两种心理社会适应量表在化疗期乳腺癌患者中的应用比较

发布时间：2018-08-18 16:06

【摘要】：目的比较两种心理社会适应量表在化疗期乳腺癌患者中的应用效果。方法选取化疗期乳腺癌患者743例为研究对象,分别采用疾病心理社会适应问卷(PAIS-SR)、乳腺癌患者心理社会适应问卷测量患者的心理社会适应状况,以乳腺癌患者生存质量量表(FACT-B)为效标,比较两种心理社会适应量表的相关性及效度。结果化疗期乳腺癌患者PAIS-SR得分46.77±15.89,乳腺癌患者心理社会适应问卷得分169.65±25.52,FACT-B量表得分97.47±17.92;PAIS-SR总分及各维度与心理社会适应问卷总分具有显著相关性(r值为-0.245~-0.668,均P0.01);乳腺癌患者心理社会适应问卷总分、PAIS-SR总分与FACT-B得分的相关系数分别为0.730、-0.780(均P0.01)。结论两种问卷所测患者心理社会适应度均处于中等水平,两种问卷的相关性及与效标量表的相关性较强,均可用于化疗期乳腺癌患者的心理社会适应状况的测量。PAIS-SR量表测量的维度更全面,心理社会适应问卷更偏重于患者心理状况的测量,临床应用中可根据实际需要选择合适的量表。
[Abstract]:Objective to compare the effects of two psycho-social adaptation scales in patients with breast cancer during chemotherapy. Methods A total of 743 patients with breast cancer during chemotherapy were studied. The psychosomatic adaptation status of patients with breast cancer was measured by using the disease psychosocial adaptation questionnaire (PAIS-SR) and the psycho-social adaptation questionnaire of breast cancer patients. The correlation and validity of the two psychosomatic adaptation scales were compared with the breast cancer quality of life scale (FACT-B). Results the PAIS-SR scores of breast cancer patients during chemotherapy period were 46.77 卤15.89, the scores of FACT-B scale of psychological and social adaptation of breast cancer patients were 169.65 卤25.52 and the total scores of PAIS-SR and their dimensions were significantly correlated with the total scores of psychological and social adaptation questionnaire (r = -0.245 卤-0.668, all P 0.01), and the scores of PAIS-SR in breast cancer patients were 97.47 卤17.92 and 0.668 respectively (r = -0.245 and -0.668, all P0.01). The correlation coefficient between the total score of PAIS-SR and the score of FACT-B was 0.730 ~ 0.780 (all P 0.01). Conclusion the psychological and social fitness of the patients tested by the two kinds of questionnaires is at the medium level, and the correlation between the two questionnaires and the scale of efficacy is strong. It can be used to measure the psychological and social adaptation status of breast cancer patients during chemotherapy. The dimensions of PAIS-SR scale are more comprehensive, and the psychosocial adaptation questionnaire is more focused on the measurement of patients' psychological status. The appropriate scale can be selected according to the actual needs in clinical application.
【作者单位】：天津医科大学肿瘤医院/国家肿瘤临床医学研究中心/国家肿瘤防治重点实验室;
【基金】：国家肿瘤临床医学研究中心培育项目(5-2-16)
【分类号】：R473.73

【相似文献】