肿瘤患者述情障碍及其相关影响因素研究

发布时间：2018-06-21 13:13

本文选题：肿瘤患者 + 述情障碍　；参考：《南昌大学》2011年硕士论文

【摘要】：目的：研究恶性肿瘤住院患者述情障碍状况,探讨恶性肿瘤患者述情障碍对疾病以及治疗的影响,为提高肿瘤患者的生活质量提供参考依据。方法：本研究为随机对照研究,对符合纳入标准的116例住院肿瘤患者及102名非肿瘤疾病患者采用自编一般情况问卷、多伦多述情障碍量表(TAS-20)、医学应对方式(MCMQ)及生活质量量表QLQ-C30进行调查,使用SPSS17.0软件进行数据处理与分析。结果：①恶性肿瘤组患者的述情障碍发生率为44.8%,对照组发生率为5.88%； ②两组在述情障碍各因子及总分上有显著的差异,且肿瘤组各因子的平均分及总分均高于对照组； ③肿瘤患者不同职业类型在TAS、EOT方面存在显著差异； ④肿瘤患者不同病程、病情危重程度在DIF DDF、TAS总分方面存在显著差异； ⑤述情障碍中DIF和DDF以及TAS总分与生活质量的大部分领域有显著性相关,EOT与总体功能、总体症状和经济困难显著性相关,应对方式中的回避、屈服与述情障碍和生活质量相关性显著： ⑥述情障碍中DIF对生活质量各维度有直接影响,并通过应对方式对生活质量产生间接影响。结论：肿瘤患者述情障碍发生率较高,各因子均分和述情障碍总分均高于对照组。述情障碍的主要影响因素为职业类型、病程及危重程度等。述情障碍与应对方式、生活质量相关显著,述情障碍可直接和通过应对方式间接对生活质量产生影响。
[Abstract]:Objective: To study the status of alexithymia in patients with malignant tumor and to explore the effect of alexithymia on the disease and treatment in patients with malignant tumor, so as to provide reference for improving the quality of life of the cancer patients.
Methods: This study was a randomized controlled study. 116 cases of hospitalized cancer patients and 102 patients with non tumor diseases were investigated by self compiled general questionnaire, Toronto Alexithymia Scale (TAS-20), medical coping style (MCMQ) and quality of life scale QLQ-C30 (QOL), and SPSS17.0 software was used for data processing and analysis.
Results: (1) the incidence of alexithymia was 44.8% in the malignant tumor group and 5.88% in the control group.
(2) there were significant differences in the alexithymia factors and total scores between the two groups, and the average scores and total scores of all the factors in the tumor group were higher than those in the control group.
3. There were significant differences in TAS and EOT between different occupational types of cancer patients.
4. The degree of critical illness in patients with different stages of cancer is DIF DDF, and there are significant differences in total TAS scores.
(5) the total score of DIF, DDF and TAS in alexithymia was significantly related to most of the areas of quality of life. EOT was related to the overall function, the overall symptoms and the economic difficulties, the avoidance in the coping style, and the correlation between the yield and the alexithymia and the quality of life was significant.
DIF in alexithymia has a direct impact on all dimensions of quality of life, and indirectly affects the quality of life through coping styles.
Conclusion: the incidence of alexithymia was higher in tumor patients, and the total score of all factors and alexithymia was higher than that of the control group. The main influencing factors of alexithymia were occupational type, course and severity. Alexithymia was related to the way of coping and the quality of life. Alexithymia could directly and indirectly produce quality of life through coping style. The impact of life.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R395

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