原发性肝癌根治术后患者心理社会适应与应对方式的相关性

Correlation between Psychosocial Adaptation and Coping Style of Patients with Primary Liver Cancer after Radical Resection

目的:探讨原发性肝癌(PHC)根治术后患者心理社会适应与应对方式的相关性.方法:前瞻性纳入本院2019年3月至2020年3月符合纳入标准的74例择期接受根治术治疗的PHC患者作为研究对象.在术前、术后1个月及术后6个月分别对患者的心理社会适应水平与应对方式进行评估,观察患者心理社会适应与应对方式的变化,并分析心理社会适应与应对方式的相关性.结果:PHC患者根治术后心理社会适应评分逐渐升高,医学应对方式问卷(MCMQ)中回避、屈服分量表评分逐渐降低,面对分量表评分逐渐升高,差异有统计学意义(P<0.05);Pearson结果表明,PHC患者心理社会适应与MCMQ面对呈正相关(r=0.536,P<0.05),与MCMQ回避、屈服呈负相关(r=-0.588、-0.626,P<0.05).结论:PHC患者在接受根治术前普遍存在不同程度心理社会适应低下及应对方式普遍消极等情况;随着根治术的实施,PHC患者心理社会适应与应对方式逐渐改善,且二者有相互影响.

Objective:To explore the correlation between psychosocial adaptation and coping style of patients with primary liver cancer(PHC)after radical resection.Methods:Seventy-four PHC patients who met the inclusion conditions in the hospital from March 2019 to March 2020 were prospectively included as the research subjects.The psychosocial adaptation level and coping style of patients were evaluated before operation,1 month and 6 months after operation;the changes of patients'psychosocial adaptation and coping style were observed;and the correlation between psychosocial adaptation and coping style were analyzed.Results:After radical resection,the psychosocial adaptation score of PHC patients gradually increased,the avoidance and submission subscale score in medical coping modes questionnaire(MCMQ)gradually decreased,and the confronter subscale score gradually increased,the difference was statistically significant(P<0.05).Pearson wrrelation analysis results showed that the psychosocial adaptation of PHC patients was positively correlated with MCMQ confronter(r=0.536,P<0.05),and negatively correlated with MCMQ avoidance and submission(r=-0.588,-0.626,P<0.05).Conclusions:PHC patients generally have different degrees of low psychosocial adaptation and negative coping styles before radical resection.But with the implementation of radical resection,the psychosocial adaptation and coping style of PHC patients were gradually improved,and the two affect each other.