口腔癌术后患者社会支持与其主要照顾者预期性悲伤的相关性研究  

Correlation between social support of patients with oral cancer after surgery and anticipatory grief of their primary caregivers

作　　者：杨晶[1] 毕小琴[2] 邓华夏[1] 朱月圆 余协 Yang Jing;Bi Xiaoqin;Deng Huaxia;Zhu Yueyuan;Yu Xie(Dept.of Head and Neck Oncology,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Disease&Dept.of Nursing,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西口腔医院头颈肿瘤外科,成都610041 [2]口腔疾病研究国家重点实验室/国家口腔疾病临床医学研究中心/四川大学华西口腔医院护理部,成都610041

出　　处：《中华现代护理杂志》2022年第31期4336-4341,共6页Chinese Journal of Modern Nursing

基　　金：四川省科技培训项目(2022JDKP0007)。

摘　　要：目的了解口腔癌术后患者社会支持现状,探讨其与主要照顾者预期性悲伤之间的相关性,为医务人员采取有效干预措施提供参考。方法采用便利抽样法,选取2021年12月—2022年4月四川大学华西口腔医院头颈肿瘤外科收治的160例口腔癌术后患者及其主要照顾者为研究对象,采用一般资料调查表、社会支持评定量表(SSRS)及预期性悲伤量表(AGS)对研究对象进行调查。采用Pearson相关性分析探讨口腔癌术后患者社会支持与其主要照顾者预期性悲伤的相关性;采用多重线性回归分析口腔癌术后患者社会支持的影响因素。共发放问卷160份,回收有效问卷159份,问卷有效回收率为99.4%(159/160)。结果159例口腔癌术后患者SSRS总分为(37.43±7.99)分,条目均分为(3.74±0.80)分;159名主要照顾者AGS总分为(70.60±15.90)分,条目均分为(2.62±0.59)分;Pearson相关分析结果显示,口腔癌患者SSRS总分与其主要照顾者AGS总分呈负相关(P<0.01)。多重线性回归分析显示,口腔癌术后患者照顾者预期性悲伤是患者社会支持的影响因素(P<0.05),可独立解释11.2%的变异(P<0.01)。结论口腔癌术后患者社会支持处于中上水平,其主要照顾者预期性悲伤整体处于中等偏上水平,口腔癌术后患者照顾者预期性悲伤是患者社会支持的影响因素。临床医务人员应加强关注患者及其主要照顾者的心理状态。Objective To understand the current status of social support for patients with oral cancer after surgery,and to explore the correlation between it and the anticipatory grief of the primary caregivers,so as to provide a reference for medical and nursing staff to take effective intervention.Methods From December 2021 to April 2022,160 patients with oral cancer and their main caregivers who were admitted to the Head and Neck Cancer Surgery of West China Hospital of Stomatology affiliated to Sichuan University were selected by convenience sampling.The subjects were investigated with the General Information Questionnaire,Social Support Rating Scale(SSRS)and Anticipatory Grief Scale(AGS).Pearson correlation analysis was used to explore the correlation between the social support of patients with oral cancer after surgery and the anticipatory grief of their main caregivers.Multiple linear regression was used to analyze the influencing factors of social support of patients with oral cancer after surgery.A total of 160 questionnaires were issued,159 of which were valid,and the valid recovery rate was 99.4%(159/160).Results Among 159 patients with oral cancer after surgery,the total score of SSRS was(37.43±7.99),and the average score of items was(3.74±0.80).Among 159 primary caregivers,the total score of AGS was(70.60±15.90),and the average score of items was(2.62±0.59).Pearson correlation analysis showed that the total score of SSRS in oral cancer patients was negatively correlated with the total score of AGS in their primary caregivers(P<0.01).Multiple linear regression analysis showed that the primary caregivers'anticipatory grief of caregivers with oral cancer after surgery was the influencing factor of the patients social support(P<0.05),which could independently explain 11.2%of the variation(P<0.01).Conclusions The social support of patients with oral cancer after surgery is at a medium and above level,and the anticipatory grief of their main caregivers is at a medium level.The anticipatory grief of caregivers wit

关 键 词：口腔肿瘤 社会支持 主要照顾者 预期性悲伤 

分 类 号：R473.73[医药卫生—护理学]