摘要
目的通过分析肺癌化疗期患者积极心理弹性与生活质量及情绪状态的相关性,为开展肺癌化疗期患者的治疗护理提供依据。方法选取2016年1月至2018年1月,丽水市中心医院住院治疗的290例肺癌化疗期患者,采用调查问卷的方式,对患者的一般资料、心理弹性、生活质量、情绪状况进行测定。结果患者心理弹性总得分为(56.33±12.54)分,坚韧、自强、乐观平均得分分别为(28.38±5.22)分、(18.32±4.03)分、(9.70±2.26)分;患者生活质量总得分为(70.53±14.38)分,生理状况、社会家庭状况、情感状况、功能状况得分分别为(20.96±2.23)分、(18.16±2.86)分、(14.24±2.91)分、(17.07±3.18)分;患者正性情绪平均得分为(29.53±4.26)分,负性情绪平均得分为(21.54±4.31)分。患者文化程度(F=2.864,P=0.031);付费方式(F=6.823,P=0.001);化疗方式(F=2.451,P=0.018);临床分期(F=4.678,P=0.007)对心理弹性影响差异有统计学意义。坚韧维度与功能状况、生理状况和生活质量呈正相关(r=0.171、0.234、0.185,P=0.015、0.007、0.010)。患者自强维度与社会家庭状况呈正相关(r=0.195,P=0.009)。患者心理弹性与正性情绪呈正相关(r=0.752,P=0.008);与负性情绪呈负相关(r=-0.468,P=0.014),文化程度、付费方式和心理弹性联合解释患者生活质量24.2%的变异。结论化疗期肺癌患者心理弹性中坚韧、乐观、自强等积极的心理品质,能明显改善患者的生活质量和情绪状态。
Objective To explore the correlation of psychological resilience with quality of life and emotional state of patients with lung cancer during chemotherapy. Methods From January 2016 to January 2018, 290 lung cancer patients with chemotherapy in Lishui Central Hospital were enrolled in the study and a questionnaire survey was conducted.The mental flexibility, quality of life, emotional status of patents were evaluated. Results The overall score of psychological resilience was( 56.33±12.54), with the score of being strong, self-supporting and optimistic of(28.38±5.22),(18.32±4.03) and(9.70±2.26), respectively.The overall score of quality of life was(70.53±14.38), with the score of mental status, social family status, emotional status, functional status of(20.96±2.23),(18.16±2.86),(14.24±2.91),(17.07±3.18), respectively.The average scores of positive emotion and negative emotion were(29.53±4.26) and(21.54±4.31).Education level(F=2.864, P=0.031), payment method(F=6.823, P=0.001), chemotherapy method(F=2.451, P=0.018) and disease stage(F=4.678, P=0.007) were influencing factors for psychological resilience.The dimension of resilience was positively correlated with functional status, physiological status and quality of life(r=0.171,0.234,0.185;P=0.015,0.007,0.010).The dimension of self-strength was positively correlated with social and family status(r=0.195,P=0.009).Psychological resilience was positively correlated with positive emotion(r=0.752,P=0.008),and negatively correlated with negative emotion(r=-0.468,P=0.014).Education,payment method and psychological resilience together accounted for 24.2% of the variation in quality of life. Conclusions Positive psychological resilience as being strong,optimistic and self-supporting may significantly improve the quality of life and emotional state of patients with lung cancer during chemotherapy.
作者
张丽珍
洪燕玲
李红
孙伟燕
吴丽仙
潘红英
ZHANG Li-zhen;HONG Yan-ling;LI Hong;SUN Wei-yan;WU Li-xian;PAN Hong-ying(Lishui Central Hospital, Lishui, Zhejiang 323000 , China)
出处
《中国预防医学杂志》
CAS
CSCD
2019年第6期510-514,共5页
Chinese Preventive Medicine
基金
浙江省医药卫生科技计划项目(2015KYA242)
关键词
肺癌
化疗
心理弹性
生活质量
情绪
相关性
Lung cancer
Chemotherapy
Psychological resilience
Quality of life
Emotion
Correlation
