老年胸腔镜肺癌根治术患者术前心理负荷情况及影响因素分析  

Analysis of preoperative psychological load and its influencing factors in elderly patients undergoing thoracoscopic radical resection of lung cancer

作　　者：马珍 方泽民[2] 张紫娟 赵高峰[2] MAZhen;FANG Zemin;ZHANG Zijuan;ZHAO Gaofeng(Operation Room,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China;Department of Thoracic Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院手术室,郑州450000 [2]郑州大学第一附属医院胸外科,郑州450000

出　　处：《癌症进展》2025年第8期967-969,973,共4页Oncology Progress

基　　金：郑州市科技协同创新专项(XTCX2023009)。

摘　　要：目的目的分析老年胸腔镜肺癌根治术患者术前心理负荷情况及影响因素。方法方法选取140例老年胸腔镜肺癌根治术患者,采用美国国家航空航天任务负荷指数量表(NASA-TLX)评价心理负荷水平,采用Piper疲乏修订量表(RPFS)评价癌因性疲乏情况,采用领悟社会支持量表(PSSS)评价患者感受到的社会支持程度,采用心理弹性量表(CD-RISC)评价心理弹性水平。统计老年胸腔镜肺癌根治术患者术前心理负荷情况,并采用多元线性回归分析法分析老年胸腔镜肺癌根治术患者心理负荷的影响因素。结果结果140例老年肺癌患者术前NASA-TLX评分为(60.50±7.68)分,其中负荷感受评分为(64.32±6.45)分,自我评价评分为(56.68±5.88)分。多元线性回归分析结果显示,家庭人均月收入﹤5000元、有癌因性疲乏、领悟社会支持水平低、心理弹性水平低均是老年胸腔镜肺癌根治术患者术前心理负荷的危险因素(P﹤0.05)。结论结论老年胸腔镜肺癌根治术患者的术前心理负荷较高。家庭人均月收入、癌因性疲乏情况、领悟社会支持水平、心理弹性水平均是老年胸腔镜肺癌根治术患者术前心理负荷的影响因素。Objective To analyze the preoperative psychological load and its influencing factors in elderly patients undergoing thoracoscopic radical resection for lung cancer.Method A total of 140 elderly patients undergoing thoraco-scopic radical resection of lung cancer were selected.The National Aeronautics and Space Administration task lood index(NASA-TLX)was used to evaluate the psychological load level,the revised Piper fatigue scale(RPFS)was used to as-sess cancer-related fatigue,the perceived social support scale(PSSS)was used to measure the perceived social support,and the Connor-Davidson resilience scale(CD-RISC)was used to evaluate the psychological resilience.The preoperative psychological load of elderly patients undergoing thoracoscopic radical resection of lung cancer was statistically ana-lyzed,and multiple linear regression analysis was used to analyze the influencing factors of the psychological load.Result The preoperative NASA-TLX score of 140 elderly lung cancer patients was(60.50±7.68)points,including(64.32±6.45)points for the perceived load score and(56.68±5.88)points for the self-evaluation score.The multiple linear regression analysis results showed that family monthly per capita income<5000 yuan,the presence of cancer-related fatigue,low perceived social support,and low psychological resilience were all risk factors for the preoperative psychological load of elderly patients undergoing thoracoscopic radical resection of lung cancer(P<0.05).Conclusion The preoperative psy-chological load of elderly patients undergoing thoracoscopic radical resection of lung cancer is relatively high.Family monthly per capita income,cancer-related fatigue,perceived social support,and psychological resilience are all influenc-ing factors of the preoperative psychological load of elderly patients undergoing thoracoscopic radical resection of lung cancer.

关 键 词：肺癌 胸腔镜肺癌根治术 心理负荷 领悟社会支持 

分 类 号：R734.2[医药卫生—肿瘤]