社会支持程度及治疗效能感对口腔癌患者应对方式及治疗依从性的影响  

Influence of social support degree and therapeutic efficacy for the coping style and treatment compliance of patients with oral cancer

作　　者：张宏[1] 孟箭[1] 王茜[1] 刘苗苗[1] 段敏凡 周罗[1] 

机构地区：[1]江苏省徐州市中心医院口腔科,江苏徐州221009

出　　处：《中国医药导报》2016年第33期107-110,共4页China Medical Herald

基　　金：江苏省临床医学科技专项(BL2012017)

摘　　要：目的观察社会支持程度及治疗效能感对13腔癌患者应对方式及治疗依从性的影响。方法选取2012年3月．2016年9月徐州市中心医院口腔科收治的100例13腔癌患者为观察组．13腔科的100例良性疾病患者为对照组。采用MCMQ量表、JCS-60量表及改良Morisky量表对两组患者进行评估。比较不同社会支持程度及治疗效能感口腔癌患者三个量表的评估结果，以Pearson分析上述方面之间的关系。结果观察组的MCMQ量表回避、屈服得分及JCS-60量表评分中自我依赖、情感宣泄、逃避、宿命评分均高于对照组（P〈0．05），其他MCMQ量表、JCS-60量表及改良Morisky量表评分明显低于对照组（P〈0．05），社会支持程度与治疗效能感较高的口腔癌患者三个量表评分显著好于社会支持程度与治疗效能感较低的患者（P〈0．05），Pearson分析显示上述方面与应对方式及治疗依从性有密切关系（P〈0．05）。结论社会支持程度及治疗效能感对口腔癌患者应对方式及治疗依从性的影响较大，应注意改善口腔癌患者的社会支持程度及治疗效能感。Objective To observe the influence of social support degree and therapeutic efficacy for the coping style and treatment compliance of patients with oral cancer. Methods 100 patients with oral cancer in the Department of Stomatology, Xuzhou Central Hospital, from March 2012 to September 2016 were selected as the observation group, 100 patients with benign diseases in the Department of Stomatology were selected as the control group. The two groups were evaluated with MCMQ scale, JCS-60 scale and modified Morisky scale, and the evaluation results of two groups were compared. Then the three scales＇ evaluation results of patients with oral cancer of different social support degree and therapeutic efficacy were compared, and the relationship between the above aspects were analyzed by the Pearson analysis. Results The evasion and surrender points of MCMQ scale and palliative, emotional release, evasion and fatal- ism points of JCS-60 scale of observation group were all higher than those of control group （P 〈 0.05）, other items of MCMQ scale, JCS-60 scale and modified Morisky scale were all obviously lower than those of control group （P 〈 0.05）, the three scales＇evaluation results of patients with higher social support degree and therapeutic efficacy were all signif- icantly better than those of patients with lower social support degree and therapeutic efficacy （P 〈 0.05）, and the Pearson analysis showed that those items all had close relationship to the coping style and treatment compliance （P 〈 0.05）. Conclusion The influence of social support degree and therapeutic efficacy for the coping style and treatment compliance of patients with oral cancer are obvious, so the social support degree and therapeutic efficacy of patients with oral cancer should be improved.

关 键 词：社会支持程度 治疗效能感 口腔癌 应对方式 治疗依从性 

分 类 号：R739.8[医药卫生—肿瘤]