鼻咽癌住院患者心理状况影响因素分析
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摘要
目的探讨鼻咽癌住院患者心理状况影响因素。方法采用方便抽样法选取我院2017年1月至2018年1月耳鼻喉科收治的68例鼻咽癌患者作为研究对象,分别应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、压力知觉量表、应对方式量表对患者进行评价,采用Pearson相关系数分析鼻咽癌住院患者心理状况与压力知觉评分及应对方式的关系,采用多元回归分析影响鼻咽癌住院患者心理状况的相关因素,并制定有效的干预措施。结果鼻咽癌住院患者SAS评分为(61. 22±4. 58)分,SDS评分(61. 78±4. 12)分,压力知觉评分(22. 96±3. 58)分,积极应对方式评分(18. 96±3. 12)分,消极应对方式评分(23. 89±4. 05)分。经Pearson相关分析可知,鼻咽癌住院患者SAS,SDS评分与心理知觉评分、消极应对方式评分呈正相关(P <0. 05),与积极应对方式评分呈负相关(P <0. 05)。经多元回归分析可知,鼻咽癌患者学历、临床分期、压力知觉是焦虑的独立危险因素(P <0. 05),学历、压力知觉是抑郁的独立危险因素(P <0. 05),而积极的应对方式是焦虑、抑郁的保护因素(P <0. 05)。结论鼻咽癌住院患者心理状况受多种因素影响,采取有效的措施增强患者治疗信心,使其以积极的方式面对疾病将有助于减轻心理压力,促进身心健康。
Objective To investigate the influencing factors for psychological status of hospitalized patients with nasopharyngeal carcinoma. Methods To select 68 cases of patients with nasopharyngeal carcinoma who were admitted to the otolaryngology department of our hospital from January 2017 to January 2018 as the study subjects by convenient sampling method. We used self-rating anxiety scale( SAS),self-rating depression scale( SDS),pressure perception scale and coping style scale to evaluate these patients. Besides,we adopted Pearson correlation coefficient to analyze the relationship between psychological status of hospitalized patients with nasopharyngeal carcinoma and stress perception scores and coping styles. Multiple regression analysis was used to analyze the related factors affecting the psychological status of patients with nasopharyngeal carcinoma,and effective intervention measures were developed. Results The SAS score of inpatients with nasopharyngeal carcinoma was(61. 22 ± 4. 58). The SDS score was(61. 78 ± 4. 12). The pressure perception score was(22. 96 ± 3. 58). The positive coping style score was(18. 96 ± 3. 12),and the negative coping style score was(23. 89 ± 4. 05). According to the Pearson correlation analysis,the SAS and SDS scores of the patients with nasopharyngeal carcinoma were positively correlated with the psychological perception score and the negative coping style score( P < 0. 05),and negatively correlated with the positive coping style score( P < 0. 05). According to multiple regression analysis,the academic qualifications,clinical stage,and stress perception of nasopharyngeal carcinoma patients were independent risk factors for anxiety( P < 0. 05). The academic qualifications and stress perception were independent risk factors for depression( P < 0. 05). However,the positive coping styles were protective factors for anxiety and depression( P < 0. 05). Conclusion The psychological status of patients with nasopharyngeal carcinoma is affected by many factors. We should take effective measures to enhance the patient's treatment confidence and make them face the disease in a positive way. It will help them to reduce psychological stress,thus promoting both physical and mental health.
