悦纳进取状态对宫颈癌患者生活质量的影响  

Effects of Na Yue enterprising state on quality of life in paients with cervical cancer

作　　者：叶沙[1] 谌永毅[1] 袁玉莲[1] 曾红娟[1] 黄丽梅[1] 

机构地区：[1]湖南省肿瘤医院,长沙410013

出　　处：《中国妇幼卫生杂志》2015年第2期6-10,15,共6页Chinese Journal of Women and Children Health

摘　　要：目的本研究旨在了解宫颈癌患者的心理卫生状况及生活质量,分析宫颈癌患者悦纳进取处事方式与生活质量关系。方法以湖南省肿瘤医院70例宫颈癌患者为研究对象,采用一般人口特征量表、Zung抑郁自评量表（SDS）、Zung焦虑自评量表（SAS）、悦纳进取问卷、特质应对方式问卷（TCSQ）及宫颈癌患者生活质量测评量表FACT-Cx问卷进行调查。结果1高年龄组在生活质量的生理状况（17.67±7.7、11.70±8.1）、情感状况（16.39±6.0、11.36±6.6）显著高于低年龄组,而在功能状况（6.28±6.7、12.17±9.3）显著低于低年龄组,差异均有统计学意义（P〈0.05）。2接纳因子、进取因子与悦纳进取总分均与积极应对存在显著正相关（r=0.687~0.717,P均〈0.01）,与消极应对无显著相关。3接纳因子、进取因子与悦纳进取总分均与SAS、SDS分存在显著的负相关（r=0.646~0.694,P均〈0.01）;4接纳因子、进取因子与悦纳进取总分、生理状况及情感状况呈显著负相关（r=0.578~0.619,P均〈0.01）,与社会、家庭状况及功能状况呈显著正相关（r=0.631~0.669,P均〈0.01）。5线性回归分析显示,积极应对因子、焦虑分、接纳因子对生活质量有正向预测作用,可以解释24.3%的变异。结论 1宫颈癌患者悦纳进取程度越高,患者的生活质量越好。2悦纳进取量表可以在宫颈癌患者中使用。Objective To study on the mental health status and life quality of patients with cervical cancer, and analyzes the relationship between positive acceptance and striving and life quality of patients with cervical cancer. Methods In this study, 70 patients with cervical cancer in Hunan tumor hospital are tested by general population characteristics of scale, Zung Self-Rating Depression Scale （SDS）, Zung anxiety rating Scale （SAS）, Positive Acceptance and Striving Questionnaire, Trait Coping Style Questionnaire （TCSQ） and FACT-C questionnaire has been applied. Results Patients with cervical cancer in elder group have significantly higher score of GP and GE, and lower score of GF than patients in younger group （ GP ： 17.67 ± 7.7 vs 11.70 ± 8.1, P 〈 0.05 ; GE ： 16.39 ± 6.0 vs 11.36 ± 6.6, P 〈 0.01 ; GP： 6.28 ± 6.7vs 12.17 ± 9.3, P 〈 0.05 ）. Total scores of acceptable factor, striving factor and positive acceptance and striving have significantly positive correlation with active coping style scores （ r = 0. 687 - 0. 717, P 〈 0.01 ）, while they have no significant correlation with negative coping style. Total scores of acceptable factor, aggressive factor and positive acceptance and striving are related to patients＇ depression and anxiety scores obviously and negatively （ r = 0. 646 -0. 694, P 〈 0. 001 ）. Total scores of acceptable factor, aggressive factor and positive acceptance and striving are linked to the scores of physiological status and emotional status（ r =0.578 -0. 619 ,P 〈0. 001 ） ; and they are significantly and positively correlated with the scores of social or family status and functional status （r = 0.631 -0. 669, P 〈 0.001 ）. Muhiple linear regression analysis shows that active coping style, SAS and acceptable factor has an great effect on predicting life quality, and can also explain the 24.3% of the variation. Conclusion The higher the degree to which patients with cervical cancer have positive acceptance and striving, as the better life qual

关 键 词：宫颈癌 应对方式 生活质量 悦纳进取 

分 类 号：R737.33[医药卫生—肿瘤]