鼻咽癌放疗患者心理及健康与应对方式的调查研究

发布时间：2018-10-20 09:30

【摘要】：目的鼻咽癌放疗患者心理及健康与应对方式调查研究。方法选取治疗的鼻咽癌患者103例,利用艾森克人格问卷(简称EPQ)、SCL-90量表、TCSQ量表对患者在放疗前、中、后的一般资料、心理情况和应对方式进行调查。比较不同应对方式患者的EPQ评分、TCSQ评分和SCL-90评分的差异以及不同应对方式患者的TCSQ评分和SCL-90评分的相关关系。结果放疗前、中、后消极应对方式的鼻咽患者的TCSQ评分均低于积极应对方式的患者,差异有统计学意义(P0.01)。放疗前、中、后消极应对方式的鼻咽患者的SCL-90总评分均高于积极应对方式的患者,差异有统计学意义(P0.05);放疗前消极应对方式的鼻咽患者的躯体化、强迫症状、抑郁、焦虑、敌对的评分高于积极应对方式的患者,放疗中消极应对方式的鼻咽患者的躯体化、抑郁、焦虑的评分高于积极应对方式的患者,放疗后消极应对方式的鼻咽患者的抑郁、焦虑、恐怖的评分高于积极应对方式的患者,差异有统计学意义(P0.05);放疗前、中、后消极应对方式的鼻咽患者的TCSQ评分与SCL-90评分呈正相关;放疗前、中、后积极应对方式的鼻咽患者的TCSQ评分与SCL-90评分呈负相关。放疗前、中、后消极应对方式的鼻咽患者的外向性评分均低于积极应对方式的患者,而神经质和精神质评分均高于积极应对方式的患者,差异有统计学意义(P0.05)。结论积极应对方式的鼻咽患者的心理情况明显好于消极应对的患者,参与治疗和护理的人员应对患者进行正确的引导,避免患者的消极心理。
[Abstract]:Objective to investigate the psychological health and coping style of patients with nasopharyngeal carcinoma (NPC) after radiotherapy. Methods A total of 103 patients with nasopharyngeal carcinoma were investigated with Eysenck Personality questionnaire (EPQ), SCL-90, TCSQ) before, during and after radiotherapy. The differences of EPQ score, TCSQ score and SCL-90 score in patients with different coping styles were compared, and the correlation between TCSQ score and SCL-90 score of patients with different coping styles was compared. Results the TCSQ scores of nasopharyngeal patients with negative coping styles before, during and after radiotherapy were significantly lower than those with positive coping styles (P0.01). The total score of SCL-90 in nasopharyngeal patients with negative coping style before, during and after radiotherapy was significantly higher than that in patients with positive coping style (P0.05); somatization, obsessive-compulsive symptoms, depression, anxiety in patients with negative coping style before radiotherapy were significantly higher than those in patients with positive coping style (P0.05). The score of hostility was higher than that of patients with positive coping style, the score of somatization, depression and anxiety of patients with negative coping style during radiotherapy was higher than that of patients with positive coping style, and the score of depression and anxiety of patients with negative coping style after radiotherapy was higher than that of patients with positive coping style. The scores of phobia were significantly higher than those of patients with positive coping style (P0.05); the TCSQ scores of nasopharyngeal patients with negative coping style before, during and after radiotherapy were positively correlated with SCL-90 scores; before and during radiotherapy, there was a positive correlation between TCSQ scores and SCL-90 scores in nasopharynx patients. There was a negative correlation between TCSQ score and SCL-90 score in nasopharyngeal patients with positive coping style. The extroversion scores of nasopharyngeal patients with negative coping style before, during and after radiotherapy were lower than those of patients with positive coping style, while the scores of neuroticism and psychoticism were higher than those of patients with positive coping style (P0.05). Conclusion the psychological status of nasopharyngeal patients with positive coping style is obviously better than that of patients with negative coping. The staff involved in treatment and nursing should give correct guidance to the patients and avoid the negative psychology of the patients.
【作者单位】：广东省佛山市顺德区中医院肿瘤科;广东省佛山市顺德区人民医院肿瘤科;
【基金】：广东省佛山市科研项目(编号:201308312)
【分类号】：R473.73

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