Objective To investigate the influencing factors for psychological status of hospitalized patients with nasopharyngeal carcinoma. Methods To select 68 cases of patients with nasopharyngeal carcinoma who were admitted to the otolaryngology department of our hospital from January 2017 to January 2018 as the study subjects by convenient sampling method. We used self-rating anxiety scale( SAS),self-rating depression scale( SDS),pressure perception scale and coping style scale to evaluate these patients. Besides,we adopted Pearson correlation coefficient to analyze the relationship between psychological status of hospitalized patients with nasopharyngeal carcinoma and stress perception scores and coping styles. Multiple regression analysis was used to analyze the related factors affecting the psychological status of patients with nasopharyngeal carcinoma,and effective intervention measures were developed. Results The SAS score of inpatients with nasopharyngeal carcinoma was(61. 22 ± 4. 58). The SDS score was(61. 78 ± 4. 12). The pressure perception score was(22. 96 ± 3. 58). The positive coping style score was(18. 96 ± 3. 12),and the negative coping style score was(23. 89 ± 4. 05). According to the Pearson correlation analysis,the SAS and SDS scores of the patients with nasopharyngeal carcinoma were positively correlated with the psychological perception score and the negative coping style score( P < 0. 05),and negatively correlated with the positive coping style score( P < 0. 05). According to multiple regression analysis,the academic qualifications,clinical stage,and stress perception of nasopharyngeal carcinoma patients were independent risk factors for anxiety( P < 0. 05). The academic qualifications and stress perception were independent risk factors for depression( P < 0. 05). However,the positive coping styles were protective factors for anxiety and depression( P < 0. 05). Conclusion The psychological status of patients with nasopharyngeal carcinoma is affected by many factors. We should take effective measures to enhance the patient's treatment confidence and make them face the disease in a positive way. It will help them to reduce psychological stress,thus promoting both physical and mental health.
引文
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[13]李夏.应用自我效能理论干预对鼻咽癌放化疗患者出院后生活质量影响的研究[D].南宁:广西医科大学,2015.
[14]邱卫娣,马海拢.集束化护理干预对鼻咽癌放疗患者睡眠质量与心理状态的影响[J].护理实践与研究,2018,15(8):118-119.
[2]李华春,赵吉丽.理性情绪疗法对鼻咽癌患者心理情况改善的效果观察[J].山西医药杂志,2017,46(2):226-228.
[3]朱敏玲.心理干预对鼻咽癌同期放化疗患者心理健康状况的影响探讨[J].中国医药科学,2017,7(22):104-106.
[4]高琼,涂晶,叶静.综合护理对鼻咽癌放化疗患者心理状态与生活质量的影响研究[J].临床医学工程,2018,25(11):1535-1536.
[5]张娇,闫城,黄芳,等.Zung氏焦虑抑郁量表测评心血管内科住院患者的适用性分析[J].实用预防医学,2017,24(8):909-912.
[6]严梦琴,肖水源,胡宓,等.我国一些抑郁量表的中文翻译与信效度问题[J].中国心理卫生杂志,2016,30(7):501-505.
[7]邓青龙,胡若瑜,王继伟,等.压力知觉量表应用于癌症生存者的效度和信度[J].中国心理卫生杂志,2018,32(1):15-20.
[8]武向兰,李月红.血液透析患者焦虑抑郁情绪与简易应对方式及创伤后成长的相关性研究[J].中国血液净化,2017,16(11):774-777.
[9]周亚婷,牛亚玲.综合护理干预对鼻咽癌放疗患者心理状态和生活质量的影响[J].中国健康心理学杂志,2015,23(7):1050-1052.
[10]安碧,吴婷容.晚期肿瘤患者临终死亡教育的效果观察[J].护理实践与研究,2016,13(12):49-50.
[11]路晓琳,刘丽丽,于洋,等.冠心病冠脉支架植入术后病人知觉压力现状与焦虑、抑郁相关性分析[J].锦州医科大学学报,2018,39(5):63-67.
[12]朱云霞,朱晓莉,谢淑萍,等.鼻咽癌调强放射治疗患者远期症状困扰及应对方式的随访研究[J].护理与康复,2017,16(7):717-719.
[13]李夏.应用自我效能理论干预对鼻咽癌放化疗患者出院后生活质量影响的研究[D].南宁:广西医科大学,2015.
[14]邱卫娣,马海拢.集束化护理干预对鼻咽癌放疗患者睡眠质量与心理状态的影响[J].护理实践与研究,2018,15(8):118-119.