Department of Radiation Oncology, The First Hospital of China Medical University, Shenyang, PR China.
Department of Radiation Oncology, The First Hospital of China Medical University, Shenyang, PR China.
Eur J Oncol Nurs. 2023 Apr;63:102274. doi: 10.1016/j.ejon.2023.102274. Epub 2023 Feb 4.
Psychosocial adjustment is an important issue in patients' long-term survival. Understanding psychosocial adjustment and its influencing factors in head and neck cancer survivors after radiotherapy is essential to help them return to society and lead a normal life. The purpose of this study was to describe the level of psychosocial adjustment and explore its influencing factors in head and neck cancer patients.
Between May 2019 and May 2022, 253 head and neck cancer survivors at a tertiary hospital in northeast China were enrolled in a cross-sectional study. The research instruments comprised the Demographic and Clinical Characteristics Questionnaire, the Self-report Psychosocial Adjustment to Illness Scale (PAIS-SR), the General Self-efficacy Scale (GSES), the Social Support Rating Scale (SSRS) and the M.D. Anderson Symptom Survey-head and neck Questionnaire (MDASI-H&N).
The mean PAIS-SR score was 42.31 ± 16.70 (moderate). The multiple regression model revealed that 73.2% of the variance in psychosocial adjustment was explained by marital status (β = -0.114, P = 0.005), return to work or not (β = -0.275, P < 0.01), self-efficacy (β = -0.327, P < 0.01), subjective support (β = -0.106, P = 0.043), utilization of support (β = -0.172, P < 0.01), and trouble with symptoms in daily life (β = 0.138, P = 0.021).
The psychosocial adjustment of head and neck cancer survivors after radiotherapy is an issue that needs to be addressed, and medical staff should develop effective, individualized interventions to improve their psychosocial adjustment by increasing their social support, improving their self-efficacy and strengthening symptom management according to their actual situation.
心理社会适应是患者长期生存的一个重要问题。了解头颈部癌症放疗后患者的心理社会适应及其影响因素，有助于帮助他们回归社会，过上正常生活。本研究旨在描述头颈部癌症患者的心理社会适应水平，并探讨其影响因素。
本研究采用横断面调查方法，于 2019 年 5 月至 2022 年 5 月选取中国东北地区某三级医院的 253 例头颈部癌症幸存者作为研究对象。研究工具包括一般资料和临床特征问卷、疾病自我报告心理社会适应量表（PAIS-SR）、一般自我效能感量表（GSES）、社会支持评定量表（SSRS）和 MD 安德森症状调查-头颈部问卷（MDASI-H&N）。
PAIS-SR 总分的平均值为 42.31±16.70（中等）。多元回归模型显示，心理社会适应的 73.2%可由婚姻状况（β=-0.114，P=0.005）、是否重返工作（β=-0.275，P<0.01）、自我效能感（β=-0.327，P<0.01）、主观支持（β=-0.106，P=0.043）、支持的利用（β=-0.172，P<0.01）和日常生活症状困扰（β=0.138，P=0.021）来解释。
头颈部癌症放疗后患者的心理社会适应是一个需要解决的问题，医务人员应根据患者的实际情况，通过增加社会支持、提高自我效能感和加强症状管理，为患者制定有效的个体化干预措施，以改善其心理社会适应。
