摘要
目的探讨乳腺癌放疗患者自我感受负担与心理症状群的相关性。方法对120例乳腺癌放疗患者采用自我感受负担量表评定自我感受负担情况,并根据评定结果分为4组,采用简明心境量表评定患者的心理症状群,并采用双变量Pearson相关分析探讨乳腺癌放疗患者自我感受负担与心理症候群的关系。结果自我感受负担:本组患者无明显感受32例(A组),轻度30例(B组),中度35例(C组),重度23例(D组)。4组患者简明心境量表各分量表评分比较差异有统计学意义(P<0.01),紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝、迷惑-混乱分量表评分A组<B组<C组<D组,精力-活力分量表评分A组>B组>C组>D组;经双变量Pearson相关分析显示,乳腺癌放疗患者自我感受负担量表总分与简明心境量表的紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝、迷惑-混乱分量表评分呈显著正相关(P<0.01),与精力-活力分量表评分呈显著负相关(P<0.01)。结论乳腺癌放疗患者放疗期间存在不同程度的自我感受负担,自我感受负担与心理症候群密切相关,应对其予以有针对性的干预,提高心理健康水平。
Objective To observe the correlation between self-perceived burden and psychological symptoms in breast cancer patients undergoing radiotherapy.Methods A total of 120 patients with breast cancer undergoing radiotherapy were assessed with self-perceived burden scale(SPBS)and divided into 4 groups according to the results.The profile of mood states(POMS)was used to assess the psychological symptoms of the patients.Bivariate Pearson correlation analysis was used to explore the relationship between self-perceived burden and psychological symptoms in breast cancer patients undergoing radiotherapy.Results In this group,32 patients felt no obvious burden(group A),30 mild cases(group B),35 moderate cases(group C)and 23 severe cases(group D).There was significant difference in POMS score among the four groups(P<0.01).The subscale scores of tension-anxiety,depression-dejection,angry-hostility,fatigue-bluntness,confusion-disorder in group A<group B<group C<group D.The subscale scores of energy-vitality in group A>group B>group C>Group D.The bivariate Pearson correlation analysis showed that the total score of SPBS of breast cancer patients undergoing radiotherapy was significantly positively correlated with the subscale scores of tension-anxiety,depression-dejection,angry-hostility,fatigue-bluntness,confusion-disorder,and negatively correlated with the subscale scores of energy-vitality(P<0.01).Conclusions Breast cancer patients have different degrees of self-perceived burden during radiotherapy.Self-perceived burden is closely related to psychological syndrome.Targeted intervention should be given to improve the level of mental health.
作者
杨靖
王睿
Yang Jing;Wang Rui(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2021年第2期72-75,共4页
Journal of Clinical Psychosomatic Diseases
关键词
乳腺癌
放疗
自我感受负担
心理症候群
breast cancer
radiotherapy
self-perceived burden
psychological syndrome
