原发性肝癌患者希望水平与人格特征、负性情绪的关系研究  

Study on the relationship between hope level,personality and negative emotion in patients with primary liver cancer

作　　者：徐静[1] 刘吴琼 徐胜[2] 邵雪晴[1] 

机构地区：[1]第二军医大学东方肝胆外科医院肝外一科,上海200433 [2]第二军医大学东方肝胆外科医院放疗中心,上海200433

出　　处：《海军医学杂志》2017年第5期401-403,407,共4页Journal of Navy Medicine

摘　　要：目的探讨原发性肝癌患者希望水平与人格特征、负性情绪的关系。方法 2015年1-12月应用Herth希望量表、艾森克人格问卷(EPQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)对128例原发性肝癌患者希望水平、人格特征及焦虑、抑郁情绪进行调查,应用Pearson单因素分析肝癌患者希望水平与人格特质及抑郁、焦虑的关系。根据EPQ中E-N维度评分将患者分为内向-情绪稳定型(n=34)、内向-情绪不稳定(n=38)、外向-情绪稳定型(n=30)及外向-情绪不稳定(n=26)。结果内向不稳定型、内向稳定型患者Herth希望水平总分低于外向稳定型及外向不稳定型,而SAS评分、SDS评分高于外向稳定型及外向不稳定型患者,差异有统计学意义(P<0.05)。Pearson单因素分析可知,原发性肝癌患者Herth希望水平总分与EPQ中P维度、N维度、SAS、SDS评分呈负相关,差异有统计学意义(P<0.05)。结论肝癌患者希望水平与人格特征及患者焦虑、抑郁情绪有密切的关系。护理人员在关注肝癌患者焦虑、抑郁情绪的同时,应全面评估患者人格特征,从而制定护理干预措施以提高患者希望水平,改善患者焦虑、抑郁情绪。Objective To investigate the relationship between hope level,personality feature and negative emotion in patients with primary liver cancer. Methods An investigation was made on the hope level,personality and anxiety and negative emotion in 128 patients with primary liver cancer from January 2015 to December 2015 by using Herth Hope Scale,Eysenck Personality Questionnaire（EPQ）,Self-Rating Anxiety Scale（SAS） and Self-Rating Depression Scale（SDS）. The relationship between hope level,personality and negative emotion of primary liver cancer patients was analyzed by using Pearson Single-factor analysis. In accordance with EN dimension scores of the EPQ,the primary liver cancer patients were divided into 4 groups： i. e. the inward-emotional stability group（n =34）,the inward-emotional instability group（n = 38）,the outward-emotional stability group（n = 30） and the outward-emotional instability group（n = 26）. Results Total scores of Herth Hope for the inward-emotional instability group and the inward-emotional stability group were lower than those of the outward-emotional stability group and the outward-emotional instability group（P〈0. 05）,while the SAS scores and SDS scores were all higher than those of the outward stability group and the outward instability group（P〈0. 05）. Pearson univariate analysis indicated that total Herth Hope scores was negatively correlated with the P/N dimensions in the EPQ and SAS/SDS scores（P〈0. 05）. Conclusion The hope level of the patients with liver cancer anxiety was closely correlated with personality,anxiety and depression. In addition to the concern about the anxiety and depression of liver cancer patients,nurses should have a comprehensive assessment of personality feature of the cancer patients,so that related nursing intervention measures could be developed for further improvement of the hope level,anxiety and depression of the cancer patients.

关 键 词：原发性肝癌 希望水平 人格特征 负性情绪 关系 

分 类 号：R833[医药卫生—航空、航天与航海医学]