摘要
目的 分析恶性肿瘤晚期患者心理问题的影响因素。方法 124例恶性肿瘤晚期患者,收集其临床资料(性别、年龄、文化程度、婚姻状况、居住地、医疗费用支付方式、家庭人均月收入等),并以心理困扰温度计(DT)进行心理问题评估,采用多因素Logistic回归分析恶性肿瘤晚期患者心理问题的影响因素。结果 124例恶性肿瘤晚期患者中, 47例存在心理问题,占比为37.90%(47/124);不存在心理问题和存在心理问题患者的年龄、文化程度、婚姻状况、医疗费用支付方式、家庭人均月收入情况比较差异具有统计学意义(χ2=3.895、6.775、25.008、7.574、5.540, P<0.05);不存在心理问题和存在心理问题患者的性别、居住地、工作情况、陪护人员情况比较差异无统计学意义(χ2=0.063、2.681、3.293、2.939, P>0.05)。经Logistic回归分析显示,年龄≥60岁、文化程度为初中及以下、婚姻状况为离异或丧偶、医疗费用支付方式为自费、家庭人均月收入<3000元/个月是恶性肿瘤晚期患者心理问题的危险因素,医疗费用支付方式为医保是恶性肿瘤晚期患者心理问题的保护因素(P<0.05)。结论 恶性肿瘤晚期患者心理问题影响因素包括年龄、文化程度、婚姻状况、医疗费用支付方式及家庭人均月收入,需加强针对性干预,以改善患者心理状态。
Objective To analyze the factors influencing the psychological problems of patients with advanced malignancy. Methods In 124 patients with advanced malignancy, clinical data(gender, age, education level, marital status, place of residence, medical payment method, per capita monthly family income, etc.) were collected, and psychological problems were assessed with a psychological distress thermometer(DT), and multifactor Logistic regression analysis was used to analyze the influencing factors of psychological problems in patients with advanced malignancy. Results Among 124 patients with advanced malignancy, 47 cases had psychological problems, accounting for 37.90%(47/124). The differences in age, education level, marital status, medical payment method, and per capita monthly family income between patients without and with psychological problems were statistically significant(χ~2=3.895, 6.775, 25.008, 7.574, 5.540;P<0.05). There was no statistically significant difference in the comparison of gender, place of residence, work status, and chaperone status between patients without and with psychological problems(χ~2=0.063, 2.681, 3.293, 2.939;P>0.05). Logistic regression analysis showed that age ≥60 years, education level of junior high school or below, marital status of divorced or widowed,medical payment method of self-payment, and per capita monthly family income <3000 yuan/month were risk factors for psychological problems in patients with advanced malignancy, and medical payment method of medical insurance was a protective factor for psychological problems in patients with advanced malignancy(P<0.05).Conclusion The influencing factors of psychological problems of patients with advanced malignancy include age,education, marital status, medical payment methods and per capita monthly family income. Targeted intervention should be strengthened to improve the psychological status of patients.
作者
王志峰
廖国龙
欧阳鹏
曾志
WANG Zhi-feng;LIAO Guo-long;OU-YANG Peng(Department of Oncology,Huizhou Third People's Hospital,Huizhou 516002,China)
出处
《中国现代药物应用》
2023年第1期41-44,共4页
Chinese Journal of Modern Drug Application
关键词
恶性肿瘤
心理问题
影响因素
Advanced malignancy
Psychological problems
Influencing factors
