摘要
目的:研究乳腺癌患者创伤后症状及影响因素,为临床及护理干预提供参考。方法采用PTSD筛查量表、乳腺癌生活质量(FACT-B)对乳腺癌患者进行调查。结果192例乳腺癌患者创伤后症状总分为(37.91±12.71)分,再体验症状群、回避症状群、警觉性增高症状群3个因子得分分别为11.48±4.32、15.25±5.63、11.18±4.18;年龄、文化程度、婚姻状况、病理分期、患病时间是乳腺癌患者创伤后症状的影响因素(P<0.05)。乳腺癌患者创伤后症状与乳腺癌生活质量(FACT-B)总分、生理状况、功能状况及附加关注呈负相关(均P<0.05)。结论乳腺癌患者创伤后症状发生率较高,部分人口学变量及患病时间等特征会影响乳腺癌患者的创伤后症状。
Objective To study post raumatic stress disorder(PTSD)symptoms in breast cancer patients and the influencing factors,and to provide information for early detection and intervention.Methods A total of 204 breast cancer patients were surveyed by using the Post raumatic Stress Disorder Checklist Civilian Version(PCL-C)and the functional assessment of cancer therapy(FACT-B).Results The tota1 PCL-C score in cancer patients was(37.91±12.71)points,with the scores of re-experiencing,avoidance,and hyperarousal dimensions being 11.48±4.32,15.25±5.63 and 11.18±4.18 respectively.The total PCL-C score was influenced by age,marriage status,educational backgrounds,pathological stage and duration of disease(P<0.05);PTSD symptoms was negatively correlated with FACT-B and its components(P<0.05).Conclusion The occurrence of PTSD symptoms is high in cancer patients,and some demographic variables and sociopsychological characteristics are important predictors of PTSD.
作者
董璐
徐国会
宋艳艳
黄嘉玲
胡雁
吕倩
DONG lu;XU Guo-hui;SONG Yan-yan;HUANG Jia-ling;HU Yan;LV Qian(School of Nursing,Shanghai Fudan University&School of Nursing,Shanghai University of Traditional Chinese Medicine,Shanghai200032,China;Department of Rehabilitation,Huadong Hospital,Fudan University,Shanghai200040,China;Statistics Medical College of Shanghai Jiaotong University,Shanghai200025,China;Department of Galactophore,Cancer Hospital of Fudan University,Shanghai200032,China;School of Nursing,ShanghaiFudan University,Shanghai200032,China;Department of psychology,university of Houston)
关键词
乳腺癌
创伤后症状
乳腺癌生活质量量表
Breast cancer
Post raumatic stress disorder
Functional assessment of cancer therapy
作者简介
通讯作者:胡雁,1967年,女,上海,博士,教授,肿瘤护理,上海复旦大学护理学院,huyan@fudan.edu.cn
