首次与多次住院对老年恶性肿瘤病人应对方式和生活质量的影响  

Influence of first and multiple hospitalization on coping style and quality of life of elderly patients with malignant tumor

作　　者：刘玉珍[1] 梅月英 魏清风[3] 

机构地区：[1]江西省妇幼保健院 [2]江西省安远县人民医院 [3]江西省肿瘤医院

出　　处：《全科护理》2017年第27期3335-3338,共4页Chinese General Practice Nursing

基　　金：江西省科技计划项目;编号:20151BBG70139

摘　　要：[目的]了解不同住院次数对老年恶性肿瘤病人的应对方式和生活质量的影响,并分析老年恶性肿瘤病人的应对方式与生活质量的相关性。[方法]采用自制一般资料问卷、医学应对问卷(MCMQ)、癌症病人生命质量测定量表(EORTC QOQ-C30)对符合纳入标准的208例老年恶性肿瘤病人进行问卷调查。[结果]首次与多次住院对老年恶性肿瘤病人的应对方式(回避)和生活质量(角色功能、情绪功能、认知功能和社会功能)存在显著差异,差异均有统计学意义(P<0.05)。Spearman相关显示老年恶性肿瘤病人的生活质量各领域得分与面对呈正相关、与回避呈负相关。[结论]医护人员应根据不同住院次数病人的应对方式特点,给予针对性的护理干预,促使其积极面对,提高其生活质量。Objective：To understand the influence of different times of hospitalization on coping style and quality of life of elderly patients with malignant tumor,and to analyze the correlation between coping style and quality of life of elderly patients with malignant tumor.Methods：A total of 208 elderly patients with malignant tumor were surveyed by using self-made general information questionnaire,Medical Coping Questionnaire（MCMQ）,cancer patient quality of life scale（EORTC QOQ-C30）.Results：There were statistically significant differences in the coping style（avoidance）and quality of life（role function,emotional function,cognitive function and social function）for the first time and multiple hospitalization in elderly patients with malignant tumor（P〈0.05）.Spearman correlation showed that the scores of quality of life in various fields for the elderly patients were positively correlated with facing,and negatively correlated with avoidance.Conclusion：Medical staff should give specific nursing intervention according to different times of hospitalization and characteristics of patients’ coping styles,so as to promote them to face up positively and improve their quality of life.

关 键 词：多次入院 恶性肿瘤 老年 应对方式 生活质量 

分 类 号：R473.73[医药卫生—护理学]