肺癌合并恶性胸腔积液患者医学应对方式及影响因素分析  

Analysis of medical coping style and influencing factors in patients with lung cancer complicated with malignant pleural effusion

作　　者：乔薇薇 路海娟[1] 贾玉段 张洁[1] 崔麦岭 周静[1] Qiao Weiwei;Lu Haijuan;Jia Yuduan;Zhang Jie;Cui Mailing;Zhou Jing(Nanyang Central Hospital,Nanyang 473000,Henan,China)

机构地区：[1]南阳市中心医院,河南南阳473000

出　　处：《临床心身疾病杂志》2020年第5期55-58,共4页Journal of Clinical Psychosomatic Diseases

基　　金：河南省医学科技攻关计划项目(编号192102310349);南阳市医学科技发展计划项目(编号KJGG2018082)。

摘　　要：目的探讨肺癌合并恶性胸腔积液患者医学应对方式及影响因素.方法对125例肺癌合并恶性胸腔积液患者采用医学应对方式问卷进行医学应对方式评估,对不同性别、年龄、文化程度、婚姻状况、社会支持度、居住地、情绪状态、胸腔积液量、肺癌类型、分化程度及心包积液情况患者医学应对方式评估结果进行单因素及多因素Logistic回归分析.结果本组125例患者医学应对积极应对41例、一般应对50例、消极应对34例;不同年龄、文化程度、婚姻状况、社会支持度、居住地、情绪状态、胸腔积液量、分化程度及心包积液患者的医学应对方式比较差异均有统计学意义(P<0.01),多因素Logistic回归分析显示,年龄、文化程度、婚姻状况、社会支持度、居住地、情绪状态、胸腔积液量、分化程度及心包积液情况均是影响肺癌合并恶性胸腔积液患者医学应对方式的危险因素(P<0.05).结论肺癌合并恶性胸腔积液患者医学应对方式较差,影响因素众多,临床上应针对影响因素予以综合干预,改善与调控患者医学应对方式,提高患者治疗的积极性.Objective To investigate the medical coping mode and its influence factors of patients with lung cancer complicated with malignant pleural effusion.Methods 125 patients with lung cancer compli-cated with malignant pleural effusion were chosen as the study object,and the medical coping mode of pa-tients were evaluated with medical coping mode questionnaire(MCMQ questionnaire).Univariate and multivariate logistic regression analysis was performed on the evaluation results of medical coping styles of patients with different gender,ages,education levels,marital status,social support degree,residence sit-uation,emotional state,volume of pleural effusion,type of lung cancer,degree of differentiation and hy-dropericardium situation.Results In this group of 125 patients,there were 41 positive medical responses,50 general responses,and 34 negative responses.Different ages,education,marital status,social support,place of residence,emotional state,pleural effusion,degree of differentiation and medical coping styles of patients with pericardial effusion have statistically significant differences(P<0.01).Multivariate logistic regression analysis showed that age,education,marital status,social support,place of residence,emo-tional state,pleural effusion,degree of differentiation.and pericardial effusion were all risk factors that affect the medical response of patients with lung cancer and malignant pleural effusion(P<0.05).Conclu-sions Patients with lung cancer complicated with malignant pleural effusion have poor medical coping styles and many influencing factors.Clinically,comprehensive interventions should be conducted in re-sponse to the influencing factors to improve and regulate the patient's medical coping style and increase the enthusiasm of patients in treatment.

关 键 词：肺癌 恶性胸腔积液 医学应对方式 影响因素 

分 类 号：R743.2[医药卫生—神经病学与精神病学]