摘要
目的:调查宫颈癌患者手术治疗后的生活质量、应对方式现况以及对死亡的态度,并探讨生活质量、应对方式及对死亡的态度三者之间的关系,为提高宫颈癌术后患者生活质量及心理健康提供参考。方法:采用横断面调查研究设计,以方便抽样的方式选择2019年1月至2020年12月期间在我院行手术治疗宫颈癌患者82例,在术后6个月作为调查时间点,采用癌症治疗功能评价系统中的宫颈癌量表(Functional Assessment of Cancer Therapy-Cervix,FACT-CX)、医学应对方式问卷(Medical Coping Modes Questionnaire,MCMQ)和死亡态度描绘量表(Death Attitude Profile-Revised,DAP-R)分别对患者的生活质量、应对方式和对死亡的态度进行测评,分析生活质量、应对方式及对死亡的态度三者之间的相关性。结果:宫颈癌术后患者的生活质量(Functional Assessment of Cancer Therapy-General,FACT-CX)总分为(109.90±13.88)分,一般癌症生活质量(FACT-G)模块得分为(73.48±10.50)分,宫颈癌特异模块(Cervical Cancer Subscale,CCS)得分为(36.42±6.16)分。应对方式的三个维度得分均分从高到低依次为:面对维度(2.42分)、回避维度(2.00分)和屈服维度(1.53分),面对维度得分最高、屈服维度得分最低。对死亡的态度评分中,自然接受的维度均分最高(3.22分),其次为死亡恐惧(3.17分)和死亡逃避(3.07分)。宫颈癌术后患者的总体生活质量、一般癌症生活质量(FACT-G)、社会/家庭状况维度、情感状况维度得分与应对方式中采取的面对方式、对死亡态度中的自然接受均呈正相关关系(P<0.05);患者总体生活质量与死亡恐惧、死亡逃避呈负相关关系(P<0.05)。结论:宫颈癌术后患者的生活质量较低;更多的宫颈癌术后患者采用面对的方式和更少的患者采用屈服的方式来应对疾病;绝大多数宫颈癌术后患者面对死亡的态度都采取比较正面的方式。多采取积极的应对方式,有助于提高宫颈癌术后患者的生活质量。
Objective: To investigate the quality of life, coping style and attitudes towards death in cervical cancer patients after surgical treatment, and explore the correlation of patients’ quality of life to their coping style and attitude towards death, so as to provide evidence for improving the quality of life and mental health of cervical cancer patients after surgery. Methods: In this cross-sectional survey, 82 cervical cancer patients who underwent surgical treatment in our hospital from January 2019 to December 2020 were selected by convenient sampling. The survey was conducted 6 months after surgery to evaluate the patients’ quality of life by using Functional Assessment of Cancer Therapy-Cervix(FACT-Cx), Medical Coping Modes Questionnaire(MCMQ) and Death Attitude Profile-Revised(DAP-R). The correlation of patients’ quality of life to their coping style and attitude towards death was further analyzed. Results: The total scores of quality of life were 109.90±13.88, 73.48±10.50 and 36.42±6.16 assessed by FACT-Cx, Functional Assessment of Cancer Therapy-General(FACT-G) and Cervical Cancer Subscale(CCS), respectively. The mean scores per item of the three coping styles were 2.42 points for acceptance, 2.00 points for avoidance and 1.53 points for resignation;and those of death attitudes were 3.22 points for neutral acceptance, 3.17 points for fear of death and 3.07 points for death avoidance. The FACT-Cx score, the FACT-G score, the social/family well-being subscale and the emotional well-being subscale were positively correlated to the acceptance coping mode and the neutral acceptance death attitude(P<0.05);the overall quality of life(FACT-Cx score) of was negatively correlated to fear of death and death avoidance(P<0.05). Conclusion: The quality of life of cervical cancer patients after surgery is relatively low. Cervical cancer patients tend to cope with cancer with an acceptance mode rather than a resignation mode. The vast majority of cervical cancer patients have a positive attitude towards death. Positively coping with cancer helps to improve the quality of life of cervical cancer patients after surgery.
作者
林声英
吴颖
林白浪
黄畅成
韩铁超
何业芳
庄春雨
Lin Shengying;Wu Ying;Lin Bailang;Huang Changcheng;Han Tiechao;He Yefang;Zhuang Chunyu(Department of Surgical Anesthesia,Haikou Hospital of Maternal and Child Health(i.e.Haikou Women&Children Hospital),Haikou 570102,Hainan,China;Department of Gynaecology,Haikou Hospital of Maternal and Child Health(i.e.Haikou Women&Children Hospital),Haikou 570102,Hainan,China;Nursing Department,Haikou Hospital of Maternal and Child Health(i.e.Haikou Women&Children Hospital),Haikou 570102,Hainan,China)
出处
《肿瘤预防与治疗》
2021年第11期1063-1068,共6页
Journal of Cancer Control And Treatment
关键词
宫颈癌
手术
生活质量
应对方式
死亡态度
相关性
Cervical cancer
Surgery
Quality of life
Coping style
Death attitude
Correlation
