膀胱癌病人尊严、自我感受负担及心理韧性相关性研究

发布时间：2018-01-15 05:31

  本文关键词：膀胱癌病人尊严、自我感受负担及心理韧性相关性研究　出处：《延边大学》2017年硕士论文　论文类型：学位论文

  更多相关文章： 膀胱癌病人 病人尊严 自我感受负担 心理韧性

【摘要】：目的:了解膀胱癌病人尊严、自我感受负担及心理韧性的现状,分析影响膀胱癌病人尊严、自我感受负担及心理韧性的差异,明确膀胱癌病人尊严、自我感受负担及心理韧性的相关因素,增强尊严、减轻病人自我感受负担、加强心理韧性、提高膀胱癌病人的治疗依从性并提高生命质量,提供实证依据。方法:本研究属于非实验性的相关性研究。通过便利抽样的方法在吉林省内三所三级甲等医院的已确诊为膀胱癌的病人为研究对象进行问卷调查。本次研究共发放问卷350份,回收327份,其中有效问卷295份,回收率为93.4%,合格率为84.0%。研究工具包括社会人口学特征、尊严量表、自我感受负担量表、心理韧性量表。利用spss19.0统计软件对整理好的问卷数据进行统计分析,分别采用t检验、方差分析、相关分析。结果:(1)膀胱癌病人的病人尊严总分为(38.39± 16.16)分,处于中等水平,在民族、职业、教育程度、子女情况、经济收入、医保形式等因素上有统计学差异(P≤0.01)。(2)膀胱癌病人自我感受负担的总分为(22.53±10.30),平均得分为(2.25±1.0)分。在经济收入、医疗费用支付形式、日常生活自理程度、手术方式、是否复发、是否做化疗等因素上有显著性差异。(3)膀胱癌病人的心理韧性总分得分(66.81±20.55),平均得分(2.66±0.79)。各影响因素中年龄、居住地、职业、教育程度、主要照顾者等多个因素上有显著性差异。(4)膀胱癌病人尊严、自我感受负担及心理韧性三者之间相关性分析后得出结论为:尊严与自我感受负担之间是正相关关系(r=0.793,P≤0.01),尊严与心理韧性之间是负相关关系(r=0.482,P≤0.01),自我感受负担与心理韧性之间是负相关关系(r=0.395,P≤0.01)。结论:(1)膀胱癌病人尊严水平处于中等水平,其中尊严与民族、职业、教育程度、子女情况、经济收入、医疗费用形式、手术方式、是否进行化疗有关。(2)膀胱癌病人中无明显感受负担的占58.6%,重度感受负担的有占10.8%。负担最重的是经济负担,担心花费很多钱。(3)膀胱癌病人的心理韧性水平处于中等水平。心理韧性水平与年龄、居住地、职业、教育程度、经济收入、医疗费用形式、手术方式、是否化疗、是否复发有关。(4)膀胱癌病人尊严与自我感受负担之间是正相关关系,与心理韧性之间是负相关关系。自我感受负担与心理韧性之间是负相关关系。即尊严丧失、自我感受负担重,心理韧性水平低,反之亦然。
[Abstract]:Objective: to understand the present situation of the dignity, self-perceived burden and psychological resilience of bladder cancer patients, and to analyze the difference of the dignity, self-feeling burden and psychological resilience of bladder cancer patients, and to clarify the dignity of bladder cancer patients. The related factors of self-feeling burden and psychological resilience, enhance dignity, reduce the burden of self-feeling of patients, strengthen psychological resilience, improve the compliance of bladder cancer patients and improve the quality of life. Provide empirical evidence. Methods:. This study is a non-experimental correlation study. A questionnaire survey was conducted among the patients diagnosed with bladder cancer in three grade three first-class hospitals in Jilin province by means of convenience sampling. A total of questionnaires were distributed in this study. 350. 327 copies were recovered, 295 effective questionnaires were collected, the recovery rate was 93.4and the qualified rate was 84.0. The research tools included social demographic characteristics, dignity scale and self-feeling burden scale. Mental resilience scale. The questionnaire data were analyzed by spss19.0 software. T test and ANOVA were used respectively. Results: the total score of patients with bladder cancer was 38.39 卤16.16, which was in the middle level, in nationality, occupation, education, children's condition and income. There was statistical difference in the form of medical insurance and other factors (P 鈮，

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