老年肝癌患者生存质量与生命意义感和对待死亡态度的关系  

Study on the Relationship of Quality of Life with Sense of Life Meaning and Attitudes toward Death in Elderly Patients with Liver Cancer

作　　者：高丹 张敏敏 张伟丽 GAO Dan;ZHANG Minmin;ZHANG Weili(Department of Internal Medicine,the Fifth People's Hospital of Anyang,Anyang Henan 455000)

机构地区：[1]安阳市第五人民医院内科,河南安阳455000

出　　处：《医学临床研究》2025年第1期8-11,共4页Journal of Clinical Research

摘　　要：【目的】探讨生命意义感和对待死亡的态度对老年肝癌患者生存质量的影响。【方法】采用一般资料调查表、肝癌患者生活质量测定量表(QOL-LC)、中文版生命意义感量表(C-MLQ)、死亡态度描绘量表(DAP-R)对97例老年肝癌患者进行评估,并对患者的生存质量、生命意义感以及对待死亡的态度进行相关性分析。【结果】97例患者的生活质量总得分为(121.14±24.87)分,生命意义感得分为(40.76±8.04)分,对于接受死亡的自然维度评分为(15.68±3.49)分,逃避维度评分为(15.47±3.74)分,逃离接受维度评分为(14.49±2.87)分,恐惧维度评分为(13.29±3.61)分,趋近接受维度评分为(12.31±3.02)分。老年肝癌患者对于生命意义感与生活质量呈显著正相关(P<0.05);在接受死亡态度中逃避、逃离、恐惧、趋近接受的4个维度评分与生活质量呈显著负相关(P<0.05);而对于死亡态度为自然接受评分与生活质量呈显著正相关(P<0.05)。【结论】老年肝癌患者的生存质量与其生命意义感和自然接受死亡态度呈正相关,而与逃避、恐惧等消极死亡态度呈相关,临床在治疗中应加强对患者心理状态的关注和干预,以改善患者生存质量。【Objective】To explore the impact of the sense of life meaning and attitudes toward death on the quality of life of elderly patients with liver cancer.【Methods】A total of 97 elderly liver cancer patients were surveyed using a general information questionnaire,the Quality of Life Measurement Scale for Liver Cancer Patients(QOL-LC),the Chinese Version of the Meaning of Life Questionnaire(C-MLQ),and the Death Attitude Profile-Revised(DAP-R).Correlation analyses were performed on the patients'quality of life,sense of life meaning,and attitudes toward death.【Results】The total quality of life score for the 97 patients was(121.14±24.87),with a sense of life meaning score of(40.76±8.04).The scores for acceptance of death in the natural dimension were(15.68±3.49),avoidance dimension(15.47±3.74),escape acceptance dimension(14.49±2.87),fear dimension(13.29±3.61),and approach acceptance dimension(12.31±3.02).The assessment of life meaning in elderly liver cancer patients showed a significant positive correlation with quality of life(P<0.05).The scores of the four dimensions(avoidance,escape,fear,and approach acceptance)regarding attitudes toward death were significantly negatively correlated with quality of life(P<0.05).Conversely,the score for natural acceptance of death was significantly positively correlated with quality of life(P<0.05).【Conclusion】The quality of life in elderly liver cancer patients is positively correlated with their sense of life meaning and natural acceptance of death,while it is negatively correlated with negative attitudes toward death,such as avoidance and fear.Clinical treatment should strengthen attention to and intervention in patients'psychological states to improve their quality of life.

关 键 词：肝肿瘤 生活质量 老年人 

分 类 号：R735.7[医药卫生—肿瘤]