肝癌患者射频消融术后心理危机与病耻感心身状态的关系  

The relationship between psychological crisis and stigma and psychosomatic status in patients with liver cancer after radiofrequency ablation

作　　者：朱艳霞[1] 吕君[1] 王小平[1] Zhu Yanxia;Lv Jun;Wang Xiaoping(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《临床心身疾病杂志》2021年第2期51-54,106,共5页Journal of Clinical Psychosomatic Diseases

基　　金：国家自然科学基金项目(编号81902470)。

摘　　要：目的探讨肝癌患者射频消融术后心理危机及其与病耻感、心身状态的关系。方法对78例原发性肝癌患者行射频消融术治疗,术后采用危机评估量表、社会影响量表、癌症心身状态量表评定心理危机、病耻感及心身状态,比较不同心理危机反应患者的病耻感、心身状态,对心理危机与病耻感、心身状态的关系进行双变量Pearson直线相关分析及线性回归检验。结果肝癌患者术后危机评估量表总分为(90.27±5.41)分,73.1%的患者心理危机反应不佳。不同心理危机反应肝癌患者术后社会影响量表及癌症心身状态量表的总分及各维度分比较差异有统计学意义(P<0.01)。肝癌患者术后危机评估量表总分与社会影响量表总分、癌症心身状态量表总分呈显著负相关(P<0.01),而社会影响量表总分与癌症心身状态量表总分呈显著正相关(P<0.01)。线性回归分析显示,心理危机是肝癌术后患者病耻感及心身状态的影响因素(P<0.01),得到线性回归方程分别为:Y_(病耻感)=10.121-0.323X,Y_(心身状态)=11.141-0.191X。结论肝癌患者射频消融术后心理危机反应不佳,其心理危机反应与病耻感、心身状态密切相关,应对其予以有针对性的干预改善心理危机反应状态,以提高其心理健康水平。Objective To observe the relationship between psychological crisis and stigma and psychosomatic status in patients with liver cancer after radiofrequency ablation.Methods A total of 78 patients with primary liver cancer were treated with radiofrequency ablation.After operation,the triages assessment form(TAF),social impact scale(SIS)and cancer psychosomatic state scale were used to assess psychological crisis,stigma and psychosomatic status.Compare the stigma and psychosomatic status of patients with different psychological crisis responses.Bivariate Pearson linear correlation analysis and linear regression test were carried out on the relationship between psychological crisis,stigma and psychosomatic state.Results The total TAF score of postoperative liver cancer patients was(90.27±5.41)points,and 73.1%(57 cases)had poor psychological crisis response.There were statistically significant differences in the total scores and the scores of the various dimensions of the postoperative SIS and cancer psychosomatic status scale in patients with different psychological crisis responses(P<0.01).The total score of TAF in patients with liver cancer after operation was significantly negatively correlated with the total score of SIS and cancer psychosomatic state scale(P<0.01).While the total score of SIS was significantly positively correlated with the total score of cancer psychosomatic state scale(P<0.01).The linear regression equations obtained were:Y _(stigma)=10.121-0.323X,Y _(mental and physical state)=11.141-0.191X.Conclusions Patients with liver cancer have poor psychological crisis response after radiofrequency ablation,and their psychological crisis response is closely related to stigma and psychosomatic status.Targeted intervention should be given to improve their psychological crisis response and improve their mental health.

关 键 词：肝癌 射频消融术 心理危机 病耻感 心身状态 

分 类 号：R735.7[医药卫生—肿瘤] R395.1[医药卫生—临床医学]