Clarke G, Asiedu Y A, Herd K, Sharma S
University of Southampton, University Rd, Southampton SO17 1BJ, United Kingdom.
University Hospital Southampton, Tremona Road, Southampton, Hampshire SO16 6YD, United Kingdom.
Br J Oral Maxillofac Surg. 2019 Dec;57(10):1044-1048. doi: 10.1016/j.bjoms.2019.09.007. Epub 2019 Oct 5.
Resilience, which is a measure of a patient's ability to recover from a traumatic event, varies among the general population, and previous studies have suggested that it has an important influence on a patient's quality of life. We conducted a study of patients treated for cancer of the head and neck to investigate the relation between scores for resilience and quality of life (QoL). A total of 98 patients, who had been treated with curative intent, completed the University of Washington quality of life questionnaire (UW-QoL) and the Connor-Davidson resilience scale (CD-RISC). Retrospective analysis of patients' records identified demographic data, stage of disease, and treatment. The Mann-Whitney U-test, Kruskal-Wallis test, and Spearman's rank correlation were used to assess the significance of differences between the groups. The mean (SE) QoL score after treatment was 61 (2.081), and the mean CD-RISC score 0.427 for QoL in the last seven days. There was a significant correlation between overall scores for QoL and resilience (Spearman's Rho=0.427, p<0.005). As higher resilience scores had a significant correlation with a better QoL, strengthening a patient's resilience might in turn help to improve their quality of life.
心理弹性是衡量患者从创伤性事件中恢复能力的指标,在普通人群中存在差异,先前的研究表明它对患者的生活质量有重要影响。我们对接受头颈部癌症治疗的患者进行了一项研究,以调查心理弹性得分与生活质量(QoL)之间的关系。共有98名接受了根治性治疗的患者完成了华盛顿大学生活质量问卷(UW-QoL)和康纳-戴维森心理弹性量表(CD-RISC)。对患者记录的回顾性分析确定了人口统计学数据、疾病分期和治疗情况。采用曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验和斯皮尔曼等级相关分析来评估组间差异的显著性。治疗后的平均(SE)QoL得分为61(2.081),过去七天的QoL平均CD-RISC得分为0.427。QoL总体得分与心理弹性之间存在显著相关性(斯皮尔曼相关系数=0.427,p<0.005)。由于较高的心理弹性得分与较好的QoL显著相关,增强患者的心理弹性可能反过来有助于提高他们的生活质量。