直肠癌患者焦虑状况与其生存质量和心理韧性的相关性研究

The correlation between anxiety status in patients with colorectal cancer and its quality of life and mental toughness

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(6)
作者
作者单位

青海大学附属医院 胃肠外科 ;

摘要
摘要 探讨直肠癌患者焦虑状况与其生存质量和心理韧性的相关性。方法 以本院2015年7月至2016年7月收治的78例直肠癌患者为研究对象。患者焦虑状况采用焦虑自评量表(SAS)进行测评。心理韧性采用心理弹性量表测定。生存质量评价采用QLQ-C30生存质量调查问卷进行测评,分析患者焦虑状况与其生存质量和心理韧性的相关性。结果 所有患者中合并焦虑者为42例(53.84%)。直肠癌患者中女性、离婚或丧偶、文化程度越低、家庭经济越困难者越容易合并焦虑(P<0.05)。女性患者、已婚、文化程度越高和家庭经济情况较好者其心理韧性更好(P<0.05)。已婚患者和家庭经济情况较好者其生存质量更好(P<0.05),不同性别和文化程度患者的生存质量差异无统计学意义。直肠癌患者焦虑与心理韧性不同维度(自强、乐观、坚韧)、生存质量各维度(躯体功能、角色功能、情绪功能、认知功能、社会功能)均呈负相关(P<0.05)。逐步线性回归模型显示,家庭经济水平、婚姻状况、文化程度、心理韧性与生存质量影响直肠癌患者的焦虑程度。结论 直肠癌患者焦虑状况与其生存质量和心理韧性存在相互影响,应积极给予患者心理干预以改善焦虑和心理韧性,提高患者生存质量。
Abstract
Objective To investigate the correlation between anxiety status in patients with colorectal cancer and its quality of life and mental toughness. Methods 78 cases of colorectal cancer patients were collected in our hospital from July 2015 to July 2016 was admitted to the study. Anxiety condition of the patient self-rating anxiety scale (SAS) for evaluation. Mental toughness was measured using the scale of resilience. Quality of life assessment using QLQ-C30 quality of life questionnaire for evaluation, correlation between anxiety status of patients with their quality of life and mental toughness were analyzed. Results All patients combined with anxiety were 42 cases (53.84%). Patients with colorectal cancer in women, divorced or widowed, the lower the education level, the more difficult families are getting easier to anxiety (P <0.05). Female patient, married, higher education level and family economic situation in their mental toughness were better (P <0.05). Married patients and family economic situation were better in their quality of life (P <0.05), quality of life and gender differences in education level of patients was not statistically significant. Different anxiety and mental toughness colorectal cancer patients dimension (self-reliance, optimism, tenacity), each dimension of quality of life (physical function, role function, emotional function, cognitive function, social function) was negatively correlated (P <0.05). Stepwise linear regression model showed that the family economic level, marital status, educational level, mental toughness and quality of life of patients with colorectal cancer affect the degree of anxiety. Conclusion colorectal cancer patients with anxiety condition their quality of life and mental toughness interaction exists, should be actively administered to the patient anxiety and psychological interventions to improve mental toughness, improve the quality of life of patients.
关键词
关键词 直肠癌;焦虑状况;生存质量;心理韧性
KeyWord
Keywords colorectal cancer; anxiety conditions; quality of life; mental toughness
基金项目
页码 1059-1061
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郭起贤*,魏荣华,张生梅. 直肠癌患者焦虑状况与其生存质量和心理韧性的相关性研究 [J]. 国际精神病学杂志. 2016; 43; (6). 1059 - 1061.

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