摘要
目的探讨胸段食管癌患者胸腔镜术后生命意义感水平及其影响因素。方法选取2019年4月至2021年4月在河南省肿瘤医院接受胸腔镜手术治疗的83例胸段食管癌患者作为研究对象。采用中文版生命意义感量表(MLQ)评估患者术后1个月的生命意义感水平,并设计一般资料调查问卷,询问并记录患者一般资料情况,分析影响胸段食管癌患者胸腔镜术后生命意义感水平的因素。结果经评估,83例胸段食管癌患者胸腔镜术后MLQ评分平均(42.15±3.24)分;自我效能感低、领悟社会支持能力低以及采取消极应对方式的胸段食管癌患者胸腔镜术后MLQ评分低于自我效能感正常、领悟社会支持能力正常以及采取积极应对方式的患者,差异有统计学意义(P<0.05);线性回归分析结果显示自我效能感低、领悟社会支持能力低以及采取消极应对方式是胸段食管癌患者胸腔镜术后生命意义感水平低的影响因素(P<0.05)。结论自我效能感低、领悟社会支持能力低以及采取消极应对方式是胸段食管癌患者胸腔镜术后生命意义感水平低下的影响因素。
Objective To investigate the level of meaning in life and its influencing factors in patients with thoracic esophageal cancer after thoracoscopic surgery.Methods A total of 83 patients with thoracic esophageal cancer who underwent thoracoscopic surgery in Henan Cancer Hospital from April 2019 to April 2021 were selected.The level of meaning in life of patients at 1 month’follow-up after operation was evaluated by Chinese version of meaning in life questionnaire(MLQ).A general information questionnaire was designed,and recorded the general data of patients.The influencing factors of the level of meaning in life after thoracoscopic surgery in patients with thoracic esophageal cancer were analyzed.Results Through assessment,the average MLQ score of 83 patients with thoracic esophageal cancer after thoracoscopic surgery was(42.15±3.24).The MLQ scores of patients with low self-efficacy,low perceived social support ability and negative coping style after thoracoscopic surgery were lower than those of patients with normal self-efficacy,normal perceived social support ability and positive coping style,and the differences were statistically significant(P<0.05).Linear regression analysis results showed that low self-efficacy,low perceived social support ability and negative coping style were the influencing factors of low level of meaning in life in patients with thoracic esophageal cancer after thoracoscopic surgery(P<0.05).Conclusion Low self-efficacy,low perceived social support ability and negative coping style are the influencing factors of low level of meaning in life in patients with thoracic esophageal cancer after thoracoscopic surgery.
作者
李利娟
米艳芝
LI Lijuan;MI Yanzhi(Department of Surgery,Henan Cancer Hospital/Cancer Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《河南医学研究》
CAS
2021年第33期6179-6181,共3页
Henan Medical Research
关键词
胸段食管癌
胸腔镜手术
生命意义感
自我效能感
领悟社会支持能力
应对方式
thoracic esophageal carcinoma
thoracoscopic surgery
meaning in life
self-efficacy
perceived social support ability
coping style
