CAJ | 학술논문

目的探讨肺癌患者的心理可塑性及其影响因素的相关性研究.方法采用癌症心身状态问卷中"心理行为可塑性"维度、癌症应对问卷、豁达进取问卷及医院焦虑抑郁量表对150例肺癌患者进行测评比较及相关性分析.结果 (1)心理行为可塑性维度:肺癌患者在"心理行为可塑性"得分高于良性肿瘤患者;人口统计学中,男性患者得分低于女性患者;文化程度越高得分越低;国家机关/党群单位组在"心理行为可塑性"维度得分最低,差异有统计学意义(P<0.05).(2)相关性:"心理行为可塑性"与癌症应对中"面对"呈负相关,与" 回避与压抑"、"屈服"呈正相关(P<0.01),与豁达进取特征以及"积极进取"维度呈负相关(P<0.01);与焦虑抑郁特征及"焦虑"和"抑郁"维度分别呈正相关(P<0.01).结论肺癌患者的心理可塑性比良性肿瘤患者低,积极进取、乐观、采用面对的应对方式、情绪较好的肺癌患者的心理可塑性较好,相对较容易接受心理治疗.
목적 탐토폐암환자적심리가소성급기영향인소적상관성연구.방법 채용암증심신상태문권중"심리행위가소성"유도、암증응대문권、활체진취문권급의원초필억욱량표대150례폐암환자진행측평비교급상관성분석.결과 (1)심리행위가소성유도:폐암환자재"심리행위가소성"득분고우량성종류환자;인구통계학중,남성환자득분저우녀성환자;문화정도월고득분월저;국가궤관/당군단위조재"심리행위가소성"유도득분최저,차이유통계학의의(P<0.05).(2)상관성:"심리행위가소성"여암증응대중"면대"정부상관,여" 회피여압억"、"굴복"정정상관(P<0.01),여활체진취특정이급"적겁진취"유도정부상관(P<0.01);여초필억욱특정급"초필"화"억욱"유도분별정정상관(P<0.01).결론 폐암환자적심리가소성비량성종류환자저,적겁진취、악관、채용면대적응대방식、정서교호적폐암환자적심리가소성교호,상대교용역접수심리치료.
Objective To investigate the psychological plasticity of lung cancer patients and related factors.Methods A survey was carried out on 150 patients with lung cancer so as to compare and analyze data using the "psy-chological behavior plasticity"dimension of the Cancer Psychosomatic Status questionnaire,the Cancer Coping Modes Questionnaire,the Enterprising and Magnanimous Questionnaire and the Hospital Anxiety and Depression Questionnaires.T-tests,analysis of variance and Pearson correlation analysis were adopted for statistical analsis.Results (1) Psycho-logical behavior plasticity dimension:Lung cancer patients scored higher than patients with benign tumors.Demographic studies showed lower scores in male population than in female population.Higher status in academic background was cor-related with lower scores in the dimension of"psychological behavior plasticity".The group of patients with the occupation of state officials or government employees had the lowest score in this dimension.(2) Correlation analysis:the dimensions of"psychological behavior plasticity"and"confrontation"were negatively correlated,so as with enterprising and magnani-mous psychological characteristics and the dimension of"enterprising".There were positive correlations of the dimension of"psychological behavior plasticity"with dimensions of "avoidance and suppression"and "resignation"(P<0.01) .Conclusion Lung cancer patients have worse psychological plasticity than patients with benign tumors.Lung cancer pa-tients with higher enterprising and magnanimous mental levels,positive,using confrontation as the coping mode and able to keep better moods have better psychological plasticity and therefore more likely to receive psychological treatment.