大肠癌患者归因风格与人格特征、焦虑抑郁情绪的关系研究
发布时间：2019-02-21 08:43
【摘要】：目的为探索大肠癌的归因风格的特征及影响因素，比较大肠癌患者归因风格的差异，以期改善大肠癌患者的心理健康状况，更好的为大肠癌的预防、保健、临床治疗、护理及心理干预提供理论依据。 方法采用病例对照的研究方法，应用统一的心理学问卷：归因方式问卷（ASQ），大五人格问卷简化版（NEO-FFI），汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）对108例大肠癌患者（研究组）及110名健康人（对照组）进行测评，使用卡方检验(χ~2)、t检验、相关分析、多元线性回归进行统计分析。 结果1.与正常对照组相比，大肠癌组归因风格的得分明显高于对照组，差异有统计学意义（P㩳0.001）；大肠癌组与正常对照组在人格特征神经质、外倾性、宜人性及尽责性的差异均有统计学意义（P㩳0.05）；大肠癌组与正常对照组在抑郁和焦虑各因子的差异有显著统计学意义P㩳0.001），大肠癌组抑郁和焦虑各因子得分明显高于对照组。 2.多元逐步回归分析显示：依次进入负性事件归因风格总体回归方程的有：焦虑、开放性、外倾性、尽责性、抑郁，可解释方程的总变异量为27.6%；依次进入负事件归因风格内外维度回归方程的有：开放性、神经质，，对方程解释的总变异量为12.8%；依次进入负事件归因风格稳定维度回归方程的有：焦虑、外倾性、开放性，对方程解释的总变异量为13.6%；依次进入负性事件归因风格整体维度回归方程的有：焦虑、外倾性，对方程解释的总变异量为22.6%。 结论1.大肠癌患者的归因风格与正常对照组明显不同，归因风格的总体趋向于内在、稳定、普遍的消极归因。 2.大肠癌患者神经质、外倾性、宜人性、尽责性人格特征得分高于正常对照组。 3.大肠癌患者焦虑、抑郁较正常问题得分高。 4.焦虑、抑郁情绪、开放性、外倾性、尽责性人格对大肠癌患者负性事件的归因风格有预测作用。 因此，临床医护工作人员在与患者沟通过程中给予恰当的引导，避免在得知身患癌症这个刺激时产生消极归因，从而影响治疗的效果和依从性。
[Abstract]:Objective to explore the characteristics and influencing factors of attribution style of colorectal cancer and to compare the difference of attribution style in patients with colorectal cancer, so as to improve the mental health status of patients with colorectal cancer and to improve the prevention, health care and clinical treatment of colorectal cancer. Nursing and psychological intervention provide theoretical basis. Methods A case-control study was conducted using a unified psychological questionnaire: attribution style questionnaire (ASQ), Big five Personality questionnaire (NEO-FFI) and Hamilton Depression scale (HAMD),). Hamilton anxiety scale (HAMA) was used to evaluate 108 patients with colorectal cancer (study group) and 110 healthy persons (control group). Chi-square test (蠂 ~ 2), t test, correlation analysis, multivariate linear regression) was used for statistical analysis. Result 1. Compared with normal control group, the score of attribution style in colorectal cancer group was significantly higher than that in control group (P0. 001). There were significant differences in personality neuroticism, extroversion, amenity and due diligence between colorectal cancer group and normal control group (P < 0.05). There was significant difference in depression and anxiety between colorectal cancer group and normal control group (P < 0.001). The scores of depression and anxiety in colorectal cancer group were significantly higher than those in control group. 2. Multiple stepwise regression analysis showed that the total regression equation of negative event attribution style in turn was anxiety, openness, extroversion, due diligence, depression, and the total variance of the equation was 27.6; The regression equation of internal and external dimension of negative event attribution style in turn is open, neurotic, and the total variation of interpretation of the equation is 12.8b; In turn, the regression equation of negative event attribution style stability included anxiety, extroversion, openness, and the total variation of the interpretation of the equation was 13.6; The regression equations of the whole dimension of negative event attribution style are anxiety, extroversion, and the total variation of the interpretation of the equation is 22.6. Conclusion 1. The attribution style of colorectal cancer patients is obviously different from that of the normal control group, and the overall attribution style tends to be internal, stable and general negative attribution. 2. The scores of neuroticism, extroversion, humanity and due diligence in colorectal cancer patients were higher than those in the normal control group. 3. The scores of anxiety and depression in patients with colorectal cancer were higher than those in normal subjects. 4. Anxiety, depression, openness, extroversion and due diligence can predict the attribution style of negative events in colorectal cancer patients. Therefore, the clinical medical staff should give appropriate guidance in the process of communicating with the patients so as to avoid negative attribution when they are informed of the stimulation of cancer, thus affecting the effectiveness and compliance of the treatment.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R735.34;R395
