2019,28(5):1063-1070.
[14] 康莉,郝楠.直肠癌永久性结肠造口病人病耻感及影响因素的调查[J].护理研究,2017,31(28):3527-3530.
[15] Cho J,Choi EK,Kim SY,et al. Association between cancer stigma and depression among cancer survivors:a nationwide survey in Korea [J]. Psycho Oncology,2013,22(10):2372-2378.
[16] Tripathi L,Dattas S,Agrawal SK,et al. Stigma perceived by women following surgery for breast cancer [J]. Indian J Med Paediatr Oncol,2017,38(2):146-152.
[17] 孔荣华,王雅莉,葛胜燕,等.年轻乳腺癌患者病耻感及影响因素研究[J].护理学杂志,2017,32(8):84-86.
[18] Vodermaier A,Esplen MJ,Maheu C. Can self-esteem,mastery and perceived stigma predict long-term adjustment in women cancer ying a BCRA1/2-mutation? Evidence from a multicenter study [J]. Fam Cancer,2010,9(3):305-311.
[19] 赵越,王艳.宗教信仰在肿瘤患者灵性需求的调查分析[J].医学与哲学(B),2018,39(7):90-94.
[20] Thuné-Boyle ICV,Stygall J,Keshtgar MRS,et al. Religious/Spiritual Coping Resources and their relationship with adjustments in patients newly diagnosed with breast cancer in the UK [J]. Psychooncology,2013,22(3):646-658.
[21] 任志玲,茅乃权,甘海洁,等.肺癌患者病耻感及社会支持与生活质量结构方程模型的构建[J].中国护理管理,2019,19(5):701-705.
[22] 刘宇,姜桐桐,史铁英.乳腺癌患者心理弹性影响因素及其干预方法的研究进展[J].中国医药导报,2019,16(25):49-52. |
|
|
|