初诊胃癌患者希望水平与生活质量相关性的纵向研究

The relationships between hope level and quality of life among patients firstly diagnosed stomach cancer

目的调查初诊胃癌患者在诊断至手术后6个月的希望水平,分析其动态变化及其与生活质量的相关性。方法采用Herth希望量表和癌症康复评价简表对162例初次诊断为胃癌的患者进行调查。结果患者术前希望水平处于中等水平,术后均达到高水平;患者术后6个月的生活质量高于术后1个月(P<0.01);术后1个月和6个月时生活质量与希望水平呈正相关(P<0.01)。结论初诊胃癌患者的术前希望水平有待提高,可以通过提高患者的希望水平来改善其生活质量,而且应根据患者的个体特征采取适当方法提高其希望水平。

Objective To investigate the dynamic change of hope level among stomach cancer patients since firstly diagnosed to 6 months after operation, and analyze the relationship between hope level and quality of llfe. Methods Totally, 162 stomach cancer patients were investigated using I-Ierth Hope Index （HHI） and Cancer Rehabilitation Evaluation System - Short Form （ CARES - SF）. Results The level of hope of the patients before surgery was medium and high after surgery. The quality of life among the patients six months after surgery was higher than one month after surgery （ P 〈 0.01 ）. There was positive correla- tion between score of quality of life and hope level among the patients one and six months after surgery（P 〈0.01 ）. Conclusion The hope level of the stomach cancer patients needs to be improved. It is suggested to improve the qua/ity of life through taking targeted measures to improve patients＇hope/eve/.