本文编号：2427396
[Abstract]:Objective to explore the characteristics and influencing factors of attribution style of colorectal cancer and to compare the difference of attribution style in patients with colorectal cancer, so as to improve the mental health status of patients with colorectal cancer and to improve the prevention, health care and clinical treatment of colorectal cancer. Nursing and psychological intervention provide theoretical basis. Methods A case-control study was conducted using a unified psychological questionnaire: attribution style questionnaire (ASQ), Big five Personality questionnaire (NEO-FFI) and Hamilton Depression scale (HAMD),). Hamilton anxiety scale (HAMA) was used to evaluate 108 patients with colorectal cancer (study group) and 110 healthy persons (control group). Chi-square test (蠂 ~ 2), t test, correlation analysis, multivariate linear regression) was used for statistical analysis. Result 1. Compared with normal control group, the score of attribution style in colorectal cancer group was significantly higher than that in control group (P0. 001). There were significant differences in personality neuroticism, extroversion, amenity and due diligence between colorectal cancer group and normal control group (P < 0.05). There was significant difference in depression and anxiety between colorectal cancer group and normal control group (P < 0.001). The scores of depression and anxiety in colorectal cancer group were significantly higher than those in control group. 2. Multiple stepwise regression analysis showed that the total regression equation of negative event attribution style in turn was anxiety, openness, extroversion, due diligence, depression, and the total variance of the equation was 27.6; The regression equation of internal and external dimension of negative event attribution style in turn is open, neurotic, and the total variation of interpretation of the equation is 12.8b; In turn, the regression equation of negative event attribution style stability included anxiety, extroversion, openness, and the total variation of the interpretation of the equation was 13.6; The regression equations of the whole dimension of negative event attribution style are anxiety, extroversion, and the total variation of the interpretation of the equation is 22.6. Conclusion 1. The attribution style of colorectal cancer patients is obviously different from that of the normal control group, and the overall attribution style tends to be internal, stable and general negative attribution. 2. The scores of neuroticism, extroversion, humanity and due diligence in colorectal cancer patients were higher than those in the normal control group. 3. The scores of anxiety and depression in patients with colorectal cancer were higher than those in normal subjects. 4. Anxiety, depression, openness, extroversion and due diligence can predict the attribution style of negative events in colorectal cancer patients. Therefore, the clinical medical staff should give appropriate guidance in the process of communicating with the patients so as to avoid negative attribution when they are informed of the stimulation of cancer, thus affecting the effectiveness and compliance of the treatment.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R735.34;R395
【参考文献】
相关期刊论文 前8条
1 韩臻;陈洪华;王卫红;;癌症与C型行为相关性研究的现状[J];滨州医学院学报;2006年03期
2 江礼娟;董宁;钟磊;;大肠癌患者的个性、应对方式及精神心理状态的探讨[J];重庆医学;2009年07期
3 成云,卢青,马长青;归因训练与学生个性发展的研究[J];四川师范学院学报(哲学社会科学版);1998年04期
4 郑名;马娥;;3～6岁回、汉族儿童心理理论发展的比较研究[J];当代教育与文化;2010年06期
5 张妍;高洪彩;刘霞;翟景花;张雪文;白海伦;;大肠癌患者心理社会应激状况及应对方式分析[J];中华疾病控制杂志;2010年08期
6 张雯;师范大学生学业成败归因特点研究[J];中国健康心理学杂志;2005年02期
7 汤毓华;张明园;;汉密顿抑郁量表(HAMD)[J];上海精神医学;1984年02期
8 汤毓华;张明园;;汉密顿焦虑量表(HAMA)[J];上海精神医学;1984年02期
相关硕士学位论文 前4条
1 孟婧;抑郁症恢复期患者自信心及其相关因素研究[D];山西医科大学;2011年
2 任文茂;宁夏回族的体质特征与其健康及发病关系的研究[D];山东中医药大学;2011年
3 马宁;慢性HBV感染患者负性自动思维与归因方式的关系研究[D];河南大学;2008年
4 李秀丽;护士工作倦怠与归因方式、社会支持的相关研究[D];华东师范大学;2008年
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