肺癌患者自我效能感及心理状况对创伤后应激障碍发生的影响  

Effects of self-efficacy and psychological status on posttraumatic stress disorder in patients with lung cancer

作　　者：肖艳[1] 何丽[1] 黄少妹 郑梅梅 潘小冰 

机构地区：[1]海南医学院第一附属医院乳腺胸部肿瘤外科,海口市570102

出　　处：《河北医药》2018年第3期428-430,共3页Hebei Medical Journal

基　　金：海南省卫生厅科学研究课题(编号:琼卫2010-55)

摘　　要：目的探讨肺癌患者自我效能感及心理状况对其创伤后应激障碍(PTSD)发生的影响。方法 120例肺癌患者及120例肺部良性病变患者分别应用中文版癌症自我效能感量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)及PTSD检查量进行问卷调查,比较2组患者PTSD发生情况,分析自我效能感及心理状况与PTSD发生的关系及PTSD发生的影响因素。结果与肺部良性病变组比较,肺癌组自我效能感评分较低(P<0.05),而SAS、SDS、PTSD评分较高(P<0.05),且PTSD发生率较高(P<0.05)。经Pearson单因素分析可知,PTSD与SAS、SDS呈正相关(r值分别为0.369、0.305,P<0.05),而与自我效能感呈负相关(r=-0.329,P<0.05)。经线性回归分析显示,肿瘤分期、焦虑、抑郁是肺癌患者发生PTSD的主要因素,而自我效能感则是PTSD发生的保护因素。结论通过提高肺癌患者自我效能感,积极减轻患者焦虑、抑郁情绪,将有助于降低肺癌患者PTSD的发生,促进患者心理健康。Objective To investigate the effects of self-efficacy and psychological status on posttraumatic stress disorder（ PTSD） in patients with lung cancer. Methods A total of 120 patients with lung cancer and 120 patients with benign lung diseases who were treated in our hospital from June 2015 to June 2016 were enrolled in the study. The self-efficacy and psychological status of patients were assessed by Chinese version of cancer self-efficacy scale,SAS,SDS and PTSD rating scales. The incidence rate of PTSD was observed and compared between two groups,moreover,the correlation between self-efficacy as well as psychological status and PTSD as well as the influencing factors of PTSD was analyzed. Results The scores of SAS,SDS and PTSD and incidence rate of PTSD in patients with lung cancer were significantly higher than those of patients with lung benign lesions,however,the scores of self-efficacy of patients with lung cancer were obviously lower than those of patients with benign lesions（ P 〈0. 05）. The Pearson＇s single factor analysis showed that PTSD was positively correlated with SAS and SDS（ P 〈0. 05）,however,which was negatively correlated with self-efficacy（ P 〈0. 05）. Linear regression analysis showed that tumor stage,anxiety and depression were the main factors of PTSD in patients with lung cancer,while self-efficacy was the protective factor of PTSD. Conclusion By improving the self-efficacy of patients with lung cancer and actively relieving anxiety and depression status of patients with lung cancer will help to decrease the incidence of PTSD in patients with lung cancer and promote mental health of patients.

关 键 词：肺癌 自我效能感 心理状况 创伤后应激障碍 

分 类 号：R734.2[医药卫生—肿瘤]