大肠癌手术患者的希望水平与应对方式和生命质量的相关性

Relationship among the hope level, coping style and life quality in colorectal cancer patients with operation

目的了解大肠癌手术患者的希望水平,探讨希望水平与应对方式、生活质量的相关性,为临床护士制定护理措施提供理论依据。方法选取2013年5月至2015年12月在宁夏某所三甲医院各院区住院进行手术治疗的大肠癌患者132例为研究对象,选择Herth希望量表(HHI)、医学应对问卷(MCMQ)及癌症患者生命质量测定量表中文版对大肠癌手术患者进行问卷调查。用SPSS 17.0软件包进行统计学分析,计量资料两组间比较用t检验,多组间比较用方差分析,采用Pearson进行相关性分析。结果共回收有效问卷125份,大肠癌手术患者的希望水平总分为(34.84±2.82)分。不同经济状况和文化程度患者的希望水平总分差异均有统计学意义(F值分别为2.36和2.24,P<0.05),而不同性别、年龄、民族及是否造瘘的患者希望水平总分差异均无统计学意义(P>0.05)。希望水平总分与面对、屈服呈显著正相关(r值分别为0.419和0.386,P<0.01),而与回避呈负相关(r=-0.494,P<0.01)。希望水平总分及各维度得分均与总体生活质量总分呈正相关(r值分别为0.78、0.39、0.35和0.68,P<0.01)。结论大肠癌手术患者的希望水平总分处于中等水平,为提高术后患者的生活质量,护理人员应针对患者的各种症状困扰程度,采取以问题解决法为目的的认知行为干预。

Objective To study the relationship among the hope level, coping style and life quality in colorectal cancer patients with operation and to provide the scientific basis for intenvention measures. Methods The subjects were 132 colorectal cancer patients with operation selected in a top hospital of Ningxia from May of 2013 to December of 2015. The Chinese version questionnaires, including Herth hope index （HHI）, medical coping questionnaire （MCMQ） and cancer patients quality of life scale were used for the investigation. The t test and ANOVA were used to analyze the data, Pearson correlation analysis was utilized for correlation analysis, the used software was SPSS 17.0 software. Results The received effective questionnaires were 125 questionnaires, the total score of hope level of all subjects was 34.84±2.82, but the total scores of hope level in groups with different income levels and education levels were significantly different （P〈0.05）. There were no significant differences of total hope level score among groups with different age, gender and ethics. The total hope level score was correlated positively to confronting and submission （r values were 0.419 and 0.386, P〈0.01 ） and was correlated negatively to avoidance （r=-0.494, P〈0.01 ）. The total score of hope level and each dimension score were positively correlated to the total score of life quality （r values were 0.78, 0.39, 0.35 and 0.68, P〈0.01 ）. Conclusion The hope level in colorectal cancer patients with operation is at a medium level, the nurses should take the cognitive intervention measures for different levels of symptom distress to improve the life quality of patients.