中青年卵巢癌术后化疗患者社会疏离与养育忧虑状况调查及影响因素分析  

Investigations of social alienation and parenting concerns among young and middle-aged ovarian cancer patients undergoing postoperative chemotherapy and analyses of influencing factors

作　　者：秦海肖 高明[1] 张素兰[1] Qin Hai xiao;Gao Ming;Zhang Sulan(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》2024年第4期80-84,共5页Journal of Clinical Psychosomatic Diseases

基　　金：河南省高等学校重点科研项目(编号21A320072);河南省医学科技攻关计划项目(编号SBGJ202102138)。

摘　　要：目的 调查中青年卵巢癌术后化疗患者社会疏离及养育忧虑状况,并分析其影响因素。方法 随机选取120例中青年卵巢癌术后化疗患者为研究对象,采用一般人口资料调查表统计患者的一般资料,采用汉化版一般疏离感量表(GAS)和中文版养育忧虑问卷(PCQ)开展研究,了解其社会疏离和养育忧虑状况,并对其影响因素进行单因素及多因素分析。结果 中青年卵巢癌术后化疗患者GAS总分为(36.29±6.85)分,PCQ总分为(53.92±8.19)分。不同年龄、文化程度、婚姻状况、家庭平均月收入和疾病分期的中青年卵巢癌术后化疗患者的GAS评分比较,差异具有统计学意义(P<0.01)。多因素Logistic回归分析结果显示,年龄、文化程度、婚姻状况、家庭平均月收入和疾病分期是中青年卵巢癌术后化疗患者社会疏离感的影响因素(P<0.01)。不同婚姻状况、家庭平均月收入和疾病分期的中青年卵巢癌术后化疗患者的PCQ评分比较,差异具有统计学意义(P<0.01)。多因素Logistic回归分析结果显示,婚姻状况和疾病分期是中青年卵巢癌术后化疗患者养育忧虑的影响因素(P<0.01)。结论 中青年卵巢癌术后化疗患者的社会疏离感和养育忧虑心理均处于较高水平,且影响因素众多,临床可根据情况对患者进行针对性治疗和干预,提高其生活质量。Objective To investigate social alienation and parenting concerns status among young and middle-aged ovarian cancer(YM-OC)patients undergoing postoperative chemotherapy and analyze their influencing factors.Methods A total of 120 YM-OC patients undergoing postoperative chemotherapy were randomly selected as research objects,general data counted using general demographic data questionnaire,the study was conducted using the Chinese version of General Alienation Scale(GAS)and Chinese version of Parenting Concerns Questionnaire(PCQ),social alienation and parenting worry status were found out,and single and multiple factor analysis used for influencing factors.Results The total scores of the GAS and PCQ were respectively(36.29±6.85)and(53.92±8.19)in YM-OC patients undergoing postoperative chemotherapy.Differences in GAS scores of the patients with different ages,educational levels,average monthly household incomes,and disease stages were statistically significant(P<0.01).Mult ivar iate Logist ic regression analysis showed that ages,educat ion levels,mar ital status,average monthly household incomes and disease stages were the influencing factors of social alienation.Differences in PCQ scores of patients with dif ferent mar ital status,average monthly household incomes a nd disease stages were stat istically signif icant(P<0.01).Mult ivar iate Logistic regression analysis showed that marital status and disease stages were the influencing factors of parenting concerns.Conclusion The social alienation and parenting concerns of YM-OC patients undergoing postoperative chemotherapy are at a high level,influencing factors numerous,and targeted treatment and intervention should be given to them according to the circumstance clinically in order to improve their quality of life.

关 键 词：卵巢癌 化疗 中青年 社会疏离 养育忧虑 

分 类 号：R395[哲学宗教—心理学] R711.75[医药卫生—医学心理学] R737.31[医药卫生—基础医学]