摘要
目的:探讨口腔癌患者心理弹性现状,并对影响心理弹性的相关因素进行分析。方法:采用便利抽样法,选取2016年1月—2018年12月陆军军医大学新桥医院口腔科收治的259例口腔癌患者作为研究对象。采用心理弹性量表(CD-RISC)对患者出院前的心理现状进行评估,并根据患者一般资料和临床资料进行分类比较,探讨可能影响患者心理现状的因素。结果:共发放问卷259份,回收有效问卷239份,239例口腔癌患者CD-RISC总分为(60.13±10.57)分。相关性分析结果显示,口腔癌患者CD-RISC总分及韧性、自强、乐观3个维度评分与正性情绪呈正相关,与负性情绪、SAS及SDS评分呈负相关(P<0.01)。单因素分析结果显示,不同居住地、受教育程度、家庭平均月收入、治疗方式、是否有癌痛及不同心理状态的患者CD-RISC总分比较,差异有统计学意义(P<0.05)。多因素分析结果显示,受教育程度较低、家庭平均月收入较低、治疗方式单一(仅做手术治疗但未行放化疗等联合治疗)及有癌痛4个因素为患者心理弹性的影响因素(P<0.05)。结论:口腔癌患者的心理弹性水平与患者的心理状态及情绪有直接的关系,心理弹性水平越高,患者心理状态和情绪中积极成分表现越突出,反之则可能导致焦虑、抑郁或负性情绪的发生。其中,受教育程度低、家庭平均收入较低、治疗方式单一以及伴有癌痛可能是影响患者心理弹性水平的重要因素。
Objective:To explore the current status of psychological resilience of patients with mouth neoplasms and analyze the related factors affecting psychological resilience.Methods:A total of 259 patients with mouth neoplasms who were admitted to Department of Stomatology of Xinqiao Hospital of Army Medical University from January 2016 to December 2018 were selected as research objects.Connor-Davidson Resilience Scale(CD-RISC)was used to assess the psychological status of patients before discharge,and the factors that might affect the psychological status of patients were discussed by classifying and comparing the general and clinical data of the patients.Results:Totally 259 questionnaires were distributed,and 239 questionnaires were recovered.The total score of CD-RISC in 239 patients with mouth neoplasms was(60.13±10.57).Correlation analysis results showed that total score of CD-RISC and scores of resilience,self-improvement and optimism in patients with mouth neoplasms were positively correlated with positive emotions,and negatively correlated with negative emotions,SAS and SDS scores(P<0.01).The results of univariate analysis showed that there were statistically significant differences in the total scores of CD-RISC among patients with different residence,education,average monthly family income,treatment,whether they had cancer pain,and different psychology(P<0.05).The results of multi-factor analysis showed that the four factors affecting the psychological resilience of patients were lower education level,lower average monthly income of the family,single treatment mode(only surgical treatment but no combined treatment such as radiotherapy and chemotherapy)and cancer pain(P<0.05).Conclusions:The level of psychological resilience of patients with mouth neoplasms is directly related to their psychological state and mood.The higher the level of mental resilience is,the more prominent the positive components of the patients'mental state and mood is.Otherwise,it may cause anxiety,depression or negative emotions.Among
作者
李华
陈晴晴
Li Hua;Chen Qingqing(Department of Stomatology,Xinqiao Hospital,Army Medical University,Chongqing 400037,China)
出处
《中华现代护理杂志》
2020年第22期2982-2986,共5页
Chinese Journal of Modern Nursing
关键词
口腔肿瘤
应激
心理学
心理弹性
影响因素
Mouth neoplasms
Stress,psychology
Psychological resilience
Influencing factors
