喉癌全喉切除术后患者伤残接受度现状调查及其影响因素、心理护理策略分析  

Investigation on the current status of disability acceptance in patients after total laryngectomy for laryngeal cancer and analysis of its influencing factors and psychological nursing strategies

作　　者：郝舒亭 刘志娟 孔晓旭 HAO Shuting;LIU Zhijuan;KONG Xiaoxu(Department of Otolaryngology Head and Neck Surgery,Affliated Hospital of Binzhou Medical College,Binzhou 256600,China)

机构地区：[1]滨州医学院附属医院耳鼻咽喉头颈外科,山东滨州256600

出　　处：《心理月刊》2025年第1期206-208,共3页

摘　　要：目的探讨喉癌全喉切除术后患者伤残接受度现状及其影响因素、心理护理策略。方法分析2021年1月~2024年1月滨州医学院附属医院收治的83例喉癌患者临床资料,均经伤残接受度量表(ADS)患者伤残接受度,并收集所有患者年龄、性别、疾病分期、婚姻状况、家庭人均月收入、合并高血压、合并糖尿病、应对方式、社会支持、家庭功能、宗教信仰、文化程度等多方面基础资料,开展多元线性回归分析,获得影响伤残接受度的高危因素。结果83例ADS评分为68.47±5.27分;单因素显示,性别、婚姻状况、家庭人均月收入、应对方式、社会支持、家庭功能、文化程度与伤残接受度有关,有统计学差异(P<0.05);多因素显示,女性、离异或丧偶、家庭人均月收入<5000元、应对方式消极、社会支持一般、家庭功能一般、文化程度初中及以下为影响喉癌全喉切除术后患者伤残接受度的高危因素(P<0.05)。结论喉癌全喉切除术后患者伤残接受度与性别女、离异或丧偶、家庭人均月收入<5000元、应对方式消极、社会支持一般、家庭功能一般、文化程度初中及以下关系密切,还需做好针对性心理干预,提高患者伤残接受度,更好面对生活。Objective To investigate the status quo,influencing factors and psychological nursing strategies of disability acceptance in patients with laryngeal cancer after total laryngectomy.Methods Clinical data of 83 patients with laryngeal cancer admitted to the Affiliated Hospital of Binzhou Medical College from January 2021 to January 2024 were analyzed.All patients were evaluated by acceptance of disability scale(ADS).Moreover,multiple linear regression analysis was carried out to obtain the high-risk factors affecting disability acceptance by collecting the basic data of all patients,including age,gender,disease stage,marital status,monthly family income per capita,combined hypertension,combined diabetes,coping style,social support,family function,religious belief and educational level.Results The ADS score of 83 cases was 68.47±5.27.Univariate analysis showed that gender,marital status,average monthly household income,coping strategies,social support,family functioning,educational level,and disability acceptance were correlated with statistical differences(P<0.05).According to multiple factors,female,divorce or widowhood,average monthly household income<5000 yuan,negative coping strategies,average social support,average family function,and education level of junior high school or below are high-risk factors affecting the disability acceptance of laryngeal cancer patients after total laryngectomy(P<0.05).Conclusion The disability acceptance of patients with laryngeal cancer after total laryngectomy is closely related to gender,divorce or widower,per capita family income<5000 yuan,negative coping style,average social support,average family function,and education level of junior high school or below.Targeted psychological intervention is needed to improve patients'disability acceptance and better face life.

关 键 词：喉癌 全喉切除术 伤残接受度 影响因素 心理护理策略 

分 类 号：R395[哲学宗教—心理学]