齐齐哈尔市某三甲医院乳腺癌患者心理健康状况研究

发布时间：2018-04-11 22:33

本文选题：乳腺癌患者 + 心理健康　；参考：《吉林大学》2015年硕士论文

【摘要】：目的:本研究通过对齐齐哈尔市某三甲医院乳腺癌患者进行问卷调查,旨在调查乳腺癌患者在医院治疗期间心理健康状况,进一步探讨和研究乳腺癌患者治疗期间的心理健康的影响因素,从而为减轻患者的心理负担、提升其生活质量,提供一个新的干预靶点和一个全新的理论思路。方法:采用调查问卷对120例乳腺癌患者进行问卷调查,对全部患者的一般特征资料进行描述性统计,同时采用了一般统计描述(频数、率或百分比、均数和标准差等)、Pearson卡方检验、方差分析。针对患有乳腺癌的相关人群进行关于心理健康因素的分析。结果:120例乳腺癌患者的心理健康得分低于参考值(P0.05);不同年龄的乳腺癌患者在心理健康的9个维度和总均分方面差异均具有统计学意义(P0.001);不同婚姻状况的患者在心理健康的9个维度得分和总均分方面均存在统计学差异(P0.05);不同文化程度的患者在心理健康的9个维度得分和总均分方面的差异具有统计学意义(P0.05);不同家庭月收入的患者的心理健康差异无统计学意义(P0.05);是否有医疗保险对乳腺癌患者心理健康状况的影响,在躯体化、人际关系、敌意、恐怖、妄想、精神病维度上的差别无统计学意义(P0.05),在强迫、抑郁、焦虑3个维度和总均分方面的差异具有统计学意义(P0.05);不同婚姻质量评价的乳腺癌患者心理健康状况差异没有统计学意义(P0.05);乳腺癌患者在是否为初次入院方面心理健康状况差异没有统计学意义(P0.05)。结论:1、乳腺癌患者的SCL-90得分在九个因子得分上,均为大于常模分数的范围。2、老年乳腺癌患者较年轻患者心理健康状况差。3、不同婚姻状况对乳腺癌患者SCL-90的9个维度得分和总均分方面均有影响,其中丧偶对乳腺癌患者心理健康状况的影响最大。4、不同文化程度对乳腺癌患者的SCL-90的9个维度得分中及总均分方面均有影响。其中文盲患者的心理健康状况最差,其次是小学文化程度患者。5、不同家庭月收入患者的心理健康没有差异。6、乳腺癌患者是否有医疗保险对强迫、抑郁、焦虑维度和总均分方面有影响,且有医保患者心理健康状态好于无医保患者。7、不同婚姻质量评价的乳腺癌患者心理健康状况没有差异。8、乳腺癌患者在是否为初次入院方面心理健康状况没有差异。
[Abstract]:Objective: to investigate the mental health of breast cancer patients in a third Class A Hospital in Qiqihar.In order to reduce the psychological burden and improve the quality of life of patients with breast cancer, a new intervention target and a new theoretical thinking were provided to further explore and study the influencing factors of mental health of breast cancer patients during the treatment period.Methods: 120 patients with breast cancer were investigated by questionnaire, and the general characteristic data of all patients were analyzed, and the general statistical description (frequency, rate or percentage) was used.Mean and standard deviation were analyzed by Pearson chi-square test.To analyze the mental health factors of breast cancer patients.Results the score of mental health of 120 breast cancer patients was lower than that of reference value (P 0.05), the difference of 9 dimensions and total mean scores of mental health of breast cancer patients of different ages was statistically significant (P 0.001), and that of patients with different marital status was lower than that of patients with different marital status.There were statistical differences in nine dimension scores and total mean scores of health care, there were significant differences in 9 dimensions of mental health and total mean scores among patients with different education levels, and there were significant differences in monthly income of different families.There was no statistically significant difference in mental health among patients with breast cancer (P 0.05); whether there was any medical insurance on the mental health status of breast cancer patients,There was no statistically significant difference in the dimensions of somatization, interpersonal relationships, hostility, terror, delusion, and psychosis.The differences in three dimensions of anxiety and total mean score were statistically significant (P 0.05); there was no significant difference in mental health status of breast cancer patients with different marital quality evaluation; the psychological status of breast cancer patients was not significantly different from that of breast cancer patients on admission to hospital for the first time.The difference of health status was not statistically significant (P 0.05).Conclusion: one, the SCL-90 score of breast cancer patients is nine factors.The mental health status of the elderly patients with breast cancer was worse than that of the younger patients. Different marital status had an effect on the nine dimensions and the total mean score of SCL-90 in breast cancer patients.Widowhood had the greatest influence on the mental health of breast cancer patients. Different education level had influence on the SCL-90 scores of breast cancer patients in 9 dimensions and the total mean score.Among them, the mental health status of the illiterate patients was the worst, followed by those with primary school education. There was no difference in mental health among the patients with different families' monthly income. Whether the breast cancer patients had medical insurance against compulsion and depression,Anxiety dimensions and total mean scores had an impact,The mental health status of the patients with medical insurance was better than that of the patients without insurance. There was no difference in the mental health status of breast cancer patients with different marital quality evaluation, and there was no difference in mental health status of breast cancer patients on admission for the first time.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R737.9

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