摘要
目的 :探讨甲状腺乳头状癌患者疾病应对方式与生活质量的相关性。方法 :选取2012年5月至2014年12月在我院住院的甲状腺乳头状癌患者400例作为研究对象,对患者的一般资料、应对方式与生活质量进行问卷调查与相关性分析。结果:400例患者的各项得分如下,情感维度(17.10±4.66)分、躯体维度(19.54±5.44)分、社会/家庭维度(18.82±3.43)分、功能维度(14.77±5.62)分,生活质量总分为(70.18±13.49)分。面对总分为(44.48±5.86)分,其中面对维度得分为(19.55±3.83)分,回避维度得分为(16.33±2.79)分,屈服维度得分为(8.61±2.76)分。多元线性回归分析结果显示婚姻状况、居住地、肿瘤分期、应对方式是影响甲状腺乳头状癌生活质量的因素(P<0.05)。通过Pearson分析发现,在上述的多项得分中,在维度得分较高时,躯体和情感维度得分就会较低,与社会/家庭和功能维度得分呈正相关(P<0.05)。结论 :甲状腺乳头状癌患者疾病应对方式会影响患者的生活质量,患者的生活质量也会因为治疗方式而受到影响,积极的方式是面对,能提高患者的生活质量。
Objective： To investigate the correlation between coping style and quality of life in papillary thyroid carcinoma patients. Methods： Totally 400 papillary thyroid cancer patients in our hospital participated in the study from May 2012 to December, 2014. Questionnaires were used to collect the patient＇s general information. We also explored the coping style and quality of life and analyzed their correlations. Results： The total score for quality of life in 400 patients were 70.18±13.49 points including physical dimension, 19.54±5.44; social/family dimension, 18.82±3.43, affective dimension, 17.10±4.66; and functional dimension, 14.77±5.62. The total score for coping style were 44.48±5.86 points, namely, confrontation dimension, 19.55±3.83; avoidance dimension, 16.33±2.79; and surrender dimension, 8.61±2.76. Multiple linear regression analysis showed that marital status, place of residence, tumor stage, coping style were the independent risk factors influencing the quality of life for thyroid papillary carcinoma patients（P〈0.05）. Pearson correlation analysis showed that the confrontation dimension were negatively correlated with physical dimension, and were positively correlated with social/family and functional dimensions（P〈0.05）. Conclusion： Papillary thyroid carcinoma can affect the patients＇ coping style and quality of life, and positive coping style may improve the quality of life of the patients.
出处
《中国护理管理》
CSCD
2015年第9期1111-1113,共3页
Chinese Nursing Management
基金
海南省人民医院课题(琼卫2012 PT-15)
