肺癌患者生命意义感的研究进展
1. 延边大学, 护理学院, 吉林延边 133002
2. 长春科技学校, 吉林长春 130028
| 摘 要： | 目的：肺癌作为高发病率与低生存率的恶性肿瘤，其诊疗过程常伴随患者生命意义感的严重损害，进而影响心理健康及生活质量。方法：本文系统综述肺癌患者生命意义感的研究进展，从概念内涵、评估工具、现状特征、影响因素及干预策略五方面展开分析。结果：研究显示，生命意义感可通过调节心理弹性、增强社会支持及实施针对性干预（如意义疗法、人生回顾）有效缓解患者负性情绪，提升疾病应对能力。当前国际研究聚焦心理干预路径，而中国相关研究尚处起步阶段，尤其在肺癌群体中缺乏本土化评估工具及循证干预方案。影响因素涉及人口学特征（年龄、婚姻状况）、疾病特征（分期、合并症）、心理弹性及社会支持网络。结论：未来需加强跨学科研究，开发符合中国患者文化背景的干预体系，为临床实施灵性照护提供理论依据，助力实现"健康中国"战略下癌症患者的全人照护目标。 |
| 关 键 词： | 肺癌患者; 生命意义感; 评估工具; 影响因素; 干预 |
| DOI： | 10.57237/j.nhres.2025.03.001 |
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收稿日期: 2025-04-11
接受日期: 2025-06-20
在线出版日期: 2025-09-09
Research Progress on Lung Cancer Patients' Sense of Meaning of Life
1. School of Nursing, Yanbian University, Yanbian 133002, China
2. Changchun Science and Technology School, Changchun 130028, China
| Abstract: | Objective As a malignant tumor with high incidence and low survival rate, lung cancer is often accompanied by a serious impairment of patients' sense of meaning of life in the diagnostic and treatment process, which in turn affects their psychological health and quality of life. Methods In this paper, we systematically review the research progress on the sense of meaning of life in lung cancer patients, and analyze it from five aspects: conceptual connotation, assessment tools, current characteristics, influencing factors and intervention strategies. Results The study showed that the sense of meaning of life can effectively alleviate patients' negative emotions and improve their ability to cope with the disease through the regulation of psychological resilience, the enhancement of social support, and the implementation of targeted interventions (e.g., meaning therapy, life review). Currently, international research focuses on psychological intervention pathways, but domestic research is still in its infancy, and there is a lack of localized assessment tools and evidence-based intervention protocols, especially in the lung cancer population. Influencing factors include demographic characteristics (age, marital status), disease characteristics (stage, comorbidities), psychological resilience, and social support networks. Conclusion In the future, interdisciplinary research should be strengthened to develop culturally appropriate interventions for Chinese patients, which will provide a theoretical basis for the implementation of spiritual care in clinical settings and help to realize the goal of whole-person care for cancer patients under the "Healthy China" strategy. |
| Keywords: | Lung Cancer Patients; Sense of Meaning in Life; Assessment Tool; Influencing Factors; Intervention |
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