背景:癌症患者会接受几种类型的治疗,包括化疗.在这种情况下,患者经历了几次护理诊断,包括精神上的痛苦.精神痛苦诊断的定义是基于生活中缺乏意义和目的,一种痛苦的感觉,和一种脱节的感觉。
目的:本研究的目的是确定患病率,灵敏度,特异性,和预测癌症化疗患者精神痛苦的护理诊断。
方法:本研究采用纵向问卷设计,每季度收集12个月的数据。通过随机抽样招募参与者,在葡萄牙一个肿瘤学日病房的门诊患者中。
结果:患者开始化疗后3个月,精神困扰的发生率最高。特异性的最高价值是生活中缺乏意义和表达痛苦,敏感度的最高价值与精神痛苦诊断有关。精神痛苦的预测因素是表达痛苦,异化,质疑生活中的意义,缺乏宁静,质疑痛苦的意义,绝望,生活中缺乏意义。
结论:精神困扰是一种人类反应,目前正在接受化疗的患者中,并且最高的患病率似乎发生在开始化疗后3个月。在本研究中,表达痛苦和生活意义的缺乏不仅对定义特征(DC)起作用,也是精神痛苦诊断的预测因素。
结论:对患病率的识别,预测因子,灵敏度,化疗癌症患者精神困扰护理诊断的DC和特异性可以促进护士的临床推理,并改善临床实践中的护理计划,以提高癌症患者的精神幸福感。
Cancer patients are exposed to several types of treatments, including chemotherapy. In this context, patients experience several nursing diagnoses, including spiritual distress. The definition of the diagnosis of spiritual distress is grounded in lack of meaning and purpose in life, a sense of suffering, and a feeling of disconnected.
The aim of this study was to determine the prevalence, sensitivity, specificity, and predictors of the nursing diagnosis of spiritual distress of cancer patients undergoing chemotherapy.
The study used a longitudinal questionnaire design with quarterly data collection points over a 12-month period. Participants were recruited through random sampling, in an outpatients\' setting in one oncology day unit in Portugal.
The highest prevalence of spiritual distress was found at 3 months after patients started chemotherapy. The highest value of specificity was lack of meaning in life and express suffering, and the highest values of sensitivity concerned spiritual distress diagnosis. The predictors of spiritual distress were express suffering, alienation, questioning meaning in life, lack of serenity, questioning the meaning of suffering, hopelessness, and lack of meaning in life.
Spiritual distress is a human response that is current in patients undergoing chemotherapy, and the highest prevalence seems to occur at 3 months after commencing chemotherapy. Express suffering and lack of meaning in life play the role not only of defining characteristics (DC) in this study, but also of predictors in the diagnosis of spiritual distress.
The identification of the prevalence, predictors, sensitivity, and specificity of the DC of the nursing diagnosis of spiritual distress in cancer patients undergoing chemotherapy may facilitate nurses\' clinical reasoning and improve the planning of nursing care in clinical practice in order to improve spiritual well-being in cancer patients.