癌症患者的个性特点、应付方式、生存质量及影响因素分析

Analysis on personality, coping style and quality of life of patients with cancer

目的 研究癌症患者的个性特点、应付方式、生存质量及影响因素.方法 采用艾森克个性问卷（EPQ）、应付方式问卷、世界卫生组织生存质量量表简表（WHOQOL-BREF）等评定癌症患者组、肝炎对照组及健康对照组的个性特点、应付方式及生存质量.结果 与肝炎组和健康组相比,癌症组的E分、N分低（P〈0.01）,解决问题因子分低（P〈0.01）,自责和退避因子分高（P〈0.01）,生存质量总评价分低（P〈0.01）,生存质量与解决问题因子、合理化及病程正相关.结论 癌症患者较多采取消极的应付方式,个性内倾;癌症患者的生存质量较差,与积极的应付方式正相关.

Objective To investigate personality characteristics, coping styles and influential factors on quality of life （QOL） of patients with cancer.Methods Patients in three groups （patients with cancer,hepatitis patients and health control） were assessed by using Eysenck personality questionnaire （EPQ）, coping style questionnaires and WHO quality of life questionnaire-brief （WHOQOL-BREF）.Results Compared with the hepatitis patients and healthy persons, E and N scores of cancer patients were lower （P 〈0.01）, resolvingproblem score and general score of WHOQOL were also lower （P 〈 0.01）; However, self-reproach and evasive scores were higher （P 〈0.01）.The quality of life of patients with cancer had positive correlation with resolvingproblem factor, rationalization, and course of disease.Conclusions Cancer patients more frequently had passive coping styles and introvert personality; The quality of life of patients with cancer was poorer and had positive correlation with active coping styles.