使用多维方法识别血液恶性瘤患者自杀念头的危险因素
Junglyun Kim1,2, Moonhee Gang1
1College of Nursing, Chungnam National University, Daejeon, South Korea.
Western journal of nursing research
|December 11, 2023
概括
患有血液性恶性瘤的患者面临更高的自杀风险. 身体和心理症状,以及心理健康服务的意愿,是导致这个群体自杀思想的关键因素.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 血液性恶性瘤与显著增加的自杀完成率有关 (比一般人群高3.5倍).
- 霍奇金淋巴瘤特别表现出所有癌症类型中自杀率最高的情况.
- 虽然已知与癌症相关的一般自杀风险因素,但与血液性恶性瘤相关的具体因素尚不清楚.
研究的目的:
- 确定诊断为血液恶性瘤的患者自杀念头的特定危险因素.
- 采用全面的,多维的方法来调查这些风险因素.
主要方法:
- 采用了横截面的观察性研究设计.
- 来自一所大学医院瘤科的163名患者被录取.
- 关于心理和身体症状,社会支持和自杀念头的数据是使用经过验证的尺度 (纪念症状评估尺度-简单表格,感知社会支持的多维尺度,自杀念头尺度) 收集的.
- 使用SPSS版本26.0.0进行多重回归分析.
主要成果:
- 该研究包括163名参与者,平均年龄为55.26岁;58.9%是男性.
- 35%的患者被诊断出患有急性白血病,59.5%接受化疗.
- 身体症状,心理症状和愿意利用心理健康服务的愿望共同解释了39.5%的自杀念头的差异.
结论:
- 对于患有血液性恶性瘤的患者来说,诊断时心理状况的早期评估至关重要.
- 在整个治疗过程中实施及时和适当的干预措施至关重要.
- 专注于缓解心理痛苦的持续后续护理可以帮助预防这种脆弱人群中的自杀.
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