局限期小细胞肺癌合并胸腔积液患者心理状况调查研究  

Study of psychological status of patients with limited stage small cell lung cancer combined with hydrothorax

作　　者：韩静[1] 张红梅[2] 赵立森[3] 孟宪聪 王秀军[2] HAN Jing;ZHANG Hong-mei;ZHAO Li-sen;MENG Xian-cong;WANG Xiu-jun(Department of Heart Center,Beijing ChestHospital,Capital Medical University,Beijing 101149,China;Intensive Care Unit,Beijing Chest Hospital,Capital Medical University,Beijing 101149,China;Department of CT Room,Beijing Chest Hospital,Capital Medical University,Beijing 101149,China)

机构地区：[1]首都医科大学附属北京胸科医院心脏中心,北京101149 [2]首都医科大学附属北京胸科医院重症监护室,北京101149 [3]首都医科大学附属北京胸科医院CT室,北京101149

出　　处：《中国医学前沿杂志（电子版）》2018年第12期33-36,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的探究局限期小细胞肺癌合并胸腔积液患者的心身状态、心理控制源、心理痛苦状况及其相关性。方法选取2016年1月至2018年4月本院收治的142例局限期小细胞肺癌患者为研究对象,将其中61例合并胸腔积液的患者纳入观察组,81例未合并胸腔积液的患者纳入对照组。比较两组患者的心身状态、心理控制源及心理痛苦评分,并分析心身状态与心理控制源、心理痛苦的相关性。结果观察组患者社会维度、心理维度、躯体维度评分及总分均显著高于对照组(P_均<0.05),有势力的他人控制量表(powerful others health locus of control,PHLC)评分和心理痛苦评分均显著高于对照组(P_均<0.05),内控性量表(internality health locus of control,IHLC)和机遇量表(chance health locus of control,CHLC)评分均显著低于对照组(P_均<0.05)。观察组存在心理痛苦源中睡眠问题及呼吸困难患者占比均显著高于对照组(P_均<0.05)。观察组患者心身状态各维度评分和总分与心理痛苦评分均呈正相关(r_(社会维度)=0.336,r_(心理维度)=0.477,r躯体维度=0.258,r_(心理行为可塑性维度)=0.486,r_(总分)=0.562;P_均<0.05);心理维度、心理行为可塑性维度、心身状态总分与PHLC评分均呈正相关(r_(心理维度)=0.612,r_(心理行为可塑性维度)=0.642,r_(总分)=0.478;P_均<0.05),与IHLC评分均呈负相关(r_(心理维度)=-0.680,r心理行为可塑性维度=-0.681,r_(总分)=-0.566;P_均<0.05);心身状态总分与CHLC评分呈正相关(r_(总分)=0.246,P <0.05)。结论局限期小细胞肺癌合并胸腔积液患者心理状况较差,其心身状态与心理控制源、心理痛苦均有显著相关性,在治疗过程中需予以心理干预。Objective To explore the psychosomatic status,locus of control,psychological distress and their correlation in patients with limited stage small cell lung cancer combined with hydrothorax.Method 142 patients with limited stage small cell lung cancer admitted to our hospital from January 2016 to April 2018 were selected as the research objects,among them,61 patients with hydrothorax were included in observation group,and 81 patients without hydrothorax were included in control group.The psychosomatic status,locus of control and psychological distress scores were compared between the two groups,and the correlation between psychosomatic status,locus of control and psychological distress was analyzed.Result The social dimension,psychological dimension,physical dimension and total score of patients in observation group were significantly higher than those in control group(Pall<0.05).The scores of powerful others health locus of control（PHLC）and the score of psychological distress in observation group were significantly higher than those in control group(Pall<0.05),and the scores of internal health locus of control（IHLC）and chance health locus of control（CHLC）in observation group were significantly lower than those of control group(Pall<0.05).There were significant differences in the incidence of tension and anxiety,poor sleep quality and dyspnea between the two groups(Pall<0.05).positively correlated with psychological dimension,psychological and behavioral plasticity dimension,and psychosomatic state total correlated with psychological dimen sion,psychosomatic plasticity dimension and psychosomatic state total score(r psychological dimension=0.680,with CHLC score(r total score=0.246,P<0.05).Conclusion The mental state of small cell lung cancer patients combined with hydrothorax are poor,and their mental state are significantly correlated with the source of mental control and psychological distress,psychological intervention is needed in the course of treatment.

关 键 词：小细胞肺癌 胸腔积液 心身状态 心理控制源 心理痛苦 

分 类 号：R734.2[医药卫生—肿瘤]