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目的了解大肠癌手术患者的希望水平,探讨希望水平与应对方式、生活质量的相关性,为临床护士制定护理措施提供理论依据。方法选取2013年5月至2015年12月在宁夏某所三甲医院各院区住院进行手术治疗的大肠癌患者132例为研究对象,选择Herth希望量表(HHI)、医学应对问卷(MCMQ)及癌症患者生命质量测定量表中文版对大肠癌手术患者进行问卷调查。用SPSS 17.0软件包进行统计学分析,计量资料两组间比较用t检验,多组间比较用方差分析,采用Pearson进行相关性分析。结果共回收有效问卷125份,大肠癌手术患者的希望水平总分为(34.84±2.82)分。不同经济状况和文化程度患者的希望水平总分差异均有统计学意义(F值分别为2.36和2.24,P<0.05),而不同性别、年龄、民族及是否造瘘的患者希望水平总分差异均无统计学意义(P>0.05)。希望水平总分与面对、屈服呈显著正相关(r值分别为0.419和0.386,P<0.01),而与回避呈负相关(r=-0.494,P<0.01)。希望水平总分及各维度得分均与总体生活质量总分呈正相关(r值分别为0.78、0.39、0.35和0.68,P<0.01)。结论大肠癌手术患者的希望水平总分处于中等水平,为提高术后患者的生活质量,护理人员应针对患者的各种症状困扰程度,采取以问题解决法为目的的认知行为干预。
Objective To understand the hope of patients with colorectal cancer surgery, to explore the correlation between the level of hope and coping style and quality of life, and to provide a theoretical basis for clinical nurses to formulate nursing measures. Methods A total of 132 patients with colorectal cancer undergoing surgery in hospitals of a top three hospital in Ningxia from May 2013 to December 2015 were enrolled in this study. Herth Hope Scale (HHI), Medical Response Questionnaire (MCMQ) and Cancer Chinese version of the patient quality of life measurement questionnaire for patients with colorectal cancer surgery. SPSS 17.0 software package for statistical analysis, measurement data between the two groups using t test, multiple groups were compared with analysis of variance, Pearson correlation analysis. Results A total of 125 valid questionnaires were collected. The total hope score of patients with colorectal cancer was (34.84 ± 2.82) points. The total score of hope level of patients with different economic status and educational level was statistically significant (F = 2.36 and 2.24, respectively, P <0.05), while the difference of the total level of hope in patients with different genders, ages, ethnic groups and patients with or without fistula No statistical significance (P> 0.05). The hope level score was positively correlated with face and yield (r = 0.419 and 0.386 respectively, P <0.01), but negatively correlated with avoidance (r = -0.494, P <0.01). It is hoped that the level total score and each dimension score are positively correlated with the total score of total quality of life (r = 0.78,0.39,0.35 and 0.68, P <0.01). Conclusion The total hope level of patients with colorectal cancer surgery is at a moderate level. To improve the quality of life of the patients after surgery, the nurses should take cognitive behavioral interventions based on the problem-solving method in view of the degree of patient’s various symptoms.