肺癌患者病耻感与心理痛苦和生活质量的关系研究  

Relationship between stigma,psychological distress and quality of life in lung cancer patients

作　　者：于媛[1] 王黎 张娜[1] 杜艳华[1] 白颖[1] 刘均娥[2] YU Yuan;WANG Li;ZHANG Na;DU Yan-hua;BAI Ying;LIU Jun-e(Department of Thoracic Surgery,Cancer Hospital,Chinese Academy of Medical Sciences,Beijing 100021,China;School of Nursing,Capital Medical University,Beijing 100070,China)

机构地区：[1]中国医学科学院肿瘤医院胸外科,北京100021 [2]首都医科大学护理学院,北京100070

出　　处：《中国肿瘤临床与康复》2020年第8期897-900,共4页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：协和青年基金和中央高校基本科研业务费专项资金(33320140112)。

摘　　要：目的探讨肺癌患者病耻感与心理痛苦和生活质量的关系。方法选取2018年9月至2019年8月北京市某三甲肿瘤专科医院和北京市部分抗癌团体的775例肺癌患者,采用中文版Cataldo肺癌患者病耻感量表、心理痛苦温度计和肺癌患者生活质量测定量表进行调查研究,研究患者病耻感与心理痛苦和生活质量的关系。结果肺癌患者病耻感(61.94±12.48)分,心理痛苦(3.65±2.62)分,生活质量(92.47±21.27)分,三项均处于中等水平。肺癌患者病耻感与心理痛苦呈正相关(P <0.05),与生活质量呈负相关(P <0.05)。多元线性分析结果显示,病耻感和心理痛苦是肺癌患者生活质量的危险因素(P <0.05)。结论肺癌患者的病耻感水平可影响患者的心理痛苦水平和生活质量,应重视筛查与干预。Objective To explore the relationship between stigma,psychological distress and quality of life in lung cancer patients. Methods Seven hundred seventy-five lung cancer patients were selected at a third-class cancer hospital and some anti-cancer groups in Beijing from September 2018 to August 2019.Cataldo Lung Cancer Stigma Scale( CLCSS),Distress Thermometer( DT) and Functional Assessment of Cancer Therapy-Lung( FACT-L) were used to investigate the relationship between stigma,psychological distress and quality of life. Results The score of stigma,distress and quality of life was 61. 94 ± 12. 48,3. 65 ± 2. 62 and 92. 47 ± 21. 27,respectively,which was in the medium level. Stigma was positively associated with psychological distress and negatively with quality of life( all P < 0. 05). The multiple linear regression analysis revealed that stigma and psychological distress were risk factors affecting quality of life( all P < 0. 05). Conclusion Lung cancer patients’ stigma can influence their psychological distress and quality of life. Therefore,screening and intervention should be administered to this population.

关 键 词：肺肿瘤 病耻感 心理痛苦 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]