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放疗期间内在和外在因素对宫颈癌患者希望水平及心理健康状况的影响

Effects of Intrinsic and Extrinsic Factors on the Level of Hope and Psychological Health Status of Patients with Cervical Cancer During Radiotherapy.

作者信息

Li Li-Rong, Lin Mei-Guang, Liang Juan, Hu Qiong-Yan, Chen Dan, Lan Meng-Ying, Liang Wu-Qing, Zeng Yu-Ting, Wang Ting, Fu Gui-Fen

机构信息

Department of Radiation Oncology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China (mainland).

Department of Nursing, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China (mainland).

出版信息

Med Sci Monit. 2017 Jul 19;23:3508-3517. doi: 10.12659/msm.901430.

Abstract

BACKGROUND This study aimed to explore the factors affecting the level of hope and psychological health status of patients with cervical cancer (CC) during radiotherapy. MATERIAL AND METHODS A total of 480 CC patients were recruited. Psychological distress scale, Herth hope index, functional assessment cancer therapy-cervix, and Jolowiec coping scale were used to conduct surveys on psychological distress, level of hope, quality of life (QOL), and coping style to analyze the factors affecting the level of hope and psychological health status of CC patients. RESULTS The morbidity of significant psychological distress in 480 CC patients during radiotherapy was 68%, and the main factors causing psychological distress were emotional problems and physical problems. During radiotherapy, most patients had middle and high levels of hope, and the psychological distress index of patients was negatively correlated with the level of hope. The QOL of CC patients during radiotherapy were at middle and high levels, and the QOL was positively correlated with confrontment, optimism, appeasement, and self-reliance, but it was negatively correlated with predestination and emotional expression. CONCLUSIONS For CC patients during radiotherapy, the morbidity of psychological distress was high, but they were at middle and high levels of hope.

摘要

背景 本研究旨在探讨影响宫颈癌(CC)患者放疗期间希望水平和心理健康状况的因素。

材料与方法 共招募480例CC患者。采用心理困扰量表、赫斯希望指数、癌症治疗功能评估-宫颈癌量表和乔洛维茨应对量表对心理困扰、希望水平、生活质量(QOL)和应对方式进行调查,以分析影响CC患者希望水平和心理健康状况的因素。

结果 480例CC患者放疗期间显著心理困扰的发生率为68%,导致心理困扰的主要因素是情绪问题和身体问题。放疗期间,大多数患者的希望水平处于中高水平,患者的心理困扰指数与希望水平呈负相关。CC患者放疗期间的QOL处于中高水平,QOL与对抗、乐观、安抚和自力更生呈正相关,但与宿命论和情绪表达呈负相关。

结论 对于放疗期间的CC患者,心理困扰的发生率较高,但他们的希望水平处于中高水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ae2/5531534/3d3934745eee/medscimonit-23-3508-g001.jpg

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