其他摘要 | With the changes of human living environment and disease spectrum, cancer has become the leading cause of death and a major public health problem in China. Cancer is difficult to treat, has a long course of disease, a long treatment cycle and so on characteristics, need long-term companion and social support. Patients gradually lose their health and suffer from the pain and discomfort caused by cancer and treatment. At the same time, they are under great physical and mental pressure of survival and death, and suffer from mental health impairment. Spiritual well-being usually refers to a sense of meaning or purpose in life, inner peace and harmony, and the strength and comfort drawn from faith. Spiritual health can help cancer patient adapt to illness and is a source of strength that helps them cope with the pain associated with their illness. There are few domestic studies.This study visually analyzed and summarized relevant studies on spiritual health measurement in foreign countries (especially in cancer patients), understood the current situation in the field of spiritual health measurement, and analyzed the spiritual health status of cancer patients. To explore new ways to improve the quality of life of cancer patients.Research i. visual analysis of the research progress of spirituality measurement abroadCiteSpace V was used to visually analyze the current situation of spirituality measurement in foreign countries, and the leading authors, institutions and their cooperation were analyzed through the network node type. Through the analysis of keyword frequency, content analysis of research hotspots; The process of knowledge evolution was studied through the analysis of key words common current area view and abrupt node. The number of citations was analyzed through citation space. The results were as follows :(1) the number of articles related to spiritual health measurement increased year by year; (2) duke university and Koenig HG are the most published institutions and authors respectively; The latter works closely with Pargament KI and Exline JJ. (3) the keywords quality of life, validation, cancer, religion, health, depression were high centricity and high frequency, indicating that they were research hotspots. (4) time zone view indicates that the first research focus was on the spiritual health of patients with pain, and then the research content gradually materialized to focus on the spiritual health of cancer patients, end-stage patients and nursing staff; From 2013 to 2017, more new scales were widely used, such as FACIT-Sp (functional treatment of chronic diseases - spiritual status scale). "Quality of life" is the only purple circle node, which appears in 417 spiritual measurement literatures, indicating that spiritual health is closely related to quality of life.Study ii. Investigation on the spiritual health of cancer patients149 tumor patients were investigated by using the chronic disease treatment function assessment scale, including the quality of life scale, the FACIT-Sp subscale, the spirituality needs scale, and the life satisfaction scale. The results are as follows :(1) The quality of life, spiritual health and spiritual needs are all in the middle and upper level, and life satisfaction is in the middle and lower level. According to the analysis of each dimension, the social and family dimensions of quality of life score the highest, and the emotional dimension score the lowest. The score of significance dimension was the highest and the score of belief dimension was the lowest. (2) Demographic variables have an impact on life quality, spiritual health, spiritual needs and life satisfaction; (3) Pairwise positive correlation between quality of life, spiritual health, spiritual needs and life satisfaction; Each dimension of spiritual health is positively correlated with the quality of life, and the relevant level meaning is > and > belief. In all dimensions of spiritual needs, except for the dimension of supernatural relations, the other dimensions have a high correlation with life. (4) There is a mediating effect of all dimensions of spiritual health on quality of life. The significance and peace dimensions of spiritual health have a completely mediating effect on belief and quality of life. There is a chain mediating effect of belief ->, peace ->, meaning -> quality of life. (5) Spiritual health and quality of life play a complete mediating role on spiritual needs and life satisfaction. There exists a chain mediating effect of spiritual needs -- > quality of life -- > spiritual health -- > life satisfaction.Through the above analysis, conclusions and implications can be drawn: There are more and more studies on spiritual health in Europe and America, among which the quality of life is the main concern. Spiritual health and spiritual needs have an impact on the quality of life and life satisfaction of cancer patients, and belief in spiritual health plays a more important role in the quality of life of cancer patients through the indirect influence of meaning and peace. The way to improve the life satisfaction of tumor patients is spiritual need -- > quality of life -- > spiritual health -- > life satisfaction. Tumor patients have higher needs in the aspects of meaning and purpose, love and connection. Therefore, tumor patients should be made aware of their spiritual needs by various means, so as to meet their spiritual needs and improve their life quality and spiritual health. |
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