青年宫颈癌患者平静心境与心理控制源相关性研究
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摘要
目的旨在探讨青年宫颈癌患者平静心境与心理控制源的相关性。方法使用便利抽样法选取2016年1月—2018年10月北京市8家医院收治的35岁以下行子宫切除术宫颈癌患者239例作为调查对象,调查其基本情况,平静心境量表调查其平静心境,多维度健康状况心理控制源量表修订版本C调查其心理控制源。结果青年宫颈癌患者平静心境得分为13.15±2.51。青年宫颈癌患者内控性得分为24.74±4.27,有势力的他人控制得分为22.41±3.85,机遇得分为21.66±3.64。Pearson相关性分析显示,青年宫颈癌患者平静心境与内控性均呈显著正相关(P<0.05),平静心境与有势力的他人控制和机遇呈显著负相关(P<0.05)。多元线性回归分析显示,年龄、文化程度和平静心境均是内控性的显著影响因素(均P<0.05);农村居住地、有无子女、是否结婚、平均收入、自费型医疗费支付和平静心境均是有势力的他人控制的显著影响因素(均P<0.05);文化程度、子宫切除程度、行淋巴盆腔清扫、FIGO分期和平静心境均是机遇的显著影响因素(均P<0.05)。结论青年宫颈癌患者平静心境与内控性心理控制源成正相关,而与有势力的他人控制心理控制源和机遇心理控制源成负相关。
Objective To explore the correlation between calm mood and locus of control in young patients with cervical cancer.Methods By the Convenient sampling method, 239 patients under 35 years old with cervical cancer who underwent hysterectomy were selected from 8 hospitals in Beijing from January 2016 to October 2018. Their basic conditions were investigated. Their calm mood and the locus of control were investigated by the calm mood scale and the revised version C of the multi-dimensional health locus of control scale, respectively. Results The calm mood score of young cervical cancer patients was 13.15 ±2.51. The internal control score of young cervical cancer patients was 24.74 ±4.27, the control score of influential others was 22.41 ±3.85,and the opportunity score was 21.66 ±3.64. Pearson correlation analysis showed that there was a significant positive correlation between calm mood and internal control in young cervical cancer patients(P<0.05), and a significant negative correlation between calm mood and control of influential others and opportunity(all P<0.05). Multivariate linear regression analysis showed that age, educational level and calm mood were significant influencing factors of internal control(all P<0.05), and rural residence,children, marriage, average income, self-expenditure medical expenses and calm mood were significant influencing factors of control by influential others(P<0.05), while educational level, degree of hysterectomy, lymphopelvic cleaning, FIGO staging and calm mood were significant influencing factors of opportunity(P<0.05). Conclusion The calm mood of young cervical cancer patients is positively correlated with the locus of internal control, but negatively correlated with the locus of control by influential others and the locus of opportunity.
Objective To explore the correlation between calm mood and locus of control in young patients with cervical cancer.Methods By the Convenient sampling method, 239 patients under 35 years old with cervical cancer who underwent hysterectomy were selected from 8 hospitals in Beijing from January 2016 to October 2018. Their basic conditions were investigated. Their calm mood and the locus of control were investigated by the calm mood scale and the revised version C of the multi-dimensional health locus of control scale, respectively. Results The calm mood score of young cervical cancer patients was 13.15 ±2.51. The internal control score of young cervical cancer patients was 24.74 ±4.27, the control score of influential others was 22.41 ±3.85,and the opportunity score was 21.66 ±3.64. Pearson correlation analysis showed that there was a significant positive correlation between calm mood and internal control in young cervical cancer patients(P<0.05), and a significant negative correlation between calm mood and control of influential others and opportunity(all P<0.05). Multivariate linear regression analysis showed that age, educational level and calm mood were significant influencing factors of internal control(all P<0.05), and rural residence,children, marriage, average income, self-expenditure medical expenses and calm mood were significant influencing factors of control by influential others(P<0.05), while educational level, degree of hysterectomy, lymphopelvic cleaning, FIGO staging and calm mood were significant influencing factors of opportunity(P<0.05). Conclusion The calm mood of young cervical cancer patients is positively correlated with the locus of internal control, but negatively correlated with the locus of control by influential others and the locus of opportunity.
