赋权感知对肺癌化疗患者生活质量的影响
Impact of Perceived Empowerment on Quality of Life in Lung Cancer Chemotherapy Patients
DOI: 10.12677/acm.2026.1672638, PDF,   
作者: 姚金玉:承德医学院研究生学院,河北 承德;卢泽芬*:沧州市人民医院肿瘤内科,河北 沧州
关键词: 赋权感知肺癌化疗心理弹性生活质量Perceived Empowerment Lung Cancer Chemotherapy Psychological Resilience Quality of Life
摘要: 肺癌为我国高发恶性肿瘤,化疗作为主流治疗方式,在控制病情的同时易引发多重身心不良反应,严重损害患者生活质量。近年来,赋权感知作为一种重要的心理因素,逐渐受到医学界的关注,尤其是在癌症患者的生活质量研究中。赋权感知指的是个体在面对疾病时对自身能力的认知和掌控感。对于发病率最高的肺癌患者而言,其生理及心理压力可能严重影响其生活质量,而化疗手段又会对其产生不同程度的不良反应,进而加重影响患者的心理。本综述是目前研究赋权感知对肺癌化疗患者生活质量的影响,及赋权感知如何通过心理弹性这一中介因素影响生活质量。
Abstract: Lung cancer is a highly prevalent malignancy in China. As a mainstream treatment, chemotherapy can control disease progression but often induces multiple physical and psychological side effects, severely impairing patients’ quality of life. In recent years, perceived empowerment—an important psychological factor—has gained increasing attention in medical research, particularly in studies on the quality of life of cancer patients. Perceived empowerment refers to an individual’s awareness and sense of control over their own abilities when facing illness. For lung cancer patients, who have the highest incidence rate, physiological and psychological stress can significantly affect their quality of life. Moreover, chemotherapy may produce varying degrees of adverse effects, further exacerbating psychological distress. This review examines the impact of perceived empowerment on the quality of life of lung cancer patients undergoing chemotherapy and explores how perceived empowerment influences quality of life through the mediating factor of psychological resilience.
文章引用:姚金玉, 卢泽芬. 赋权感知对肺癌化疗患者生活质量的影响[J]. 临床医学进展, 2026, 16(7): 1238-1243. https://doi.org/10.12677/acm.2026.1672638

参考文献

[1] Chen, S., Mei, R., Tan, C., Li, X., Zhong, C. and Ye, M. (2020) Psychological Resilience and Related Influencing Factors in Postoperative Non‐Small Cell Lung Cancer Patients: A Cross‐Sectional Study. Psycho-Oncology, 29, 1815-1822. [Google Scholar] [CrossRef] [PubMed]
[2] 李珍珍. 共情护理联合病友互助干预对肺癌化疗患者治疗依从性、心理韧性及癌因性疲乏的影响[J]. 航空航天医学杂志, 2023, 34(10): 1265-1267.
[3] 徐文静, 张文璐, 马晗. 疼痛管理联合正念减压训练对非小细胞肺癌化疗患者自我感受负担及生活质量的影响[J]. 癌症进展, 2025, 23(11): 1340-1343.
[4] Li, J., Wei, X., Gu, L., Qiu, L., Xiang, M., Zhang, H., et al. (2022) Elevated Air Quality Index and Fine Particulate Matter Levels Contribute to the Poor Prognosis and Progression of Nonsmall‐Cell Lung Cancer: A Cohort Study Combined with External Validation. Cancer Medicine, 11, 3272-3281. [Google Scholar] [CrossRef] [PubMed]
[5] Luo, Y., Zhang, L., Mao, D., Yang, Z., Zhu, B., Miao, J., et al. (2024) Symptom Clusters and Impact on Quality of Life in Lung Cancer Patients Undergoing Chemotherapy. Quality of Life Research, 33, 3363-3375. [Google Scholar] [CrossRef] [PubMed]
[6] Moody, L., Nicholls, B., Shamji, H., Bridge, E., Dhanju, S. and Singh, S. (2018) The Person-Centred Care Guideline: From Principle to Practice. Journal of Patient Experience, 5, 282-288. [Google Scholar] [CrossRef] [PubMed]
[7] 喻蓉, 陈卓园园, 曹红, 等. 住院癌症患者赋权现状及相关因素分析[J]. 医学与哲学, 2021, 42(24): 55-57, 68.
