喉癌患者心身症状与社会支持和应对方式的相关性研究

Correlation of body and mind symptoms with social support and coping style in patients with laryngcal carcinoma

目的探讨社会支持和应对方式对喉癌患者身心症状的影响。方法采用症状自评量表（SCL-90）、社会支持评定量表（SSRS）和医学应对问卷（medical coping modes questionnaire，MCMQ）对186例喉癌患者进行问卷调查。结果喉癌患者SCL-90评定结果显示，除人际关系敏感和精神病瞄外，其余均高于国内常模；SSRS评定结果显示，社会支持总分高于常模，对支持的利用度明显低于常模；MCMQ评定结果显示，患者多采取回避和屈服这2种应对方式，回避与心理领域各因子呈负相关。结论为喉癌患者制定护理计划和健康咨询时，要充分帮助患者利用其社会支持，同时评估患者采取的应对方式对其心理健康的影响，通过有效的护理干预进行正性引导，使之有利于患者的康复和身心健康。

Objective To explore the influence of social support and coping style on body and mind symptoms of patients with laryngeal carcinoma. Methods SCL-90, SSRS and MCMQ were used for the questionnaire survey of 168 patients with laryngeal carcinoma. Results The result of SCL-90 showed that all items were higher than those of norm in China, except the interpersonal relationship sensitivity and psychotic symptoms. The result of SSRS showed that the total score of social support was higher than that of norm, while the availability of support was obviously lower than that of norm. The result of MCMQ showed that avoidance and submissiveness were used frequently in patients, and avoidance was negatively correlated with the factors of psychology. Conclusions Before the nursing plan and health consultation are set for patients with laryngeal carcinoma, the patients＇ social support should be used sufficiently, and the effect of coping style on patients＇ mental health should be evaluated.