引文
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[20]何美,杜佳,赵方辉,等.城市女性宫颈癌机会性筛查接受障碍原因及影响因素[J].中国公共卫生,2017,33(8):1166-1169.
[21]郦光晓,杨建华.宫颈癌保留生育功能的现状和未来[J].中国计划生育和妇产科,2017(5):15-18.
[2]刘兴华,徐慰,王玉正.正念训练提升参与者幸福感与平静心境的效果[C].第十五届全国心理学学术会议论文集,北京,2012:12-13.
[3]童辉杰.孤独、抑郁、焦虑与心理控制源[J].中国临床心理学杂志,2001,9(3):196-197.
[4]刘桂霞,张慧,孟云,等.心理控制源、心理痛苦及心身状态对肺癌患者化疗消化道症状影响的路径分析[J].护士进修杂志,2018(4):305-309.
[5]王诗茗,张振铎,刘兴华.平静心境量表在大学生中的试测[J].中国心理卫生杂志,2016,30(7):543-547.
[6]向东,王希林,马弘,等.心理卫生评定量表[J].中国心理卫生杂志,1990,13(增刊):50-55.
[7]张娟,张蔚.年轻宫颈癌患者保留生育功能手术治疗的研究进展[J].广西医学,2017,39(5):689-692.
[8]伍李明,王丽.延续护理对宫颈癌患者术后化疗期间生活质量的影响[J].河北医学,2015,8(4):677-680.
[9]任庆,熊锐华,田秀荣,等.宫颈癌患者放疗后性生活质量分析[J].中国性科学,2013,22(8):12-14.
[10]汪元元,张帆.青年及中老年宫颈癌患者临床特征对比分析[J].安徽医药,2018,22(5):853-856.
[11]BYCHKOVSKY BL,FERREYRA ME,Strasser-Weippl K,et al.Cervical cancer control in Latin America:A call to action[J].Cancer,2016,122(4):502-514.
[12]王红丽,何燕,文欣轩.青年宫颈癌患者确诊时心理特征及心理干预效果分析[J].现代预防医学,2009,36(10):1890-1891.
[13]陈丽萍,顾敏静.健康教育对青年宫颈癌/卵巢癌术后焦虑抑郁情绪的影响[J].中国健康教育,2017(12):1139-1142.
[14]霍福利,李倩,赵静,等.心理护理对宫颈癌患者术后焦虑及性生活的影响[J].国际精神病学杂志,2016(3):547-550.
[15]青友芬,桂定清,李喻梅.心理护理干预对宫颈癌新辅助化疗患者负性情绪及生活质量的影响[J].中国肿瘤临床与康复,2017,3(2):235-238.
[16]薛红莲,郝毅.心理干预对宫颈癌患者负性情绪及生活质量的影响[J].实用临床医药杂志,2016,20(20):198-199.
[17]沈玉蓉.自我管理对妇科恶性肿瘤患者生活质量及心理状况的影响[J].中国临床护理,2016,8(4):338-340.
[18]钱会娟.癌症患者自我管理效能感水平的横断面研究极其影像因素分析[D].上海:第二军医大学,2011:34-38.
[19]LEWIS FM,GRIFFITH KA,WALKER A,et al. The Enhancing Connections-Telephone study:a pilot feasibility test of a cancer parenting program[J]. Support Care Cancer,2017,25(2):1-9.
[20]何美,杜佳,赵方辉,等.城市女性宫颈癌机会性筛查接受障碍原因及影响因素[J].中国公共卫生,2017,33(8):1166-1169.
[21]郦光晓,杨建华.宫颈癌保留生育功能的现状和未来[J].中国计划生育和妇产科,2017(5):15-18.