乳腺癌化疗患者心理弹性状况与生活质量的关系研究  

Correlation between psychological resilience and quality of life in breast cancer patients with chemotherapy

作　　者：尹琦静[1] 王艳[1] 郭梅[1] 邓芬[1] 徐艳[1] 毛娟[1] 

机构地区：[1]解放军总医院肿瘤二科,北京100853

出　　处：《实用临床医药杂志》2015年第20期23-25,33,共4页Journal of Clinical Medicine in Practice

摘　　要：目的研究乳腺癌化疗患者心理弹性状况与生活质量的关系。方法选择80例乳腺癌术后化疗患者作为研究对象,分别在患者开始化疗后1个月和6个月,采用Conner-Davidson心理弹性量表对患者心理弹性进行评估,同时采用乳腺癌患者生活质量测定量表(FACT-B)评价患者的生活质量,Spearman相关分析研究乳腺癌患者心理弹性状况与生活质量的关系。结果乳腺癌术后化疗患者心理弹性水平总体较低,开始化疗后1个月和6个月总分分别为(52.72±11.44)和(58.92±11.27)分,显著低于国内常模(65.4±13.9)分(P<0.05),其中坚韧、自强、乐观各因子分值均低于国内常模(P<0.05);化疗后6个月患者心理弹性总分和坚韧、自强因子分值高于化疗后1个月(P<0.05)。皮尔森相关分析结果显示,患者心理弹性水平与生理维度、社会/家庭维度、情感维度和功能维度呈正相关(P<0.05)。结论乳腺癌化疗患者心理弹性水平较低,且与患者生存质量相关。加强患者心理弹性,可以有效改善乳腺癌化疗患者的生存质量。Objective To explore the correlation between the psychological resilience and quality of life in breast cancer patients with chemotherapy. Methods From January 2012 through December 2013,80 breast cancer patients with adjuvant hormonal therapy were selected as object.The psychological resilience was assessed by Conner- Davidson Resilience Scale and the quality of life was assessed by Functional Assessment of Cancer Therapy- Breast（ FACT- B） at 1 month and 6months after chemotherapy. The correlation between the psychological resilience and quality of life was assessed by Spearman correlation analysis. Results The total scores of psychological resilience in breast cancer chemotherapy patients at 1 month and 6 months after chemotherapy were（ 45. 72 ± 8.44） and（ 49. 35 ± 8. 27）,which were significantly lower than（ 65. 4 ± 13. 9） of the domestic norm（ P 0. 05）. The scores of tenacity,self reliance and optimism in breast cancer chemotherapy patients were also lower than those of the domestic norm（ P 0. 05）. Spearman correlation analysis showed that the psychological resilience had positive correlations with physical dimension,social /family dimension,emotional dimension and functional dimension（ P 0. 05）. Conclusion Psychological resilience in breast cancer chemotherapy patients is low,and it shows a positive correlation with quality of life. The strength of the resilience in breast cancer chemotherapy patients can help promote their quality of life.

关 键 词：乳腺癌 心理弹性 化疗 生活质量 

分 类 号：R473.73[医药卫生—护理学]