肺癌患者不同治疗阶段心理弹性与生存质量相关性分析  

Correlation between resilience and quality of life of patients with lung cancer during different treatment stages

作　　者：张欢[1] 周英[2] 李红梅[3] 成守珍[4] 宋亚兰[5] 赖漪娴 黄懿烯 姜恋 唐秋碧 

机构地区：[1]川北医学院护理学院,四川南充637100 [2]广州医科大学护理学院,广东广州510180 [3]南方医科大学附属南方医院心胸外科,广东广州510510 [4]中山大学附属第一医院护理部,广东广州5101005 [5]广州医科大学附属肿瘤医院护理部,广东广州510095

出　　处：《中华肿瘤防治杂志》2015年第17期1337-1340,共4页Chinese Journal of Cancer Prevention and Treatment

基　　金：广州市重点扶持学科(护理学科)项目(Q14702021)

摘　　要：目的探讨不同治疗阶段肺癌患者心理弹性与生存质量的现状及相关性。方法抽取广州市三家三甲医院2014-04-10-2014-07-15入院治疗的210例肺癌患者,其中南方医院80例,中山大学附属第一医院60例,广州医科大学附属肿瘤医院70例。采用一般资料问卷、Conner-Davidson心理弹性量表(Connor and Davidson’s resilience scale,CD-RISC)和欧洲癌症研究治疗组织生存质量核心问卷(European Organization for Reseach and Treatment of cancer quality of lify,Questionnic EORT;QLQ-C30)进行调查,以测评肺癌患者术前、术后及化疗期间的心理弹性和生存质量水平,以及两者间的相关性。结果 210例肺癌患者心理弹性术前评分为70.64±16.28,术后为64.76±16.05,化疗期为60.73±15.11,差异有统计学意义,F=7.088,P<0.05。患者QLQ-C30评分的总健康状况维度差异无统计学意义,P>0.05;躯体功能(F=16.742)、角色功能(F=13.688)、情绪功能(F=3.325)、认知功能(F=6.638)、社会功能(F=5.298)和症状维度(F=11.034)差异均有统计学意义,P<0.05。相关性分析结果显示,不同时期患者的心理弹性与生存质量存在不同程度的相关性,P<0.05。结论肺癌患者的心理弹性与生存质量在治疗过程中皆具有一定程度的相关性,医护人员应关注肺癌患者心理弹性水平与生存质量的关系。OBJECTIVE To investigate status and relationship of resilience and quality of life of patients with lung cancer during different treatment stages. METHODS Convenience sampling, the general questionnaire, the Chinese Ver- sion of Connor and Davidson＇s resilience scale（CD-RISC） and the quality of life core questionnaire（QLQ-C30） were used to measure the levels of resilience and quality of life and their correlation in 210 lung cancer patients, including Nanfang Hospital 80 cases, First Affiliated Hospital of Sun Yat-Sen University 60 cases, Tumor Affiliated Hospital of Guangzhou Medical University 70 cases. RESULTS In preoperative group, postoperative group and chemotherapy group the resili- ence scores were 70.64 ~ 16.28, 64.76 ＋ 16.05, 60.73 ± 15.11, difference had statistical signifieanee（F = 7. 088, P〈 0.05）. Quality of life scores of three groups in general health status had no statistical significanee（P〉0.05）, Physical function,role function, emotional, cognitive function, social function were 16. 742, 13. 688, 3. 325, 6. 638, 5. 298 and 11. 034, the difference was statistically significant（P〈0.05）. Correlation analysis displayed there were different degrees of correlation between resilience and quality of life of the patients in different stages. CONCLUSIONS Resilience of lung cancer exerts certain influence on their quality of life at difference stages. Medical staffs should pay attention to the rela- tions between resilience and quality of life of patients.

关 键 词：肺癌 治疗阶段 心理弹性 生存质量 

分 类 号：R734.2[医药卫生—肿瘤]