癌症患者述情障碍现状及影响因素分析

Alexithymia of Cancer Patients and Its Influencing Factors

目的了解癌症患者述情障碍现状,分析其影响因素。方法采用方便抽样法选取山东省泰安市某2所三级甲等医院肿瘤科共376例癌症患者作为研究对象,采用一般资料调查表、述情障碍量表、中文版癌症自我管理效能感量表和社会支持评定量表进行调查。结果 376例癌症患者的述情障碍总分为(57.30±6.26)分,自我管理效能感总分为(82.93±14.96)分;社会支持总分为(41.76±5.63)分。癌症患者的述情障碍与自我管理效能感和社会支持存在负相关(r=-0.710,-0.438,P<0.01);多元逐步回归分析显示:居住地、文化程度、工作状况、医疗付费方式、自我管理效能感、正性态度、自我决策、客观支持是癌症患者述情障碍的主要影响因素(P<0.05)。结论癌症患者述情障碍处于中等程度,自我管理效能感和社会支持水平均较低,医护人员需高度重视癌症患者的述情障碍状况,了解癌症患者述情障碍的突出问题,重点关注经济状况较差、自我管理效能感较低以及缺乏关爱与支持的患者。

Objective To understand the alexithymia level of cancer patients and to analyze its influencing factors. Methods With convenient sampling, totally 376 patients with cancer in two third-level first-class hospitals in Tai ’an city of Shandong were investigated by general information questionnaire, Toronto Alexithymia Scale （TAS）, Chinese Strategies Used by People to Promote Health （SUPPH）, Social Support Rating Scale （SSRS）. ResuIts The total score of alexithymia, self-care self-efficacy and social support of cancer patients was 57.30 ±6.26, 82.93 ±14.96 and 41.76 ±5.63 respectively. There were negative correlations between alexithymia of cancer patients and self-care self-efficacy, social support （r=-0.710, -0.438, P〈0.01）; Multiple stepwise regression showed that residence, educational background, employed or not, medical payment method, self-care self-efficacy, positive attitude, self-decision and objective support were the main influencing factors of alexithymia of cancer patients （P〈0.05）. ConcIusion Cancer patients present moderate level of alexithymia while with lower level of self-care self-efficacy and social support. Medical staff should think highly of the status and prominent problem of alexithymia in cancer patients. Great importance should be attached to those with the poor economic conditions, poor self-care self-efficacy and lack of care and support.