摘要
目的:探讨乳腺癌化疗患者感知控制、心理健康与癌因性疲乏的相关性。方法:选取2019年7月-2020年8月某院收治的93例乳腺癌化疗患者,采用一般资料调查问卷、癌症经验与效能量表、症状自评量表、癌症疲乏量表对患者感知控制、心理健康、癌因性疲乏情况进行评价,并分析感知控制、心理健康与癌因性疲乏相关性。结果:乳腺癌患者化疗后癌症经验总分、个人经验、社会经验情绪经验评分和控制效能总分、个人效能、集体效能、医护效能评分均高于化疗前,差异有统计学意义(t=29.762,14.610,25.600,13.496,26.488,14.655,19.405,17.276;P<0.05);乳腺癌患者化疗后躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性、其他因子评分及SCL-90总分均高于化疗前,差异有统计学意义(t=15.722,4.465,11.224,11.067,14.703,11.877,14.647,16.168,3.035,9.660,43.422;P<0.05);乳腺癌患者化疗后躯体疲乏、情感疲乏、认知疲乏评分及疲乏总分均高于化疗前(t=26.756,11.005,12.965,24.431;P<0.05);乳腺癌化疗后患者癌症经验、心理健康与癌因性疲乏呈正相关(r=0.340,0.347,0.467,0.466,0.412,0.319;P<0.05),控制效能与癌因性疲乏呈负相关(r=-0.308,-0.372,-0.501;P<0.05)。结论:乳腺癌化疗患者均有癌因性疲乏症状,患者感知控制、心理健康对其癌因性疲乏有一定影响作用。
Objective:To explore the correlation between perception control,psychological health and cancer-related fatigue(CRF)in patients undergoing breast cancer chemotherapy.Methods:A total of 93 patients undergoing breast cancer chemotherapy who were admitted to the hospital from July 2019 to August 2020 were enrolled.The perception control,psychological health and CRF of patients were evaluated by general data questionnaire,cancer experience and efficacy scale,symptom self-rating scale and cancer fatigue scale.The correlation between perception control,psychological health and CRF was analyzed.Results:The total score of cancer experience,scores of personal experience,social experience and emotional experience,total score of control efficiency,and scores of personal efficiency,collective efficiencyand medical care efficiency in breast cancer patients after chemotherapy were all higher than those before chemotherapy,and the differenceswere statistically significant(t=29.762,14.610,25.600,13.496,26.488,14.655,19.405,17.276;P<0.05).The scores of somatization,compulsion,interpersonal relationship,depression,anxiety,hostility,phobia,paranoia,psychosis and other factors,and total score of SCL-90 in breast cancer patients after chemotherapy were higher than those before chemotherapy,and the differenceswere statistically significant(t=15.722,4.465,11.224,11.067,14.703,11.877,14.647,16.168,3.035,9.660,43.422;P<0.05).The scores of physical fatigue,emotional fatigue and cognitive fatigue,and total score of fatigue after chemotherapy were higher than those before chemotherapy(t=26.756,11.005,12.965,24.431;P<0.05).After breast cancer chemotherapy,cancer experience and psychological health were positively correlated with CRF(r=0.340,0.347,0.467,0.466,0.412,0.319;P<0.05),while control efficiency was negatively correlated with CRF(r=-0.308,-0.372,-0.501;P<0.05).Conclusion:There is CRF in all patients undergoing breast cancer chemotherapy.There are certain effects of perception control and psychological health on CRF.
作者
武素芳
高立伟
左一凡
WU Sufang;GAO Liwei;ZUO Yifan(Ping Coal Shenma Medical Group general Hospital Tumor Internal Medicine,Pingdingshan 467000,China)
出处
《中国健康心理学杂志》
北大核心
2021年第11期1661-1664,共4页
China Journal of Health Psychology
基金
河南省科技研发专项课题(编号:192102310074)。
关键词
乳腺癌
化疗
感知控制
心理健康
癌因性疲乏
Breast cancer
Chemotherapy
Perception control
Psychological health
Cancer-related fatigue
