口腔肿瘤患者积极心理品质与生活质量的相关性研究
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摘要
目的探讨口腔肿瘤患者的积极心理品质与生活质量的相关性。方法选取沈阳市2所三级甲等医院口腔肿瘤患者230例,采用一般情况调查表、心理韧性量表、Herth希望量表、修订版生活定向测验、领悟社会支持量表和头颈部肿瘤患者生活质量量表调查研究对象的积极心理品质和生活质量状况,用Pearson相关分析法进行相关性分析。结果口腔肿瘤患者生活质量得分为(93.70±21.39)分,其心理韧性、希望水平、生活定向水平、领悟社会支持状况和生活质量水平均呈正相关(r=0.570、0.688、0.511、0.557,均P<0.01)。结论积极心理品质可影响口腔肿瘤患者生活质量,应加强口腔肿瘤患者的心理干预,从而提高其生活质量。
Objective To identify the relationship between positive psychological quality and the quality of life among oral cancer patients. Methods A total of 230 oral cancer patients meeting the inclusion criteria was recruited. General situation questionnaire,Resilience Scale,Hearth Hope Scale,Revised Life Orientation Test,Perceived Social Support Scale and the Quality of Life Scale were used to investigate the participants' positive psychological quality and the level of life quality. Pearson correlation was used to test the relationship. Results The score quality of life was(93.70±21.39). The relationships between resilience level(r=0.570,P<0.01),the hope level(r=0.688,P<0.01),life orientation level(r=0.511,P<0.01),perceived social support level(r=0.557,P<0.01) and quality of life were positive. Conclusion The positive psychological quality can improve the quality of life among oral cancer patients.More psychological interventions are needed to improve the quality of life of oral cancer patients.
Objective To identify the relationship between positive psychological quality and the quality of life among oral cancer patients. Methods A total of 230 oral cancer patients meeting the inclusion criteria was recruited. General situation questionnaire,Resilience Scale,Hearth Hope Scale,Revised Life Orientation Test,Perceived Social Support Scale and the Quality of Life Scale were used to investigate the participants' positive psychological quality and the level of life quality. Pearson correlation was used to test the relationship. Results The score quality of life was(93.70±21.39). The relationships between resilience level(r=0.570,P<0.01),the hope level(r=0.688,P<0.01),life orientation level(r=0.511,P<0.01),perceived social support level(r=0.557,P<0.01) and quality of life were positive. Conclusion The positive psychological quality can improve the quality of life among oral cancer patients.More psychological interventions are needed to improve the quality of life of oral cancer patients.
引文
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[23]赵小静.起搏器植入患者社会支持、积极心理资本与生活质量的相关性研究[D].济南:山东大学,2017.
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[26]张宏,孟箭,王茜,等.社会支持程度及治疗效能感对口腔癌患者应对方式及治疗依从性的影响[J].中国医药导报,2016,13(33):107-110.
[2]Kademani D,Bell RB,Scbmidt BL,et al.Oral and maxillofacial surgeons treating oral cancer:a preliminary report from the American Association of Oral and Maxillofacial Surgeons Task Force on Oral Cancer[J].J Oral Maxillofac Surg,2008,66(10):2151-2157.
[3]Govers TM,Schreuder WH,Klop WM,et al.Quality of life after different procedures for regional control in oral cancer patients:cross-sectional survey[J].Clin Otolaryngol,2016,41(3):228-233.
[4]中华口腔医学会口腔颌面外科专业委员会肿瘤学组.口腔颌面部恶性肿瘤治疗指南[J].中国实用口腔科杂志,2010,3(7):395-403.
[5]Luckett T,Britton B,Clover K,et al.Evidence for interventions to improve psychological outcomes in people with head and neck cancer:a systematic review of the literature[J].Support Care Cancer,2011,19(7):871-881.
[6]Airoldi M,Garzaro M,Raimondo L,et al.Functional and psychological evaluation after flap reconstruction plus radiotherapy in oral cancer[J].Head Neck,2011,33(4):458-468.
[7]Sink J,Kademani D.Maxillofacial oncology at the University of Minnesota:treating the epidemic of oral cancer[J].Northwest Dent,2011,90(3):13-16,38.
[8]Lam WW,Bonanno GA,Mancini AD,et al.Trajectories of psychological distress among Chinese women diagnosed with breast cancer[J].Psycho-Oncology,2010,19(10):1044-1051.
[9]万崇华,张冬梅,汤学良,等.乳腺癌患者生命质量测定量表FACT-B中文版介绍[J].中国肿瘤,2002,11(6):318-320.
[10]Seligman ME,Csikszentmihalyi M.Positive psychology:an introduction[J].Am Psychol,2000,55(1):5-14.
[11]Wagnild G.A review of the Resilience Scale[J].J Nurs Meas,2009,17(2):105-113.
[12]陈灿锐,申荷永,李淅琮.成人素质希望量表的信效度检验[J].中国临床心理学杂志,2009,17(1):24-26.
[13]Carr A.积极心理学:关于人类幸福和力量的科学[M].郑雪译.北京:中国轻工业出版社,2008:71-95.
[14]汪向东,王希林,马弘.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999.
[15]严颖彬,毛驰,彭歆.FACT-H&N用于口腔鳞癌患者生存质量测验的效果评价[J].实用口腔医学杂志,2010,26(5):605-608.
[16]Rosenberg AR,Wolfe J,Bradford MC,et al.Resilience and psychosocial outcomes in parents of children with cancer[J].Pediatr Blood Cancer,2014,61(3):552-557.
[17]张莉,李燕,张红璇.口腔恶性肿瘤患者韧性的影响因素及其与生活质量的相互关系[J].中华肿瘤临床与康复,2016,23(3):346-349.
[18]安娜,叶菁菁,黄秋雨,等.口腔癌术后病人希望水平与应对方式的相关性研究[J].全科护理,2016,14(4):331-334.
[19]叶子悦,高秀秀,程艳秋.晚期癌症患者希望水平与应对方式、生活质量的相关性研究[J].中国护理管理,2014,14(1):42-44.
[20]Denewer A,Farouk O,Mostafa W,et al.Social support and hope among Egyptian women with breast cancer after mastectomy[J].Breast Cancer(Auckl),2011,5:93-103.
[21]Carver CS,Scheier MF,Segerstrom SC.Optimism[J].Clin Psychol Rev,2010,30(7):879-889.
[22]梅雅琪,李惠萍,杨娅娟,等.乳腺癌患者乐观倾向和应对方式与益处发现的关系[J].中国全科医学,2016,19(23):2824-2827.
[23]赵小静.起搏器植入患者社会支持、积极心理资本与生活质量的相关性研究[D].济南:山东大学,2017.
[24]Segerstrom SC.Breaking murphy's law:how optimists get what they want from life-and pessimists can too[M].New York:Guilford,2006.
[25]易小力.大学生的乐观倾向及其与抑郁症状的关系:领悟社会支持和生活应激事件的作用[D].长沙:中南大学,2012.
[26]张宏,孟箭,王茜,等.社会支持程度及治疗效能感对口腔癌患者应对方式及治疗依从性的影响[J].中国医药导报,2016,13(33):107-110.