老年乳腺癌患者归因方式、心理痛苦及生活质量的相关性  

Correlation of attributional style and psychological distress with quality of life in elderly patients with breast cancer

作　　者：胡巧丽 但慧芳[1] 张静[1] Hu Qiaoli;Dan Huifang;Zhang Jing(Department of Breast Surgery,Mianyang Central Hospital,Mianyang 621000,Sichuan Province,China)

机构地区：[1]绵阳市中心医院乳腺外科,四川绵阳621000

出　　处：《中华老年多器官疾病杂志》2024年第9期665-670,共6页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：四川省卫生健康委员会科研课题(19PJ115);健康创新研究中心科研项目(YDJKY23-36);绵阳市市级社会科学研究规划项目(MY2023ZC058).

摘　　要：目的探讨老年乳腺癌患者归因方式、心理痛苦及生活质量的相关性。方法选择绵阳市中心医院2021年7月至2022年12月收治的290例乳腺癌患者为研究对象,根据年龄将患者分为中青年组(年龄18~<60岁,n=123)及老年组(年龄≥60岁,n=167)。采用归因方式问卷(ASQ)、心理痛苦[心理痛苦温度计(DT)]及生活质量[中文版乳腺癌生活质量测定量表(FACT-B)]调查两组患者归因方式、心理痛苦及生活质量水平。采用SPSS 19.0统计软件进行数据分析。根据数据类型,分别采用t检验、方差分析或χ^(2)检验进行组间比较。采用Preason相关性分析评估老年乳腺癌患者归因方式、心理痛苦及生活质量的相关性。结果老年组患者归因方式中负性事件得分低于中青年组,ASQ量表总得分高于中青年组;DT得分低于中青年组,心理显著痛苦发生率低于中青年组;FACT-B量表中生理状态、功能状况维度以及量表总得分均低于中青年组,差异均有统计学意义(P<0.05)。Pearson相关性分析提示,老年组患者归因方式的正性事件总得分与心理痛苦呈弱负相关(r=-0.263;P<0.001),与生活质量呈弱正相关(r=0.214;P<0.001);负性事件总得分与心理痛苦呈弱正相关(r=0.255;P<0.001),与生活质量呈弱负相关(r=-0.277;P<0.001);心理痛苦与生活质量呈弱负相关(r=-0.267;P<0.001)。而中青年组患者归因方式的正性事件总得分与心理痛苦呈中等强度负相关(r=-0.553;P<0.001),与生活质量呈中等强度正相关(r=0.633;P<0.001);负性事件总得分与心理痛苦呈中等强度正相关(r=0.494;P<0.001),与生活质量呈中等强度负相关(r=-0.511;P<0.001);心理痛苦与生活质量呈中等强度负相关(r=-0.577;P<0.00)。患者自评婚姻质量越好、月收入越高、情绪调节能力越好,生活质量得分越高;合并慢性病种类越多,生活质量得分越低;此外,术后接受内分泌治疗及化疗者生活质量得分均分别高于未接受内分�Objective To explore the correlation between attributional style,psychological distress and quality of life in the elderly patients with breast cancer.Methods A total of 290 patients with breast cancer admitted to Mianyang Central Hospital from July 2021 to December 2022 were selected as the study subjects.According to age,the patients were divided into young and middle-aged group(18-<60 years;n=123)and elderly group(≥60 years;n=167).Attributional style questionnaire(ASQ),distress thermometer(DT)and Chinese version of functional assessment of cancer therapy-breast(FACT-B)were used to investigate the attributional style,psychological distress and quality of life of the patients in the two groups.Data analysis was conducted using SPSS 19.0.According to the data type,comparison between groups was performed using t test,analysis of variance or Chi-square test respectively.Pearson correlation analysis was used to analyze the correlation between attributional style,psychological distress,and quality of life in the elderly patients with breast cancer.Results In the elderly group,the score of negative event of attributional style was lower,and the total score on ASQ scale was higher;the DT score was lower,and the incidence rate of significantly psychological distress was lower;the scores of physiological status and functional status and total score of FACT-B scale were lower than those in the young and middle-aged people group(P<0.05).Pearson correlation analysis indicated that the total score of positive events of attributional style in the elderly group was weakly negatively correlated with psychological distress(r=-0.263;P<0.001)and was weakly positively correlated with quality of life(r=0.214;P<0.001).The total score of negative events had a weak positive correlation with psychological distress(r=0.255;P<0.001)and a weak negative correlation with quality of life(r=-0.277;P<0.001).Psychological distress was negatively correlated with quality of life(r=-0.267;P<0.001).In the young and middle-aged group,the total scor

关 键 词：老年人 乳腺癌 归因方式 心理痛苦 生活质量 

分 类 号：R592[医药卫生—老年医学] R737.9[医药卫生—内科学]