摘要
目的 探讨晚期喉癌患者的生存质量与其个性特征、应对方式等心理因素的关系。方法 对晚期喉鳞状细胞癌生存质量 (说话、工作和活动能力 )较差组 (Ⅰ组 )、生存质量较好组 (Ⅱ组 )的患者及健康人 (对照组 )各 30例分别进行生存质量 (UniversityofWashington qualityoflife ,UW QOL)、艾森克个性特征测验 (Eysenckpersonalityquestionnaire,EPQ)、应对方式问卷 (copingstylequestionnaires,CSQ)的调查 ,并作相关分析。 结果 UW QOL评分平均值 ( x±s) :Ⅱ组患者的总分(6 96 0± 15 3 3)分、活动能力 (85 7± 2 2 2 )分、娱乐 /休养 (76 2± 2 0 1)分、职业 (5 6 5± 2 3 5 )分、讲话 (72 7± 2 5 6 )分 ,显著高于Ⅰ组的 (5 83 8± 12 1 7)分、(6 2 5± 2 0 6 )分、(5 3 3± 2 1 8)分、(35 9±2 1 7)分、(35 2± 2 3 7)分 ,P <0 0 1;外貌 (82 4± 2 2 1)分也高于Ⅰ组的 (6 7 6± 2 3 4 )分 ,P <0 0 5。EPQ评分 :Ⅱ组患者P(48 5± 8 2 )分、N(48 6± 9 9)分别低于Ⅰ组患者的P(5 3 3± 9 3)分、N(5 3 6± 8 7)分 ,P <0 0 5 ;而E(5 8 4± 9 7)分显著高于Ⅰ组 (5 0 9± 9 7)分 ,P <0 0 1。CSQ评分 :Ⅱ组患者解决问题 (0 85± 0 2 0 )分、求助 (0 6 7± 0 2 1)分显著高于Ⅰ组的 (0
Objective To evaluate the relationship between the life quality of advanced laryngeal squamous cell cancer patients and their personality,coping style and other psychological factors Methods The life quality were measured for 2 sub groups of advanced laryngeal cancer patients and the normal control group The Eysenck personality questionnaire (EPQ),coping style questionnaires (CSQ) and University of Washington quality of life(UW QOL) were used for life quality evaluation The 2 sub groups of the patients on the worse speech, job and ability (groupⅠ),the better speech, job and ability (group Ⅱ),and normal control Results (1) UW QOL score: the total, activity, recreation, job and speech scores of groupⅡwere significantly higher than those of groupⅠ( P <0 01) GroupⅡwas better than groupⅠin appearance( P <0 05) (2) EPQ score: the P and N scores in groupⅡ were lower than that in group Ⅰ( P <0 05) The E scores in group Ⅱ were significantly higher than that in groupⅠ( P <0 01) (3) CSQ score: the problem saving factor and help seeking factor in group Ⅱ were more significantly lower than that in group Ⅰ( P <0 01) The self blaming factor in group Ⅱ were higher than that in group Ⅰ( P <0 05) (4) There was positive correlation between total scores of QOL and the problem saving factor, help seeking factor of CSQ,the E scores of EPQ( P <0 05), there was negative correlation between total scores of QOL and the P scores, the N scores of EPQ( P <0 05) Conclusions The advanced laryngeal cancer patients of groupⅡ have better life quality, and their personalities showed more extroversive, stable feeling,adaptable, mature coping styles The above characteristics may have good effects on the prognosis of advanced laryngeal cancer
出处
《中华耳鼻咽喉科杂志》
CSCD
北大核心
2004年第4期227-231,共5页
Chinese Journal of Otorhinolaryngology
