乳腺癌化疗患者的心理状态与社会支持现状及相关性分析  

The correlation analysis of psychological status and social support of breasl cancer patients undergoing chemotherapy

作　　者：吴东芳[1] 黄剑辉[1] 蔡飞霞[1] Wu Dongfang

机构地区：[1]浙江省丽水市中心医院,323000

出　　处：《浙江临床医学》2021年第10期1413-1415,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省医学会临床科研资金项目(2017ZYC-A128)。

摘　　要：目的探讨乳腺癌化疗患者的心理状态与社会支持现状及二者之间的关系。方法选取2019年1月至2020年9月在浙江省丽水市中心医院接受化疗的乳腺癌患者62例,采用社会支持量表(SSRS)评估患者的社会支持程度,采用心理弹性量表(CD-RISC)评估患者的心理状态,应用多元逐步回归分析影响患者心理状态的因素,利用Pearson相关性分析心理状态与社会支持的相关性。结果本组乳腺癌化疗患者的CD-RISC量表总分为(56.71±4.09)分、SSRS量表总分为(46.82±5.00)分。经Pearson相关分析得出,CD-RISC量表中力量维度得分和总分与SSRS量表中的主观支持、客观支持、社会支持利用度及总分均呈正相关(P<0.05);CD-RISC量表中坚韧维度得分与SSRS量表中的主观支持及总分均呈正相关(P<0.05)。单因素分析显示,不同文化程度、性格、肿瘤分期、乳房外形、化疗毒副反应及化疗次数的乳腺癌化疗患者CD-RISC量表得分的差异有统计学意义(P<0.05)。多元逐步回归分析发现,化疗毒副反应影响生活、乳房外形不完整、主观支持和客观支持缺乏是影响乳腺癌化疗患者心理状态的主要因素。结论医护人员可通过增强社会支持,改善乳腺癌化疗患者的不良心理状态。Objective To explore the current status of psychological status and social support and their relationship in patients undergoing breast cancer chemotherapy.Methods A total of 62 breast cancer patients who underwent chemotherapy in Lishui Central Hospital Zhejiang Province from January 2019 to September 2020 were selected.Use social support scale(SSRS)to assess the patients'degree of social support,adopt the psychological scale(CD-RISC)to assess the patients' mental state,use multiple stepwise regression analysis to analyze the factors influencing the psychological state of patients,and use Pearson correlation to analyze the correlation between psychological state and social support.Results Among the 62 breast cancer patients,tod scores of CD-RISC and SSRS were(56.71±4.09)points and(46.82±5.00)points,respectively.Peanonconrelation analysis showed that score of strength dimension and total score in CD-RISC were positively correlated with scores of subjective support,objective support social support utilization,and total score in SSRS(P<0.05).The score of toughness dimension in CD-RISC was positively correlated with score of subjective support and total score in SSRS(P<0.05).Univariate analysis showed that there were significant differences in CD-RISC scores among patients with different education level,personality,tumor stage,breast shape,chemotherapy side effects and chemotherapy times(P<0.05).It was found by multivariate stepwise regression analysis that chemotherapy side effects affecting life,incomplete breast shape,lack of subjective support and objective support were the main fectors affecting psychological status of breast cancer patients undergoing chemotherapy.Conclusion Medical stafe can improve the unhealthy psychological status of breast cancer patients undergoing chemotherapy by enhancing social support.

关 键 词：乳腺癌 化疗 心理状态 社会支持 

分 类 号：R73[医药卫生—肿瘤]