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目的本研究旨在了解宫颈癌患者的心理卫生状况及生活质量,分析宫颈癌患者悦纳进取处事方式与生活质量关系。方法以湖南省肿瘤医院70例宫颈癌患者为研究对象,采用一般人口特征量表、Zung抑郁自评量表(SDS)、Zung焦虑自评量表(SAS)、悦纳进取问卷、特质应对方式问卷(TCSQ)及宫颈癌患者生活质量测评量表FACT-Cx问卷进行调查。结果1高年龄组在生活质量的生理状况(17.67±7.7、11.70±8.1)、情感状况(16.39±6.0、11.36±6.6)显著高于低年龄组,而在功能状况(6.28±6.7、12.17±9.3)显著低于低年龄组,差异均有统计学意义(P<0.05)。2接纳因子、进取因子与悦纳进取总分均与积极应对存在显著正相关(r=0.687~0.717,P均<0.01),与消极应对无显著相关。3接纳因子、进取因子与悦纳进取总分均与SAS、SDS分存在显著的负相关(r=0.646~0.694,P均<0.01);4接纳因子、进取因子与悦纳进取总分、生理状况及情感状况呈显著负相关(r=0.578~0.619,P均<0.01),与社会、家庭状况及功能状况呈显著正相关(r=0.631~0.669,P均<0.01)。5线性回归分析显示,积极应对因子、焦虑分、接纳因子对生活质量有正向预测作用,可以解释24.3%的变异。结论 1宫颈癌患者悦纳进取程度越高,患者的生活质量越好。2悦纳进取量表可以在宫颈癌患者中使用。
Objective This study aims to understand the status of mental health and quality of life of patients with cervical cancer, analyze the relationship between acceptable and progressive ways of doing things and quality of life of patients with cervical cancer. Methods Seventy patients with cervical cancer from Hunan Cancer Hospital were enrolled in this study. The general population characteristics scale, Zung depression self-rating scale (SDS), Zung self-rating anxiety scale (SAS), acceptance acceptance questionnaire, trait coping style Questionnaire (TCSQ) and cervical cancer quality of life questionnaire FACT-Cx questionnaire survey. Results The physiological status (17.67 ± 7.7, 11.70 ± 8.1) and emotional status (16.39 ± 6.0, 11.36 ± 6.6) in the high-age group were significantly higher than those in the lower age group, while in the functional status (6.28 ± 6.7,12.17 ± 9.3) was significantly lower than the lower age group, the difference was statistically significant (P <0.05). There was a significant positive correlation between aggressive factors and admissions scores (r = 0.687-0.717, P <0.01), but no significant correlation with negative coping. There were significant negative correlations between the three factors (P <0.05), the aggressive factors and the acceptable factors (SAS = 0.646 ~ 0.694, P <0.01) (R = 0.578-0.619, P <0.01). There was a significant positive correlation between social status, family status and functional status (r = 0.631-0.666, P <0.01). 5 Linear regression analysis showed that positive coping factors, anxiety scores and accepting factors had a positive predictive value on the quality of life, which could explain 24.3% of the variance. Conclusion 1 The higher the degree of acceptance of cervical cancer patients, the better the quality of life of patients. 2 Acceptance scale can be used in patients with cervical cancer.