{"title":"Hope of patients in the terminal phase of cancer and place of residence.","authors":"Bożena Baczewska, Bogusław Block, Marian Jędrych, Beata Kropornicka, Bartłomiej Drop, Agnieszka Zwolak","doi":"10.26444/aaem/104588","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study is to compare the hope of rural and urban inhabitants in the terminal stage of a neoplastic disease covered by stationary hospice care.</p><p><strong>Material and methods: </strong>The study was carried out among patients in the terminal phase of a neoplastic disease. They were patients of both 24-hour and daily palliative and hospice care units throughout the country. The study group consisted of 246 patients, average age - 59.5, the youngest respondent was 18 and the oldest - 90. The B. L. Block (NCN-36) test, prepared for people struggling with serious life-threatening diseases, was used. Comparison of the results with regard to the place of residence was based on the test Friedman ANOVA and Kendall compatibility factor. The general comparison of hope in individual dimensions and globally with the division into the degree of urbanization, was based on the Kruskal-Wallis test.</p><p><strong>Results: </strong>On the basis of factor analysis, 4 scales constructed from 8 items branch were distinguished. The following scales are used to study hope in the situational dimension - health, the telek-temporal dimension - goals, the spiritual dimension - religious beliefs and in the emotional-affective (affective) dimension - motivations.</p><p><strong>Conclusions: </strong>The strength of hope in people in the terminal phase of cancer, residing in villages, settlements, small, medium and large cities, was similar and depended on its magnitude. Of all the manifestations of hope, the greatest variation in results occurred in the subjects when they encountered serious problems and difficulties. The inhabitants of medium-sized cities were characterized by a higher hope at that time.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"636-643"},"PeriodicalIF":0.0000,"publicationDate":"2019-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"6","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of agricultural and environmental medicine : AAEM","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.26444/aaem/104588","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2019/3/18 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 6
Abstract
Objective: The aim of the study is to compare the hope of rural and urban inhabitants in the terminal stage of a neoplastic disease covered by stationary hospice care.
Material and methods: The study was carried out among patients in the terminal phase of a neoplastic disease. They were patients of both 24-hour and daily palliative and hospice care units throughout the country. The study group consisted of 246 patients, average age - 59.5, the youngest respondent was 18 and the oldest - 90. The B. L. Block (NCN-36) test, prepared for people struggling with serious life-threatening diseases, was used. Comparison of the results with regard to the place of residence was based on the test Friedman ANOVA and Kendall compatibility factor. The general comparison of hope in individual dimensions and globally with the division into the degree of urbanization, was based on the Kruskal-Wallis test.
Results: On the basis of factor analysis, 4 scales constructed from 8 items branch were distinguished. The following scales are used to study hope in the situational dimension - health, the telek-temporal dimension - goals, the spiritual dimension - religious beliefs and in the emotional-affective (affective) dimension - motivations.
Conclusions: The strength of hope in people in the terminal phase of cancer, residing in villages, settlements, small, medium and large cities, was similar and depended on its magnitude. Of all the manifestations of hope, the greatest variation in results occurred in the subjects when they encountered serious problems and difficulties. The inhabitants of medium-sized cities were characterized by a higher hope at that time.
目的:本研究的目的是比较固定临终关怀所涵盖的肿瘤终末期农村和城市居民的希望。材料和方法:本研究在肿瘤终末期患者中进行。他们是全国各地24小时和每日姑息和临终关怀单位的病人。研究对象246例,平均年龄59.5岁,年龄最小的18岁,年龄最大的90岁。B. L. Block (NCN-36)测试是为与严重威胁生命的疾病作斗争的人准备的。居住地的比较采用Friedman方差分析和Kendall相容因子。根据Kruskal-Wallis检验,在个体维度和全球范围内对城市化程度进行了总体比较。结果:在因子分析的基础上,划分出8个分科的4个量表。以下的量表用于研究希望在情境维度-健康,远程-时间维度-目标,精神维度-宗教信仰和情绪-情感(情感)维度-动机。结论:居住在乡村、居民点、中小城市和大城市的癌症晚期患者的希望强度相似,且取决于其大小。在所有希望的表现中,当受试者遇到严重的问题和困难时,结果变化最大。中等城市的居民在当时有着更高的希望。