直肠癌造口患者术后心理健康、应对方式与生存质量的相关性  

Relationship Among Mental Health,Coping Style and Quality of Life in Rectal Cancer Patients with A Stoma

作　　者：陈满宇[1] 吕龙[1] 何秋山[1] 

机构地区：[1]襄阳市中心医院,湖北文理学院附属医院,湖北襄阳441021

出　　处：《中国肿瘤》2016年第2期103-106,共4页China Cancer

基　　金：湖北省卫生计生委青年科技人才项目(编号:QJX2012-40)

摘　　要：[目的]分析直肠癌造口患者术后心理健康、应对方式的特点和生存质量,探讨三者之间的关系。[方法]选取直肠癌造口手术患者150例,采用症状自评量表(SCL-90)、癌症患者生存质量核心量表(EORTC QLQ-C30)、和医学应对问卷(MCMQ)分别测评患者的心理健康状况、生存质量状况和应对方式。[结果]直肠癌造口患者术后SCL-90总分为179.898分,高于全国常模160分。直肠癌造口患者术后面对因子、回避因子、屈服因子得分依次降低。肠癌造口患者术后总体健康状况得分、躯体功能、角色功能、认知功能得分低于参考值;疲乏症状、睡眠困难、经济困难得分高于参考值。直肠癌造口患者术后SCL-90总分与患者总体健康状况、躯体功能、角色功能、认知功能得分呈负相关,与疲乏、睡眠困难、经济困难得分呈正相关;应对方式中,面对因子与患者总体健康状况、躯体功能、社会功能呈正相关,与疲乏、疼痛、经济困难呈负相关;回避因子与食欲下降呈正相关;屈服因子与总体健康状况、认知功能、情绪功能、社会功能呈负相关,与疲乏、疼痛、恶性呕吐、呼吸困难、睡眠困难、食欲下降、便秘、经济困难呈正相关。[结论]直肠癌造口术后患者术后存在一定的心理健康问题。健康的心理状况、多采取积极的应对方式,有助于提高患者直肠癌造口术后生存质量水平。[Purpose] To investigate the characteristics of mental health,coping style and quality of life in rectal cancer patients with a stoma,and to study their relationship. [Methods] A total of150 cases with rectal cancer with a stoma were selected,and were assessed by symptom self rating scale（SCL-90）,quality of life of cancer patients with a core scale（EORTC QLQ-C30） and Medical Coping Modes Questionnaire（MCMQ）. [Results] The average score of SCL-90 in the patients with postoperative rectal cancer was 179.898 points,which was higher than that the national norm 160 points. The face factor,avoidance factor and yield factor score decreased in patients with postoperative rectal cancer. The overall health status of patients with colorectal cancer was lower than that of the reference value;the function,role function,cognitive function score was lower than the reference value;symptoms and individual sub scale,fatigue,sleep difficulties,financial difficulties were higher than the reference value. The mental health status of patients with rectal cancer after operation was negatively correlated with overall health status,physical function,role function,cognitive function score,and fatigue,sleep difficulties and economic difficulties. Coping style was negatively correlated with the overall health status,physical function,social function,avoidance factor and negative correlation,yield factor and overall health status,cognitive function,emotional function,social function,and fatigue,pain,vomiting,dyspnea,sleep difficulties,loss of appetite,constipation,economic difficulties. [Conclusion] There are some mental health problems in patients with postoperative rectal cancer. Healthy psychological status,more positive coping style can reduce the quality of life of patients with rectal cancer after stoma.

关 键 词：直肠癌 造口患者 心理健康 应对方式 生存质量 

分 类 号：R735.3[医药卫生—肿瘤]