上皮性卵巢癌患者腹腔镜肿瘤细胞减灭术后人格坚韧性现状及影响因素分析  

Analysis of the current status and influencing factors of personality resilience in patients with epithelial ovarian cancer undergoing laparoscopic tumor cytoreductive surgery

作　　者：郭苏燕 崔高华 GUO Suyan;CUI Gaohua(Department of GynecologyⅠ,Anyang Cancer Hospital,Anyang,Henan 455000,China)

机构地区：[1]安阳市肿瘤医院妇一科,河南安阳455000

出　　处：《现代医药卫生》2025年第3期698-702,共5页Journal of Modern Medicine & Health

摘　　要：目的 调查上皮性卵巢癌患者腹腔镜肿瘤细胞减灭术后人格坚韧性现状,并分析其影响因素。方法 选取2021年1月至2024年1月该院收治的行腹腔镜肿瘤细胞减灭术后上皮性卵巢癌患者112例作为研究对象,采用一般资料调查表、领悟社会支持量表(PSSS)、简易应对方式问卷(SCSQ)、中文版Connor-Davidson心理弹性评价量表(CD-RISC)、人格坚韧性量表(HRHS)对患者进行调查,分析上皮性卵巢癌患者腹腔镜肿瘤细胞减灭术后人格坚韧性的影响因素。结果 112例患者术后HRHS评分84~154分,平均(121.43±15.44)分;文化程度高中及以上、术后无并发症、SCSQ的积极应对方式患者HRHS评分[分别为(126.19±12.71)、(125.45±13.08)、(126.34±11.92)分]均明显高于文化程度初中及以下、术后有并发症、SCSQ的消极应对方式患者[分别为(114.07±16.50)、(108.78±15.66)、(115.34±17.16)分],差异均有统计学意义(P<0.05);上皮性卵巢癌患者腹腔镜肿瘤细胞减灭术后HRHS评分与PSSS、CD-RISC评分均呈正相关(r=0.373、0.430,P<0.05);文化程度初中及以下、有术后并发症、SCSQ的消极应对方式,以及PSSS、CD-RISC评分低均是上皮性卵巢癌患者腹腔镜肿瘤细胞减灭术后人格坚韧性低下的影响因素(P<0.05)。结论 上皮性卵巢癌患者腹腔镜肿瘤细胞减灭术后人格坚韧性水平尚有待于提高,且文化程度、术后并发症、SCSQ的应对方式和PSSS、CD-RISC评分均是其影响因素。Objective To investigate the current status of personality resilience in patients with epithelial ovarian cancer after laparoscopic tumor cytoreductive surgery and analyze its influencing factors.Methods A total of 112 patients with epithelial ovarian cancer who underwent laparoscopic tumor cytoreductive surgery from January 2021 to January 2024 were selected as study subjects.A general data questionnaire,Perceived Social Support Scale(PSSS),Simplified Coping Style Questionnaire(SCSQ),Chinese version of the Connor-Davidson Resilience Scale(CD-RISC),and Health-Related Hardiness Scale(HRHS)were used to survey the patients.The influencing factors of personality resilience in these patients after laparoscopic tumor cytoreductive surgery were analyzed.Results The HRHS scores of the 112 patients after surgery ranged from 84 to 154,with an average score of(121.43±15.44)points.The patients with a high school education or above,no postoperative complications,and positive coping styles on the SCSQ had significantly higher HRHS scores[(126.19±12.71),(125.45±13.08),(126.34±11.92)points respectively]than those with a middle school education or below,postoperative complications,and negative coping styles on the SCSQ[(114.07±16.50),(108.78±15.66),(115.34±17.16)points respectively],with statistically significant differences(P<0.05).The HRHS scores of patients after laparoscopic tumor cytoreductive surgery were positively correlated with PSSS and CD-RISC scores(r=0.373,0.430,P<0.05).Having a middle school education or below,postoperative complications,negative coping styles on the SCSQ,and low PSSS and CD-RISC scores were identified as influence factors for low personality resilience in the patients after laparoscopic tumor cytoreductive surgery(P<0.05).Conclusion The level of personality resilience in the epithelial ovarian cancer patients after laparoscopic tumor cytoreductive surgery still needs improvement.Education level,postoperative complications,coping style on the SCSQ,and PSSS and CD-RISC scores are influencing f

关 键 词：上皮性卵巢癌 腹腔镜肿瘤细胞减灭术 手术后期间 人格坚韧性 影响因素分析 

分 类 号：R737.31[医药卫生—肿瘤]