Background: Different degrees of self-transcendence exist in lung cancer patients, which can stimulate patients' self-awareness and promote them to face negative events in life positively, thus improving patients' quality of life and treatment outcomes. However, there are few reports on self-transcendence in lung cancer patients in China, and the related influencing factors have not yet been clarified. This study aims to investigate the current situation of self-transcendence in lung cancer patients and explore its risk factors, so as to provide a theoretical basis for clinical intervention decision-making.
Methods: 243 lung cancer patients who were admitted to the Department of Lung Cancer Center of West China Hospital, Sichuan University from September 2023 to February 2024 were enrolled as the study subjects; general information questionnaire, self-transcendence scale, Herth hope scale and social support scale were used for the investigation. The influencing factors related to self-transcendence of lung cancer patients were analyzed.
Results: The total mean score of self-transcendence in lung cancer patients was (44.73±8.94); the total mean score of hope level was (37.60±4.98), and the total mean score of social support was (41.31±7.27). Self-transcendence was positively correlated with hope level and social support (P<0.001, P<0.001). Education, hope level and social support were influencing factors of self-transcendence in lung cancer patients (P<0.05, P<0.001, P<0.05).
Conclusions: Self-transcendence in lung cancer patients was at a low level and was influenced by hope level and social support. Healthcare professionals should pay attention to improving the hope level of lung cancer patients, carrying out targeted psychological interventions, and at the same time guiding them to enhance the perception of social support, so as to promote the realization of self-transcendence in patients.
【中文题目：肺癌患者自我超越现状及影响因素分析】 【中文摘要：背景与目的 肺癌患者存在不同程度的自我超越，其能够激发患者的自我意识，推动其积极面对生活中的负性事件，从而改善患者的生活质量及健康结局，但国内关于肺癌患者自我超越的研究鲜有报道，相关影响因素尚未明确。本研究旨在了解肺癌患者自我超越现状并探讨其影响因素，为临床干预决策提供理论依据。方法 选取2023年9月至2024年2月在四川大学华西医院肺癌中心入院治疗的243例肺癌患者为研究对象；采用一般资料调查表、自我超越量表、Herth希望量表及社会支持评定量表进行调查，并对肺癌患者自我超越的影响因素进行分析。结果 肺癌患者自我超越总均分为（44.73±8.94）分，希望水平总均分为（37.60±4.98）分，社会支持总均分为（41.31±7.27）分。肺癌患者自我超越与希望水平及社会支持均呈正相关（P<0.001, P<0.001）。学历、希望水平及社会支持是肺癌患者自我超越的影响因素（P<0.05, P<0.001, P<0.05）。结论 肺癌患者的自我超越处于较低水平，受希望水平与社会支持的影响。医护人员应重视提高肺癌患者的希望水平，开展针对性心理干预，同时引导其增强社会支持感知，从而促进患者自我超越的实现。 】 【中文关键词：肺肿瘤；自我超越；希望；社会支持；影响因素】.
Keywords: Hope; Influencing factor; Lung neoplasms; Self-transcendence; Social support.