口腔癌术后患者习得性无助感现状及影响因素分析  

Analysis of the current status and influencing factors of learned helplessness in pos-toperative patients with oral cancer

作　　者：刘艳[1] 李伟东 裴祺[1] 张丽娟[1] 范君乐 王巧晶 Liu Yan;Li weidong;Pei Qi;Zhang Lijuan;Fan Junle;Wang Qiaojing(Department of Maxillofacial Trauma Orthognathic Surgery,Affiliated Stomatology Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学附属口腔医院颌面创伤正颌外科,新疆乌鲁木齐830054

出　　处：《护理学杂志》2025年第5期16-19,共4页Journal of Nursing Science

基　　金：新疆护理学会科研基金项目(2022XH18)。

摘　　要：目的探讨口腔癌术后患者习得性无助感现状及影响因素,为临床制订针对性干预措施提供参考。方法采用一般资料调查表、习得性无助量表、痛苦表露指数量表、双向社会支持量表对205例口腔癌术后患者进行调查,分析其影响因素。结果口腔癌术后患者习得性无助感得分(43.54±8.66)分,自我表露总分(27.00±7.10)分,双向社会支持得分(36.27±7.15)分。回归分析结果显示,家庭人均月收入、临床分期、自我表露、双向社会支持为口腔癌术后患者习得性无助感的主要影响因素(均P<0.05),其中自我表露、双向社会支持可解释总变异的14.6%。结论口腔癌术后患者习得性无助感水平较高,医护人员应重点关注家庭人均月收入低、临床分期严重、自我表露较低、社会支持水平较差的患者,可通过改善患者自我表露能力以及双向社会支持水平来降低患者的习得性无助感。Objective To analyze the status quo and influencing factors of learned helplessness in postoperative patients with oral cancer,so as to provide reference for the clinical development of targeted intervention measures.Methods A total of 205 patients with oral cancer were investigated by the general information questionnaire,the Learned Helplessness Scale(LHS),Distress Disclosure Index(DDI)and Brief 2-Way Social Support Scale,and the influencing factors were analyzed.Results The score of LHS was(43.54±8.66),the total score of DDI was(27.00±7.10)and the Brief 2-Way Social Support Scale score was(36.27±7.15).The results of regression analysis showed that per capita monthly family income,clinical stage,self-disclosure and bidirectional social support were the main influencing factors of learned helplessness in patients with oral cancer after surgery(all P<0.05),with self-expression and bidirectional social support explaining 14.6%of the total variance.Conclusion The level of learned helplessness is high in postoperative oral cancer patients,and healthcare professionals should focus on patients with low per capita monthly fa-mily income,severe clinical stage,low self-disclosure,and poor social support,and the learned helplessness can be reduced by improving patients′self-disclosure ability as well as the level of bidirectional social support.

关 键 词：口腔癌 习得性无助 负性情绪 自我表露 社会支持 心理护理 

分 类 号：R473.78[医药卫生—护理学] R395.6[医药卫生—临床医学]