Gibek Katarzyna, Sacha Tomasz
Jagiellonian University Medical College, Krakow, Poland.
Chair and Clinic of Hematology, Jagiellonian University Medical College, Krakow, Poland.
Contemp Oncol (Pozn). 2019;23(2):115-120. doi: 10.5114/wo.2019.85638. Epub 2019 May 31.
The aim of the study was to investigate whether there are differences in the various dimensions of the health locus of control between oncological and non-oncological patients and to determine whether there is a relationship between the level of health locus of control and the type, duration of disease and gender.
The study was conducted at the Department of Hematology and the 1 Department of Cardiology of the University Hospital in Krakow. 204 patients were enrolled. Our own questionnaire developed for this purpose and the Multidimensional Health Locus of Control scale were used. The US normalization group and the Polish standardization groups of the chronically ill patients were used for comparative analysis.
Analysis showed significant differences between women and men in the Internal control scale ( < 0.02). The respondents from both groups showed lower scores in the Internal locus of control and much higher scores in the dimension Powerful Others. In the group of oncological patients, a negative correlation was found between the Internal scale of health locus of control and the duration of the disease ( = 0.007). There was a significant difference between oncological and non-oncological patients in the Powerful Others scale ( < 0.004).
The results suggest that oncologically ill patients could be more convinced that others are responsible for their health when compared to non-oncological patients. The longer the disease persists in oncological patients, the weaker is their internal motivation to achieve good treatment results.
本研究旨在调查肿瘤患者和非肿瘤患者在健康控制点的各个维度上是否存在差异,并确定健康控制点水平与疾病类型、病程及性别之间是否存在关联。
本研究在克拉科夫大学医院血液科和心内科进行。共纳入204例患者。使用了为此目的自行编制的问卷以及多维健康控制点量表。采用美国慢性病患者标准化组和波兰慢性病患者标准化组进行对比分析。
分析显示,内控量表中男性和女性之间存在显著差异(<0.02)。两组受访者在内控点维度得分较低,而在“有势力的他人”维度得分高得多。在肿瘤患者组中,健康控制点的内控量表得分与病程之间存在负相关(=0.007)。肿瘤患者和非肿瘤患者在“有势力的他人”量表上存在显著差异(<0.004)。
结果表明,与非肿瘤患者相比,肿瘤患者可能更相信他人对其健康负责。肿瘤患者的病程越长,其实现良好治疗效果的内在动力就越弱。