高危型妊娠滋养细胞肿瘤患者的希望水平及影响因素分析

Analysis of the hope level and its related factors in patients with high-risk gestational trophoblastic neoplasm

目的了解高危型妊娠滋养细胞肿瘤患者的希望水平，并探讨其与社会支持、人格特质等因素之间的相关陆。方法对高危型妊娠滋养细胞肿瘤患者83例分别用Heah希望量表、社会支持量表、大五人格量表以及一般情况表进行调查，并对调查结果进行分析。结果接受调查的高危型妊娠滋养细胞肿瘤患者的希望水平基本处于中等水平，其中对现实和未来的积极态度（10．80±1．77）分，采取积极的行动（10．30±2．36）分，与他人保持亲密的关系（9．63±2．13）分，总分（30．74±4．82）分。患者的希望水平与人格的严谨性呈正相关（r=0．254），而与人格的神经质呈负相关（r=0．237），相关性均有统计学意义。结论高危型妊娠滋养细胞肿瘤患者希望水平位于中等以上，与多种因素相关，医护人员应仔细评估患者心理并及时采取干预措施，以期促进患者心理健康，提高生活质量。

Objective To study the hope level in patients with high-risk gestational trophoblastic neoplasm and to explore its related factors. Methods 83 cases of patients with high-risk gestational tro- phohlastic neoplasm were collected and investigated with Herth Hope Scale, Social Support Rating Scale （SSRS） and self-designed questionnaire. The results underwent analysis. Results The hope level of most patients underwent investigation was at the moderate level, among which the positive attitude for future and reality scored （10.80 ± 1.77）, adopting positive action scored （10.30 ± 2.36）, keeping close relationship with others scored （9.63 ± 2.13）, the total scored （30.74 ± 4.82）. The hope oevel was positively correlated with rigor personality （r=-0.254）, but negatively correlated with neuroticism （r=0.237）, the difference was statistically significant. Conclusions The hope level of patients with high-risk gestational tropoblastic neoplasm is above the moderate level and is correlated with many factors. Doctors and nurses should evaluate carefully enough and take nursing measures to improve the hope level and life quality.