头颈癌术后患者自我形象现状及其与社会支持应对方式的相关研究  

Analysis of self-image status and its influence factors of postoperative patients with head and neck cancer

作　　者：龚湖萍 魏清风[2] 周振萍 林敏 张世慧[1] 安冬 无 GONG Huping;WEI Qingfeng;ZHOU Zhenping;LIN Min;ZHANG Shihui;AN Dong(School of Nursing,Nanchang University,Nanchang,Jiangxi 330000,China;Central office,Cancer Hospital of Jiangxi Province,Nanchang,Jiangxi 33000,China)

机构地区：[1]南昌大学护理学院,330000 [2]江西省肿瘤医院中心办公室,南昌330000 [3]江西省肿瘤医院护理部,南昌330000

出　　处：《重庆医学》2018年第28期3639-3642,共4页Chongqing medicine

基　　金：国家临床重点专科建设项目(卫办医政函[2012]649号);江西省卫生和计划生育委员会科技计划项目(20181117)

摘　　要：目的调查头颈癌术后患者自我形象(BI)现状,并分析其主要影响因素。方法采用患者一般资料问卷、自我形象量表(BIS)、社会支持评定量表(SSRS)和医学应对量表(MCMQ)对203例头颈癌术后患者进行调查。结果患者BIS为(10.10±5.14)分,48.26%的患者存在BI问题;患者BIS得分与SSRS得分、MCMQ中面对得分呈负相关(r=-0.591、-0.477,P=0.000),与MCMQ中回避及屈服得分呈正相关(r=0.486、0.368,均P<0.01);经多元线性回归分析显示:性别、年龄、疾病分期、治疗方式、有无皮瓣移植、社会支持、面对是患者BI的主要影响因素(F=25.132,P=0.000)。结论医务人员应重视头颈癌术后患者的BI水平及其影响因素特点,为患者实施具有针对性的护理措施,以提高患者的BI水平。Objective To investigate the level and influence factors of the self-image in head and neck cancer postoperative patients.Methods A total of 203 patients with head and neck cancer were investigated with the patient general questionnaire,body image scale(BIS),social support rate scale(SSRS)and medical coping modes questionnaire(MCMQ).Results The total score of BIS was(10.10±5.14)point,48.26%of patients had body image problems;it was negatively correlated with social support and coping styles(r=-0.591,-0.477,P<0.01),but positively correlated with avoid and yield coping styles(r=0.486,0.368,P<0.01).Multivariate regression analysis showed that gender,age,stage of disease,treatment ways,flap transplantation,social support,coping were the main influencing factors of patient self-image(F=25.132,P=0.000).Conclusion Medical staff should pay attention to the self-image level and its influencing factors of postoperative patients with head and neck cancer,and implement targeted nursing measures for patients to improve their self-image level.

关 键 词：头颈部肿瘤 病人 自我形象 危险因素 

分 类 号：R473.73[医药卫生—护理学]