妇科肿瘤化疗患者心理韧性与社会支持的相关性分析  

Correlation between psychological resilience and social support in gynecological cancer patients undergoing chemotherapy

作　　者：陈金芳 王静[1] 马晶淼[1] 李娜娜 刘亚南 CHEN Jinfang;WANG Jing;MA Jingmiao;LI Nana;LIU Ya'nan(Department of Obstetrics and Gynecology,General Hospital of Tianjin Medical University,Tianjin,300000,China)

机构地区：[1]天津医科大学总医院,天津300000

出　　处：《当代医学》2021年第30期56-58,共3页Contemporary Medicine

摘　　要：目的探究妇科肿瘤化疗患者心理韧性与社会支持水平的相关性。方法选取2018年3月至2020年9月某三级甲等医院妇科收治的132例恶性肿瘤化疗患者为作为研究对象。采用自行编制一般资料调查表、领悟社会支持量表和心理弹性问卷,分析妇科肿瘤化疗患者的心理韧性水平的影响因素及与社会支持水平的相关性。结果心理韧性水平与年龄、婚姻状态、文化程度、居住地、化疗次数、诊断类型显著相关,差异有统计学意义(P<0.05);月收入、疼痛程度与心理韧性水平无明显相关性。妇科恶性肿瘤化疗患者家庭内支持(40.78±9.80)分,家庭外支持为(22.63±4.50)分,社会支持水平为(63.41±14.01)分。Spearson单因素分析结果显示,妇科肿瘤化疗患者社会支持水平与心理韧性水平呈正相关(P<0.05)。Logistic多因素分析显示,年龄、化疗次数、诊断类型、社会支持水平是妇科肿瘤化疗患者心理韧性水平的影响因素。结论心理韧性水平与年龄、婚姻状态、文化程度、居住地、化疗次数、诊断类型显著相关,心理韧性水平与社会支持水平呈正相关。在临床工作中,护理人员应重视早期发现患者心理危机并进行心理干预的重要性,以及影响妇科肿瘤化疗患者心理韧性的因素,提高患者社会支持水平。Objective To explore the relationship between mental toughness and social support level in patients with chemotherapy of gynecologic tumor.Methods 132 patients with chemotherapy of malignant tumor were selected as the study subjects from March 2018 to September 2020 in a third class hospital.The general data questionnaire,social support scale and psychoelastic questionnaire were prepared by our hospital to analyze the factors influencing the mental resilience of patients with gynecologic tumor chemotherapy and the correlation with social support level.Results The level of mental toughness was significantly correlated with age,marital status,educational level,place of residence,number of chemotherapy and type of diagnosis,the difference was statistically significant(P<0.05).There was no significant correlation between monthly income and pain degree and mental toughness level.Family support for chemotherapy patients with gynecological malignant tumor(40.78±9.80)scores,the support outside the family was(22.63±4.50)scores,social support level is(63.41±14.01)scores.The results of sperson single factor analysis showed that the level of social support was positively correlated with the level of mental toughness in chemotherapy patients with gynecologic tumor(P<0.05).Logistic multivariate analysis showed that age,chemotherapy frequency,diagnosis type and social support level were the factors influencing the mental toughness of chemotherapy patients with gynecologic tumor.Conclusion The level of mental resilience is significantly related to age,marital status,education,residence,chemotherapy frequency and diagnosis type,and the level of mental resilience is positively correlated with social support level.In clinical work,nursing staff should pay attention to the importance of early detection of psychological crisis and psychological intervention,as well as factors affecting the mental resilience of patients with gynecologic tumor chemotherapy,and improve the level of social support of patients.

关 键 词：妇科肿瘤化疗患者 心理韧性 社会支持 

分 类 号：R473.73[医药卫生—护理学]