摘要
目的探究卵巢癌术后化疗患者自我效能感与其疾病恐惧心理的相关性。方法选取2019-03-01-2021-03-01河南省人民医院行卵巢癌根治术后进行化疗的90例患者作为研究对象。所有患者均于化疗1个月后进行自我效能感量表(GSES)及疾病进展恐惧简化表(FoP-Q)评分,根据FoP-Q评分结果将其分为心理良好组和心理不良组。采用logistic回归分析、Pearson相关性分析评估GSES评分与卵巢癌术后化疗患者疾病恐惧心理的相关性。结果90例卵巢癌术后化疗患者,心理良好组29例,心理不良组61例。心理不良组患者的GSES评分为(23.67±3.31)分,低于心理良好组的(29.58±4.54)分,t=6.996,P<0.001;化疗周期≥2个、病程、年龄、糖尿病史、离婚或丧偶占比均高于心理良好组,差异有统计学意义,均P<0.05。logistic回归分析结果显示,低GSES评分(OR=2.527,95%CI为2.379~2.675,P=0.001)、长化疗周期(OR=2.370,95%CI为1.225~3.516,P=0.043)、病程(OR=2.188,95%CI为1.354~3.022,P=0.027)是影响卵巢癌患者发生疾病恐惧心理的危险因素。Pearson相关性分析结果显示,GSES评分与FoP-Q评分成正相关,r=0.479,P<0.05。结论卵巢癌患者化疗中疾病恐惧心理的发生率较高,自我效能感是发生恐惧心理的独立影响因素。临床中应采用GSES评分进行提前风险评估、分层干预,进而改善患者心理健康状态及生活质量。
Objective To explore the correlation between general self-efficacy scale(GSES)score and disease fear in patients with ovarian cancer undergoing postoperative chemotherapy.Methods A total of 90 patients who underwent chemotherapy after radical ovarian cancer surgery in Henan Provincial People’s Hospital from March 1,2019 to March 1,2021 were selected.All patients were evaluated by GSES and Fear of Progression Simplified Scale(FoP-Q)score 1 month after chemotherapy.According to the results of the FoP-Q score,they were divided into a psychologically good group and a psychologically poor group.logistic regression analysis and Pearson correlation analysis were used to evaluate the correlation between GSES score and fear of disease in patients with ovarian cancer undergoing chemotherapy.Results Of the 90 patients with ovarian cancer undergoing chemotherapy after surgery,29 were in the good psychological group and 61 in the poor psychological group.The GSES score of the patients in the mentally unhealthy group was(23.67±3.31),which was lower than that of the mentally healthy group(29.58±4.54),t=6.996,P<0.001.The proportion of chemotherapy courses≥2 courses,disease duration,age,history of diabetes,divorce or widowhood were higher than those in the good psychological group,with statistically significant difference(all P<0.05).logistic regression analysis showed that,low GSES score(OR=2.527,95%CI:2.379-2.675,P=0.001),long chemotherapy course(OR=2.370,95%CI:1.225-3.516,P=0.043),and disease duration(OR=2.188,95%CI:1.354-3.022,P=0.027)were the risk factors of fear of disease in patients with ovarian cancer.The Pearson analysis showed that the GSES score was positively correlated with the FoP-Q score(r=0.479,P<0.05).Conclusions The incidence of disease fear in patients with ovarian cancer during chemotherapy is high.Self-efficacy is an independent influencing factor of fear in such patients.GSES score can be used in clinic to carry out early risk assessment and hierarchical intervention,so as to improve the mental health status and quality of life of patients.
作者
王精华
张莹
马润红
WANG Jing-hua;ZHANG Ying;MA Run-hong(Department of Gynecology,Henan Provincial People's Hospital,People's Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《社区医学杂志》
CAS
2022年第17期988-992,共5页
Journal Of Community Medicine
关键词
卵巢癌
化疗
恐惧心理
关联性
自我效能
ovarian cancer
chemotherapy
fear
relevance
general self-efficacy scale
作者简介
通信作者:王精华,女,河南郑州人,主管护师,主要从事妇科护理相关的研究工作。E-mail:ecmxid@163.com
