老年乳腺癌患者心理韧性现状及影响因素研究

The Current State of Psychological Resilience and Its Influencing Factors in Elderly Patients with Breast Cancer

目的探讨老年乳腺癌患者心理韧性现状及影响因素,为临床心理护理提供现实依据。方法采用一般资料问卷、中文版心理韧性量表对2013年10月—2014年5月在安徽省2所三甲医院住院治疗的115名老年乳腺癌患者进行问卷调查,采用单因素分析和多因素分析探讨老年乳腺癌患者心理韧性的影响因素。结果老年乳腺癌患者心理韧性处于中等偏上水平,心理韧性总分为(77.4±9.6)分,项目均分为(5.5±0.7)分。单因素分析显示,不同年龄、居住地、文化程度、家庭关系、家庭月收入、疾病接触情况、肿瘤临床分期的老年乳腺癌患者心理韧性水平间差异均有统计学意义(P<0.05);多因素分析显示,年龄、文化程度、家庭关系最终进入回归方程。结论老年乳腺癌患者心理韧性有待进一步提高,年龄、文化程度、家庭关系是其影响因素,临床护理人员应密切关注其心理韧性水平的动态变化,采取多种措施促进心理韧性的发展。

Objective To investigate the current state of psychological resilience and its influencing factors in elderly patients with breast cancer and offer practical recommendations for psychological nursing in clinical practice. Methods We enrolled 115 elderly patients with breast cancer who received hospitalized treatment in two first- class hospitals at Grade 3 in Anhui Province from October,2013 to May,2014. Questionnaires of general information and scales of psychological resilience were used. Univariate analysis and multivariate analysis were conducted to evaluate the influencing factors. Results The psychological resilience was at the upper- middle level, with（ 77. 4 ± 9. 6） in total points and（ 5. 5 ± 0. 7） in average points. The univariate analysis showed that there was statistic significance（ P〈 0. 05） in the differences among levels of patients in terms of age,place of residence,literacy level,family relationship,monthly income of a family,disease exposure,clinical stage of tumor; the multivariate analysis showed that age, literacy level and family relationship entered the regression equation. Conclusion The level of psychological resilience should be enhanced in elderly patients with breast cancer; and age,literacy level and family relationship are its influencing factors. Nursing staff should watch closely on the dynamic changes of elderly patients＇ psychological resilience level and take diversified measures to improve their psychological resilience.