a Department of Urology , The First Affiliated Hospital of China Medical University , Shenyang , PR China.
Psychol Health Med. 2018 Jan;23(1):106-113. doi: 10.1080/13548506.2017.1335875. Epub 2017 May 29.
Quality of life and positive psychological variables has become a focus of concern in patients with renal carcinoma. However, the integrative effects of positive psychological variables on the illness have seldom been reported. The aims of this study were to evaluate the quality of life and the integrative effects of hope, resilience and optimism on the quality of life among Chinese renal carcinoma patients. A cross-sectional study was conducted at the First Hospital of China Medical University. 284 participants completed questionnaires consisting of demographic and clinical characteristics, EORTC QLQ-C30, Adult Hope Scale, Resilience Scale-14 and Life Orientation Scale-Revised from July 2013 to July 2014. Pearson's correlation and hierarchical regression analyses were performed to explore the effects of related factors. Hope, resilience and optimism were significantly associated with quality of life. Hierarchical regression analyses indicated that hope, resilience and optimism as a whole accounted for 9.8, 24.4 and 21.9% of the variance in the global health status, functioning status and symptom status, respectively. The low level of quality of life for Chinese renal carcinoma patients should receive more attention from Chinese medical institutions. Psychological interventions to increase hope, resilience and optimism may be essential to enhancing the quality of life of Chinese cancer patients.
生活质量和积极的心理变量已成为肾癌患者关注的焦点。然而，积极心理变量对疾病的综合影响很少被报道。本研究旨在评估中国肾癌患者的生活质量以及希望、韧性和乐观对生活质量的综合影响。 2013 年 7 月至 2014 年 7 月，在中国医科大学第一医院进行了一项横断面研究。284 名参与者完成了调查问卷，包括人口统计学和临床特征、EORTC QLQ-C30、成人希望量表、韧性量表-14 和生活取向测试修订版。采用 Pearson 相关和层次回归分析探讨相关因素的影响。希望、韧性和乐观与生活质量显著相关。层次回归分析表明，希望、韧性和乐观整体上分别占总体健康状况、功能状况和症状状况的 9.8%、24.4%和 21.9%。中国肾癌患者生活质量较低，应引起中国医疗机构的重视。增加希望、韧性和乐观的心理干预可能对提高中国癌症患者的生活质量至关重要。
