中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
Chinese Journal of Modern Nursing
2015年
30期
3640-3645
,共6页
张欢%周英%李红梅%宋亚兰%成守珍%陈洁雅%陈莹%原少清%杨碧堃%杨淳%张敏娜%姜恋%严夏舒
張歡%週英%李紅梅%宋亞蘭%成守珍%陳潔雅%陳瑩%原少清%楊碧堃%楊淳%張敏娜%薑戀%嚴夏舒
장환%주영%리홍매%송아란%성수진%진길아%진형%원소청%양벽곤%양순%장민나%강련%엄하서
肺肿瘤%心理弹性%影响因素
肺腫瘤%心理彈性%影響因素
폐종류%심리탄성%영향인소
Lung cancer%Psychological resilience%Influencing factors
目的：探讨肺癌患者心理弹性水平及其影响因素。方法采用方便抽样法,应用一般资料问卷、Conner-Davidson心理弹性量表( CD-RISC)、医学应对问卷( MCMQ)和医院焦虑抑郁量表对182例肺癌患者进行问卷调查。结果182例肺癌患者心理弹性得分(65.2±15.0)分。82例术前组肺癌患者心理弹性评分为(68.9±15.4)分,术后组为(63.5±13.6)分,化疗组为(60.3±14.3)分,心理弹性水平呈下降趋势,差异有统计学意义(F=5.530,P<0.05)。不同教育程度、婚姻状况、医保类型、治疗阶段、是否转移的肺癌患者心理弹性得分,差异有统计学意义(P<0.05)。本组182例肺癌患者焦虑平均得分(5.72±4.52)分,抑郁平均得分(4.74±4.39)分。相关分析显示,肺癌患者心理弹性与焦虑、抑郁、屈服呈负相关,与面对呈正相关(P<0.05)；与回避无相关性(P>0.05)。多元线性回归分析显示,治疗阶段、应对方式、抑郁是肺癌患者的心理弹性重要的影响因素(P<0.05),共同解释总变异的45.8%。结论肺癌患者心理弹性水平较低,且受到多种因素的影响。护理工作者应关注患者心理变化,采取有效措施降低其心理压力,提高心理弹性水平,进而提高其生存质量。
目的：探討肺癌患者心理彈性水平及其影響因素。方法採用方便抽樣法,應用一般資料問捲、Conner-Davidson心理彈性量錶( CD-RISC)、醫學應對問捲( MCMQ)和醫院焦慮抑鬱量錶對182例肺癌患者進行問捲調查。結果182例肺癌患者心理彈性得分(65.2±15.0)分。82例術前組肺癌患者心理彈性評分為(68.9±15.4)分,術後組為(63.5±13.6)分,化療組為(60.3±14.3)分,心理彈性水平呈下降趨勢,差異有統計學意義(F=5.530,P<0.05)。不同教育程度、婚姻狀況、醫保類型、治療階段、是否轉移的肺癌患者心理彈性得分,差異有統計學意義(P<0.05)。本組182例肺癌患者焦慮平均得分(5.72±4.52)分,抑鬱平均得分(4.74±4.39)分。相關分析顯示,肺癌患者心理彈性與焦慮、抑鬱、屈服呈負相關,與麵對呈正相關(P<0.05)；與迴避無相關性(P>0.05)。多元線性迴歸分析顯示,治療階段、應對方式、抑鬱是肺癌患者的心理彈性重要的影響因素(P<0.05),共同解釋總變異的45.8%。結論肺癌患者心理彈性水平較低,且受到多種因素的影響。護理工作者應關註患者心理變化,採取有效措施降低其心理壓力,提高心理彈性水平,進而提高其生存質量。
목적：탐토폐암환자심리탄성수평급기영향인소。방법채용방편추양법,응용일반자료문권、Conner-Davidson심리탄성량표( CD-RISC)、의학응대문권( MCMQ)화의원초필억욱량표대182례폐암환자진행문권조사。결과182례폐암환자심리탄성득분(65.2±15.0)분。82례술전조폐암환자심리탄성평분위(68.9±15.4)분,술후조위(63.5±13.6)분,화료조위(60.3±14.3)분,심리탄성수평정하강추세,차이유통계학의의(F=5.530,P<0.05)。불동교육정도、혼인상황、의보류형、치료계단、시부전이적폐암환자심리탄성득분,차이유통계학의의(P<0.05)。본조182례폐암환자초필평균득분(5.72±4.52)분,억욱평균득분(4.74±4.39)분。상관분석현시,폐암환자심리탄성여초필、억욱、굴복정부상관,여면대정정상관(P<0.05)；여회피무상관성(P>0.05)。다원선성회귀분석현시,치료계단、응대방식、억욱시폐암환자적심리탄성중요적영향인소(P<0.05),공동해석총변이적45.8%。결론폐암환자심리탄성수평교저,차수도다충인소적영향。호리공작자응관주환자심리변화,채취유효조시강저기심리압력,제고심리탄성수평,진이제고기생존질량。
Objective To investigate the psychological resilience status and its influencing factors of lung cancer patients. Methods A total of 182 patients with lung cancer were selected by convenient sampling method and were investigated the psychological resilience with Chinese Version Connor and Davidson′s resilience scale ( CD-RISC ) , the Chinese version of medical coping modes questionnaire ( MCMQ ) , and the hospital anxiety and depression Scale ( HAD) . Results The total score of resilience in 182 lung cancer patients acquired (65. 2 ± 15. 0). The total score of resilience in 82 preoperative patients was (68. 9 ± 15. 4), postoperative patients (63.5 ±13.6), chemotherapy patients (60.3 ±14.3); resilience status showed down trend (F=5.530,P<0. 05). Different educational background, marriage status, medical insurance type, treatment stage and cancer metastasis had difference of psychological resilience (P<0. 05). The average anxiety score of 182 cancer patients was (5. 72 ± 4. 52) and depression score obtained (4. 74 ± 4. 39). The correlation analysis presented that lung cancer patients′psychological resilience had negative correlation with anxiety, depression and surrender while it had positive correlation with confrontation (P <0. 05), but had no correlation with avoidance (P>0.05). Multiple regression analysis revealed treatment stages, copying strategies and depression were the main influencing factors which all explained 45. 8% of total variation. Conclusions Resilience of patients with lung cancer are at a lower level, which effected by many factors. Nursing staffs should pay attention to patients psychological status, take effective measures to help them to get higher level of psychological resilience, so as to improve quality of life.
