食管癌患者C型行为特征分析

Prevalence of tpye-C behavior among esophageal cancer patients

目的探讨食管癌患者的C型行为特征,为食管癌防治提供科学依据。方法采用C型行为问卷调查208例食管癌患者与210例非食管癌患者的C型行为特征,并对相关指标进行分析。结果食管癌组与非食管癌组患者C型行为量表中抑郁、愤怒、愤怒向内、理智、社会支持得分分别为(44.30±7.47)与(40.47±6.87)、(24.74±6.71)与(22.58±5.00)、(14.71±2.51)与(13.82±2.25)、(42.19±6.50)与(40.83±3.58)、(16.24±3.20)与(17.53±2.13),差异均有统计学意义(P<0.01);男性食管癌患者的焦虑、抑郁、愤怒、愤怒向内、愤怒向外、理智、控制、乐观、社会支持得分分别为(47.37±7.38)、(43.34±7.81)、(24.62±6.24)、(14.86±2.37)、(13.83±2.75)、(42.62±6.77)、(19.07±3.86)、(22.11±3.83)、(16.56±3.15),与男性常模得分比较差异均有统计学意义(P<0.01);女性食管癌患者的焦虑、抑郁、愤怒、愤怒向外、控制、乐观、社会支持得分分别为(46.17±6.31)、(46.25±6.36)、(24.97±7.61)、(13.22±2.74)、(18.33±3.86)、(21.10±3.26)、(15.58±3.21),与女性常模得分比较,差异均有统计学意义(P<0.05)。结论食管癌患者具有明显的C型行为特征,提示C型行为特征与食管癌的发生、发展、治疗和预后有关;加强心理健康教育、改善行为方式有益于食管癌的防治。

Objective To explore the characteristics of type-C behavior among esophageal cancer patients and to provide basis for prevention and control of esophageal cancer. Methods Type-C behavior was investigated among 208 esophageal cancer patients and 210 control patients without esophageal cancer with a questionnaire. Results The scores of type-C behavior questionnaire for depression, anger, anger toward inside, reasoning, and social support were 44. 30 ±7.47,24. 74 ±6. 71,14. 71 ±2. 51,42. 19 ±6. 50,and 16. 24 ±3.20 among the cancer palients and 40. 47 ±6. 8, 22. 58 ± 5.00,13.82 ± 2. 52,40. 80 ± 3.58, and 17.53 ± 2. 13 among the control patients, respectively, with significant differences between the two groups （P 〈 0. 01 for all ）. The scores of anxiety, depression, anger, anger toward inside, anger toward outside ,reasoning, control, optimistic, and social support for male cancer patients were 47.37 ± 7. 38,43.34 ± 7.81,24. 62 ± 6. 24,14. 86 ± 2. 37,13.83 ± 2. 75,42. 62± 6. 77,19. 07 ± 3.86,22. 11 ± 3.83, and 16. 56 ± 3.15, respectively,with significant differences（ P 〈 0.01 for all） compared with those of the male norm. The scores of anxiety, depression, anger, anger toward outside, control, optimistic, and social support for the female cancer patients were 46. 17 ± 6. 31,46. 25 ± 6. 36,24. 97 ± 7. 61,13.22 ± 2. 74,18. 33 ± 3.86,21.10 ± 3.26, and 15.58 ± 3.21, respectively, with significant differences （P 〈 0. 05 for all） compared to those of the female norm. Conclusion The type-C behavior in esophageal cancer patients is obvious and may relate to the incidence, progression, treatment and prognosis of the cancer. Mental health education may be helpful for the prevention of esophageal cancer.