癌症患者失志状况及影响因素研究

发布时间：2018-10-26 13:59

【摘要】：目的:调查癌症患者失志现状,并探讨其影响因素。方法:采用横断面调查方法,应用失志量表、患者健康问卷、医学应对问卷、Mc Gill生存质量问卷以及自设的一般资料调查表对某2所三级甲等肿瘤医院住院523例癌症患者进行问卷调查。结果:癌症患者的失志总分为(33.53±15.09)分;单因素分析结果显示,癌症患者的失志水平在不同职业、文化程度、家庭月收入、付费方式、居住地及疾病分期存在差异(P0.05);Pearson相关分析表明,癌症患者抑郁、屈服应对、生活质量的心理维度与失志呈显著正相关(r=0.623、0.589、0.572,均P0.05),癌症患者整体生活质量、生活质量的个人存在维度及社会支持维度与失志呈显著负相关(r=-0.379、-0.572、-0.453,均P0.05);多元线性回归分析结果显示,癌症患者失志的影响因素有职业、文化程度、抑郁、屈服应对、回避应对、生活质量的心理维度与个人存在维度(β=0.596、1.373、0.744、1.265、-0.512、1.083、-1.411,均P0.05)。结论:针对中国内地系统开展的癌症患者失志调查结果显示,内地癌症患者失志水平较高,其职业、文化程度、抑郁、屈服应对、回避应对、生活质量的心理维度与个人存在维度是影响失志的重要因素。
[Abstract]:Objective: to investigate the current situation of cancer patients with loss of ambition and explore its influencing factors. Methods: a cross-sectional survey was carried out, and a questionnaire on patients' health, a questionnaire on medical coping, a scale of disapproval and a questionnaire on medical coping were used. Mc Gill quality of life questionnaire and general information questionnaire were used to investigate 523 cancer patients in two Grade 3A tumor hospitals. Results: the total score of cancer patients was (33.53 卤15.09). Univariate analysis showed that there were significant differences in different occupations, education level, family monthly income, payment method, residence and disease stages among cancer patients (P0.05). Pearson correlation analysis showed that the psychological dimension of depression, yield coping and quality of life of cancer patients was significantly positively correlated with depression (r = 0.623, 0.589, 0.572, P0.05), and the overall quality of life of cancer patients was significantly higher than that of patients with cancer (P < 0.05). There was a significant negative correlation between the dimension of personal existence and social support of quality of life (r-0.379- 0.572- 0.453, P0.05). Multiple linear regression analysis showed that the influencing factors of cancer patients were occupation, education level, depression, surrender coping, avoidance coping, quality of life psychological dimension and personal existence dimension (尾 = 0.596 / 1.373 / 0.7441.265). -0.512 (1.083) -1.411 (P0.05). Conclusion: according to the survey of cancer patients in mainland China, the level of demoralization in cancer patients is higher, their occupation, education, depression, surrender coping, avoidance coping, etc. The psychological dimension of quality of life and the dimension of personal existence are the important factors affecting the loss of ambition.
【作者单位】：重庆医科大学附属第二医院护理部;成都市妇女儿童中心医院护理部;
【分类号】：R473.73

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