[8] Presley, C.J., Arrato, N.A., Shields, P.G., Carbone, D.P., Wong, M.L., Benedict, J., et al. (2022) Functional Trajectories and Resilience among Adults with Advanced Lung Cancer. JTO Clinical and Research Reports, 3, Article ID: 100334. [Google Scholar] [CrossRef] [PubMed]
[9] Zhang, S., Luo, L., Zhou, L., Ji, L. and Deng, B. (2024) Latent Profile Analysis of Resilience and Its Influencing Factors in Patients with Lung Cancer Undergoing Chemotherapy. Asia-Pacific Journal of Oncology Nursing, 11, Article ID: 100593. [Google Scholar] [CrossRef] [PubMed]
[10] 王梅. 基于赋权理论的电话随访对冠脉支架植入术后患者心理弹性与生活质量的影响[D]: [硕士学位论文]. 西安: 中国人民解放军空军军医大学, 2020.
[11] MacDonald, C., et al. (2021) Resilience: An Essential Element in Head and Neck Cancer Survivorship and Quality of Life. Supportive Care in Cancer, 29, 3725-3733.
https://pubmed.ncbi.nlm.nih.gov/33201311/
[12] Chambers, S.K., Baade, P., Youl, P., Aitken, J., Occhipinti, S., Vinod, S., et al. (2015) Psychological Distress and Quality of Life in Lung Cancer: The Role of Health‐Related Stigma, Illness Appraisals and Social Constraints. Psycho-Oncology, 24, 1569-1577. [Google Scholar] [CrossRef] [PubMed]
[13] Harms, C.A., Cohen, L., Pooley, J.A., Chambers, S.K., Galvão, D.A. and Newton, R.U. (2019) Quality of Life and Psychological Distress in Cancer Survivors: The Role of Psycho‐Social Resources for Resilience. Psycho-Oncology, 28, 271-277. [Google Scholar] [CrossRef] [PubMed]
[14] Tonorezos, E.S., Ford, J.S., Wang, L., Ness, K.K., Yasui, Y., Leisenring, W., et al. (2019) Impact of Exercise on Psychological Burden in Adult Survivors of Childhood Cancer: A Report from the Childhood Cancer Survivor Study. Cancer, 125, 3059-3067. [Google Scholar] [CrossRef] [PubMed]
[15] McCorkle, R., Ercolano, E., Lazenby, M., Schulman-Green, D., Schilling, L.S., Lorig, K., et al. (2011) Self-Management: Enabling and Empowering Patients Living with Cancer as a Chronic Illness. CA: A Cancer Journal for Clinicians, 61, 50-62. [Google Scholar] [CrossRef] [PubMed]
[16] Aujoulat, I., d’Hoore, W. and Deccache, A. (2007) Patient Empowerment in Theory and Practice: Polysemy or Cacophony? Patient Education and Counseling, 66, 13-20. [Google Scholar] [CrossRef] [PubMed]
[17] Maunsell, E., Lauzier, S., Brunet, J., Pelletier, S., Osborne, R.H. and Campbell, H.S. (2014) Health‐Related Empowerment in Cancer: Validity of Scales from the Health Education Impact Questionnaire. Cancer, 120, 3228-3236. [Google Scholar] [CrossRef] [PubMed]
[18] Rutter, M. (2012) Resilience as a Dynamic Concept. Development and Psychopathology, 24, 335-344. [Google Scholar] [CrossRef] [PubMed]
