口腔癌术后患者习得性无助感现状及其影响因素  

Investigation and analysis of the status of acquired helplessness and the influencing factors in postoperative patients with oral cancer

作　　者：曾俊玲[1] 戴轶[1] 林楚如 周晓敏[1] 陈瞰 黄晓阳[1] ZENG Junling;DAI Yi;LIN Churu;ZHOU Xiaomin;CHEN Kan;HUANG Xiaoyang(The Second People’s Hospital of Shenzhen,Shenzhen 518035,China)

机构地区：[1]深圳市第二人民医院,广东省深圳市518035

出　　处：《护理实践与研究》2024年第8期1193-1198,共6页Nursing Practice and Research

基　　金：广东省卫生健康委员会医学科研基金项目(编号:A2023389)。

摘　　要：目的调查并分析口腔癌术后患者习得性无助感现状及其影响因素。方法选取2021年2月—2023年4月在深圳市第二人民医院就诊的216例口腔癌术后患者作为调查对象,使用一般情况调查表、习得性无助感量表(LHS)、简易应对方式量表(SCSQ)和家庭关怀度指数问卷(FAI)进行调查。结果口腔癌术后患者习得性无助感得分63.93±8.33分,条目均分3.55±0.46分。单因素分析显示,不同文化程度、家庭人均月收入、病理分期的口腔癌术后患者,其习得性无助感得分差异有统计学意义(P<0.05);Pearson相关性分析显示,口腔癌术后患者习得性无助感与积极应对、家庭关怀度呈负相关(P<0.05),与消极应对呈正相关(P<0.05);多元线性回归分析显示,文化程度、病理分期、消极应对、家庭关怀度是习得性无助感的影响因素,可预测53.4%的总变异(F=57.373,P=0.000;R^(2)=0.543,调整R^(2)=0.534)。结论口腔癌术后患者习得性无助感为高水平,文化程度、病理分期、消极应对、家庭关怀度是习得性无助感的影响因素。医护人员应注意筛查并早期识别习得性无助感高的口腔癌术后患者,重视对文化程度低和病理分期高的患者的护理干预,注重降低患者消极应对水平并提高患者家庭关怀度,从而降低其习得性无助感水平。Objective To investigate and analyze the status of acquired helplessness and the influencing factors in postoperative patients with oral cancer.Methods 216 postoperative patients with oral cancer who visited the Second People's Hospital of Shenzhen from February 2021 to April 2023 were selected as the survey subjects,they were investigated by using the general information questionnaire,the Learned Helplessness Scale(LHS),the Simple Coping Style Questionnaire(SCSQ),and the Family APGAR Index(FAI)questionnaire.Results The score of acquired helplessness in postoperative patients with oral cancer was 63.93±8.33 points,and the average score of the entries was 3.55±0.46 points.Univariate analysis showed that there was a statistically significant difference in the score of acquired helplessness in postoperative patients with oral cancer of different educational levels,family per capita monthly income,and pathological stage(P<0.05).Pearson correlation analysis showed that acquired helplessness in postoperative patients with oral cancer was negatively correlated with positive coping and family care(P<0.05),and positively correlated with negative coping(P<0.05);Multiple linear regression analysis showed that educational level,pathological stage,negative coping,and family care were the influencing factors of acquired helplessness,and 53.4%of the total variation could be predicted(F=57.373,P=0.000;R^(2)=0.543,adjusted R^(2)=0.534).Conclusion The level of acquired helplessness is high in postoperative patients with oral cancer.Education,pathological staging,negative coping,and family care were the influencing factors of acquired helplessness.Physicians and nurses should pay attention to screening and early identification of patients with oral cancer with high acquired helplessness,pay attention to nursing interventions for patients with low education and high pathological staging,and focus on reducing patients'negative coping level and improving patients'family care,so as to reduce the patients acquired helplessness level.

关 键 词：口腔癌 习得性无助感 应对方式 家庭关怀度 调查分析 

分 类 号：R473.78[医药卫生—护理学]