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[心理因素对非手术胃癌患者生活质量的影响]

[Influence of Psychological Factors on the Quality of Life of Patients with Non-surgical Gastric Cancer].

作者信息

Zhang Hui-Jie, Liu Wei, Bai Xia

机构信息

Department of Gastroenterology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2022 Aug;44(4):600-605. doi: 10.3881/j.issn.1000-503X.14490.

Abstract

Objective To explore the impact of pressure and social support on the quality of life of non-surgical gastric cancer patients. Methods A total of 158 non-surgical patients diagnosed with gastric cancer by gastroscopy from June to August in 2021 were included in this study.The perceived stress scale,multidimensional scale of perceived social support,and the 36-item short form health survey questionnaire [including the physical composite score (PCS) and mental composite score (MCS)] were used for the evaluation of perceived stress,social support,and quality of life,respectively.Spearman correlation analysis was conducted.Mann-Whitney test,Kruskal-Wallis test or one-way analysis of variance was employed for the comparison between groups.Bivariate Logistic regression was employed for multiple comparisons. Results Gender (<0.001),marriage (=0.022),age (=0.022),and sickness symptoms (=0.009) affected the PCS of non-surgical gastric cancer patients.Gender (=0.016),income (=0.012),and sickness symptoms (=0.038) influenced the MCS of non-surgical gastric cancer patients.Perceived pressure was negatively correlated with PCS and MCS (all <0.001).The three factors of social support were positively correlated with PCS and MCS (all <0.001).The PCS was associated with gender (=0.219,95%=0.091-0.525,=0.001),age (=0.969,95%=0.942-0.998,=0.035),sickness symptoms (=1.142,95%=1.013-1.287,=0.030),perceived stress (=0.921,95%=0.860-0.987,=0.019),and family support (=1.195,95%=1.064-1.343,=0.003).The MCS was associated with gender (=0.169,95%=0.062-0.459,<0.001),perceived pressure (=0.910,95%=0.844-0.981,=0.013),and other support (=1.136,95%=1.002-1.288,=0.046). Conclusions The quality of life of the patients with non-surgical gastric cancer was related to perceived pressure and social support.Female and elderly patients have lower quality of life,which requires more attention in clinical work.

摘要

目的 探讨压力和社会支持对非手术治疗胃癌患者生活质量的影响。方法 本研究纳入2021年6月至8月通过胃镜检查确诊为胃癌的158例非手术患者。分别采用感知压力量表、领悟社会支持多维量表及36条目简明健康调查问卷[包括生理综合评分(PCS)和心理综合评分(MCS)]对感知压力、社会支持和生活质量进行评估。进行Spearman相关性分析。采用Mann-Whitney检验、Kruskal-Wallis检验或单因素方差分析进行组间比较。采用二元Logistic回归进行多因素比较。结果 性别(<0.001)、婚姻状况(=0.022)、年龄(=0.022)和疾病症状(=0.009)影响非手术治疗胃癌患者的PCS。性别(=0.016)、收入(=0.012)和疾病症状(=0.038)影响非手术治疗胃癌患者的MCS。感知压力与PCS和MCS呈负相关(均<0.001)。社会支持的三个因素与PCS和MCS呈正相关(均<0.001)。PCS与性别(=0.219,95%=0.091-0.525,=0.001)、年龄(=0.969,95%=0.942-0.998,=0.035)、疾病症状(=1.142,95%=1.013-1.287,=0.030)、感知压力(=0.921,95%=0.860-0.987,=0.019)和家庭支持(=1.195,95%=1.064-1.343,=0.003)有关。MCS与性别(=0.169,95%=0.062-0.459,<0.001)、感知压力(=0.910,95%=0.844-0.981,=0.013)和其他支持(=1.136,95%=1.002-1.288,=0.046)有关。结论 非手术治疗胃癌患者的生活质量与感知压力和社会支持有关。女性和老年患者生活质量较低,临床工作中需给予更多关注。

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