[19] McManama O’Brien, K.H., Rowan, M., Willoughby, K., Griffith, K. and Christino, M.A. (2021) Psychological Resilience in Young Female Athletes. International Journal of Environmental Research and Public Health, 18, Article No. 8668. [Google Scholar] [CrossRef] [PubMed]
[20] Shao, L., Zhong, J., Wu, H., Yan, M. and Zhang, J. (2022) The Mediating Role of Coping in the Relationship between Family Function and Resilience in Adolescents and Young Adults Who Have a Parent with Lung Cancer. Supportive Care in Cancer, 30, 5259-5267. [Google Scholar] [CrossRef] [PubMed]
[21] Eskildsen, N.B., Ross, L., Bulsara, C., Dietz, S.M., Thomsen, T.G., Groenvold, M., et al. (2020) Development and Content Validation of a Questionnaire Measuring Patient Empowerment in Cancer Follow-Up. Quality of Life Research, 29, 2253-2274. [Google Scholar] [CrossRef] [PubMed]
[22] Kaal, S.E.J., Husson, O., van Duivenboden, S., Jansen, R., Manten‐Horst, E., Servaes, P., et al. (2017) Empowerment in Adolescents and Young Adults with Cancer: Relationship with Health‐Related Quality of Life. Cancer, 123, 4039-4047. [Google Scholar] [CrossRef] [PubMed]
[23] Tocchi, C., Mccorkle, R. and Knobf, M.T. (2015) Multidisciplinary Specialty Teams: A Self-Management Program for Patients with Advanced Cancer. Journal of the Advanced Practitioner in Oncology, 6, 408-416. [Google Scholar] [CrossRef
[24] Burgher, C., Ilie, G., Mason, R., Rendon, R., Kokorovic, A., Bailly, G., et al. (2024) Assessing the Impact of the Prostate Cancer Patient Empowerment Program (PC-PEP) on Relationship Satisfaction, Quality of Life, and Support Group Participation: A Randomized Clinical Trial. Current Oncology, 31, 6445-6474. [Google Scholar] [CrossRef] [PubMed]
[25] 喻蓉, 马文琼, 韩兴平, 等. 赋权感知对结直肠癌患者生活质量的影响: 疾病获益感和心理弹性的链式中介作用[J]. 现代肿瘤医学, 2024, 32(4): 678-683.
[26] 罗桂娥. 乳腺癌化疗患者的护理服务质量与赋权水平、自我效能感的关系分析[J]. 医学理论与实践, 2023, 36(16): 2849-2851.
[27] 刘艳敏, 宾捷, 杨新辉, 等. 乳腺癌化疗患者赋权水平与自我效能感、感知护理服务质量的相关性研究[J]. 上海护理, 2022, 22(6): 20-24.
[28] Boškailo, E., Franjić, D., Jurić, I., et al. (2021) Resilience and Quality of Life of Patients with Breast Cancer. Psychiatria Danubina, 33, 572-579.
[29] Franjić, D., Babić, D., Marijanović, I., et al. (2021) Association between Resilience and Quality of Life in Patients with Colon Cancer. Psychiatria Danubina, 33, 297-303.
[30] Occhipinti, S., Dunn, J., O’Connell, D.L., Garvey, G., Valery, P.C., Ball, D., et al. (2018) Lung Cancer Stigma across the Social Network: Patient and Caregiver Perspectives. Journal of Thoracic Oncology, 13, 1443-1453. [Google Scholar] [CrossRef] [PubMed]
[31] Castro, E.M., Van Regenmortel, T., Vanhaecht, K., Sermeus, W. and Van Hecke, A. (2016) Patient Empowerment, Patient Participation and Patient-Centeredness in Hospital Care: A Concept Analysis Based on a Literature Review. Patient Education and Counseling, 99, 1923-1939. [Google Scholar] [CrossRef] [PubMed]