摘要
目的分析肝癌住院患者的心理弹性水平及对生存质量和临床症状的影响。方法选取2015年9月~2017年3月广西医科大学附属肿瘤医院收治的63例首次住院的原发性肝癌患者作为研究对象,采用心理弹性量表(CD-RISC)测评其心理弹性水平,采用欧洲癌症研究和治疗组织(EORTC)研发的癌症患者生存质量核心量表(QLQ-C30 V3.0)测评其生存质量(包括躯体、认知、情绪、角色、社会5个功能领域和1个总体健康状况等),采用肝癌特异性生存质量量表(QLQ-HCC18)测评肝癌特异临床症状(疲乏、躯体改变、黄疸、营养改变、疼痛、发热、腹胀以及性生活改变)。分析肝癌住院患者心理弹性水平及其与生存质量和临床症状的相关性。结果不同年龄、性别、婚姻、文化程度、职业、年收入情况下肝癌患者的CD-RISC总评分比较,差异无统计学意义(P>0.05);来源县城/城市肝癌患者的CD-RISC总评分高于来源农村/乡镇的肝癌患者,差异有统计学意义(P<0.05)。63例肝癌住院患者的CD-RISC总评分为(73.13±16.50)分,QLQ-C30总健康状况评分为(56.61±27.24)分,肝癌住院患者的心理弹性和生存质量评分较低,临床症状评分较高。情绪功能、社会功能、总健康状况与心理弹性总分成正相关(r=0.382,P<0.01;r=0.324,P<0.01;r=0.383,P<0.01)。疲倦、疼痛、疲乏、营养改变的症状与心理弹性总分成负相关(r=-0.303,P<0.05;r=-0.286,P<0.05;r=-0.360,P<0.01;r=-0.259,P<0.05)。结论肝癌住院患者心理弹性及生存质量较低,临床症状明显。患者生存质量、临床症状与心理弹性密切相关,临床可通过提升心理弹性,促进肝癌患者症状管理,提高生存质量。
Objective To analyze the level of psychological resilience and its effect on quality of life and clinical symptoms in hospitalized patients with hepatocellular carcinoma. Methods A total of 63 primary hepatocellular carcinoma patients were selected as objects who were first hospitalized in Guangxi Medical University Cancer Hospital from September 2015 to March 2017. The psychological resilience level was assessed with Connor-Davidson resilience scale(CD-RISC), the quality of life was assessed with the quality of life questionnaire-carcinoma 3.0(QLQ-C30 V3.0) developed by the European Organisation for Research and Treatment of Cancer(EORTC)(including physical, cognitive, emotional, role, social functional areas and overall health status, etc.), the specific clinical symptoms of hepatocellular carcinoma were assessed with the quality of life questionnaire hepatocellular carcinoma 18(QLQHCC18)(including fatigue, physical changes, jaundice, nutritional changes, pain, fever, abdominal distension and sex life changes). The psychological resilience level of hospitalized patients with hepatocellular carcinoma and its correlation with quality of life and clinical symptoms were analyzed. Results There were no significant differences in the total scores of CD-RISC of hepatocellular carcinoma patients under different age, gender, marriage, education, occupation,and annual income(P>0.05). The total CD-RISC score of patients with hepatocellular carcinoma from the county/city was higher than that from the countryside/township, with statistically significant difference(P<0.05). The total CD-RISC score of 63 hospitalized patients with hepatocellular carcinoma was(73.13 ±16.50) points, and the total health status score of QLQ-C30 was(56.61±27.24) points, with lower psychological resilience and quality of life scores and higher clinical symptoms scores. Emotional function, social function, and general health status were positively correlated with the total score of psychological resilience(r=0.382, P<0.01;r=0.324, P<0.01;r=0.383, P<0.01). Symptoms of fatigue,pain, fatigue, and nutritional changes were negatively correlated with the total score of psychological resilience(r=-0.303, P<0.05;r=-0.286, P<0.05;r=-0.360, P<0.01;r=-0.259, P<0.05). Conclusion Hepatocellular carcinoma hospitalized patients have lower psychological resilience, quality of life and obvious clinical symptoms. Patients′ quality of life and clinical symptoms are closely related to psychological resilience. Clinically, improving their psychological resilience could promote symptoms management and improve quality of life.
作者
韦瑜群
李岸花
陈英
赵新华
唐娟
韦巧玲
庞永慧
WEI Yu-qun;LI An-hua;CHEN Ying;ZHAO Xin-hua;TANG Juan;WEI Qiao-ling;PANG Yong-hui(The Fifth Department of Chemotherapy,Guangxi Medical University Cancer Hospital,Nanning530021,China;Scientific Research and Training Section,Guangxi Zhuang Autonomous Region Center for Disease Prevention and Control,Nanning,530021,China;Department of Nursing,Guangxi Medical University Cancer Hospital,Nanning530021,China;Department of Hepatobiliary Surgery,Guangxi Medical University Cancer Hospital,Nanning530021,China;Nursing Expert Supervision Group,Guangxi Medical University Cancer Hospital,Nanning530021,China)
出处
《中国当代医药》
2019年第35期206-210,共5页
China Modern Medicine
基金
广西卫生和计划生育委员会立项科研课题(Z2016496)
关键词
肝癌
心理弹性
生存质量
临床症状
相关性
影响
Hepatocellular carcinoma
Psychological resilience
Quality of life
Clinical symptoms
Correlation
Effect
作者简介
韦瑜群(1982-),女,硕士,主管护师,研究方向:肿瘤心理,肿瘤临床护理;通讯作者:庞永慧(1964-),女,本科,主任护师/大外科护长,硕士研究生导师,研究方向:肿瘤临床护理。
