中国康复理论与实践
中國康複理論與實踐
중국강복이론여실천
CHINESE JOURNAL OF REHABILITATION THEORY & PRACTICE
2014年
5期
477-480
,共4页
癌症%应对方式%抑郁%生活质量
癌癥%應對方式%抑鬱%生活質量
암증%응대방식%억욱%생활질량
cancer%coping styles%depression%quality of life
目的：探讨应对方式对癌症患者抑郁情绪和生活质量的影响。方法住院癌症患者完成一般资料问卷、抑郁自评量表(SDS)、医学应对问卷(MCMQ)、中国癌症患者生活质量调查问卷(QLQ)调查。结果符合条件的234例患者中，54.27%伴有不同程度的抑郁情绪。MCMQ面对因子(r=-0.378, P=0.006)和回避因子(r=-0.374, P=0.008)与抑郁情绪呈负相关，屈服因子与抑郁情绪呈正相关(r=0.684, P=0.000)。MCMQ面对因子(r=0.232, P=0.043)和回避因子(r=0.317, P=0.000)与生活质量呈正相关，屈服因子与生活质量呈负相关(r=-0.479, P=0.007)。分别以抑郁程度和生活质量为因变量进行多元逐步回归分析，回归方程分别为：Y(抑郁程度)=-0.631+0.161X3(屈服)，Y(生活质量)=3.317-0.085X3(屈服)+0.257X2(回避)。结论应对方式是影响癌症患者心理和生活状态的一个重要因素。
目的：探討應對方式對癌癥患者抑鬱情緒和生活質量的影響。方法住院癌癥患者完成一般資料問捲、抑鬱自評量錶(SDS)、醫學應對問捲(MCMQ)、中國癌癥患者生活質量調查問捲(QLQ)調查。結果符閤條件的234例患者中，54.27%伴有不同程度的抑鬱情緒。MCMQ麵對因子(r=-0.378, P=0.006)和迴避因子(r=-0.374, P=0.008)與抑鬱情緒呈負相關，屈服因子與抑鬱情緒呈正相關(r=0.684, P=0.000)。MCMQ麵對因子(r=0.232, P=0.043)和迴避因子(r=0.317, P=0.000)與生活質量呈正相關，屈服因子與生活質量呈負相關(r=-0.479, P=0.007)。分彆以抑鬱程度和生活質量為因變量進行多元逐步迴歸分析，迴歸方程分彆為：Y(抑鬱程度)=-0.631+0.161X3(屈服)，Y(生活質量)=3.317-0.085X3(屈服)+0.257X2(迴避)。結論應對方式是影響癌癥患者心理和生活狀態的一箇重要因素。
목적：탐토응대방식대암증환자억욱정서화생활질량적영향。방법주원암증환자완성일반자료문권、억욱자평량표(SDS)、의학응대문권(MCMQ)、중국암증환자생활질량조사문권(QLQ)조사。결과부합조건적234례환자중，54.27%반유불동정도적억욱정서。MCMQ면대인자(r=-0.378, P=0.006)화회피인자(r=-0.374, P=0.008)여억욱정서정부상관，굴복인자여억욱정서정정상관(r=0.684, P=0.000)。MCMQ면대인자(r=0.232, P=0.043)화회피인자(r=0.317, P=0.000)여생활질량정정상관，굴복인자여생활질량정부상관(r=-0.479, P=0.007)。분별이억욱정도화생활질량위인변량진행다원축보회귀분석，회귀방정분별위：Y(억욱정도)=-0.631+0.161X3(굴복)，Y(생활질량)=3.317-0.085X3(굴복)+0.257X2(회피)。결론응대방식시영향암증환자심리화생활상태적일개중요인소。
Objective To explore the effects of coping styles on depression and quality of life of cancer patients. Methods Hospitalized cancer patients were investigated with general condition questionnaire, Self-rating Depression Scale (SDS), Medical Coping Modes Ques-tionnaire (MCMQ) and Quality of Life Questionnaire for Chinese Cancer Patients (QLQ). Results 234 cases were selected, and 54.27%of them accompanied with depression. The factors of confrontation (r=-0.378, P=0.006), avoidance (r=-0.374, P=0.008) and acceptance-res-ignation (r=0.684, P=0.000) of MCMQ were related with the depression, as well as the quality of life with confrontation (r=0.232, P=0.043), avoidance (r=0.317, P=0.000) and acceptance-resignation (r=-0.479, P=0.007). Multiple stepwise regression analysis showed that:Y (depression)=-0.631+0.161X3(acceptance-resignation), Y(quality of life)=3.317-0.085X3(acceptance-resignation)+0.257X2(avoidance). Con-clusion Coping styles are related with the depression and quality of life of cancer patients.
