不同分期鼻咽癌患者心理健康水平和生存质量的比较研究

A comparative study of mental health and quality of living of patient with nasopharyngeal carcinoma in different stages

目的对不同分期鼻咽癌(NPC)患者心理健康水平、生存质量的进行比较。方法采用生存质量量表(QLQ-C30)、症状自评量表(SCL-90)对110例确诊的NPC患者进行调查、统计和分析。结果不同分期NPC患者在总体生存质量、躯体功能、情绪功能、社会功能、疼痛、睡眠困难、食欲下降这7个因子评分差异有统计学意义(P<0.05)。NPC患者的躯体化、抑郁、焦虑、恐怖4个因子分均显著高于常模(P<0.05)。不同分期NPC患者在躯体化、抑郁、焦虑3个因子差异有统计学意义(P<0.05)。结论不同分期NPC患者心理健康水平、生存质量存在显著差异,需要有针对性地进行心理干预。

Objective To compare the mental health and quality of living of nasopharyngeal carcinoma （NPC） patients in different stages. Methods A total of 110 patients who were diagnosed as NPC patients were enrolled in our study. The mental health and quality of living of NPC patients in different stages were assessed with the survival quality scale（QLQ-C30）and self-rating scale （SCL-90） ,and the differences of score were analyzed by statistics analysis. Results There were significant differences in the score of 7 factors： total survival quality,physical function, emotional function, social function, pain, dyscoimesis and loss of appetite（P〈 0.05）. The score of four factor,somatisation,depression,anxiety and terror in NPC patients were significantly higher than that in common mode（P〈0.05）. There were significant differences in three factors, somatisation, depression and anxiety, in the patient with NPC in different stages（P〈0.05）. Conclusion There were significant differences in mental health,quality of living of NPC patient in different stages, thus, in the clinical care process, it is needed to do targeted psychological intervention for the patients with NPC in different stages.