直肠癌患者焦虑状况与生存质量和心理韧性的相关性研究

Study on the correlation between anxiety status and quality of life and mental toughness of patients with rectal cancer

目的探讨直肠癌患者焦虑状况与其生存质量和心理韧性的相关性。方法以本院2015年7月至2016年7月收治的78例直肠癌患者为研究对象。患者焦虑状况采用焦虑自评量表(SAS)进行测评。心理韧性采用心理弹性量表测定。生存质量评价采用生存质量调查问卷(QLQ-C30)进行测评,分析患者焦虑状况与其生存质量和心理韧性的相关性。结果所有患者中合并焦虑者为42例(53.84%)。直肠癌患者中女性、离婚或丧偶、文化程度较低、家庭经济较困难者容易合并焦虑(P<0.05)。女性患者、已婚、文化程度越高和家庭经济情况较好者其心理韧性更好(P<0.05)。已婚患者和家庭经济情况较好者其生存质量更好(P<0.05),不同性别和文化程度患者的生存质量差异无统计学意义(P>0.05)。直肠癌患者焦虑与心理韧性不同维度(自强、乐观、坚韧)、生存质量各维度(躯体功能、角色功能、情绪功能、认知功能、社会功能)均呈负相关(P<0.05)。逐步线性回归模型显示,家庭经济水平、婚姻状况、文化程度、心理韧性与生存质量影响直肠癌患者的焦虑程度。结论直肠癌患者焦虑程度与其生存质量和心理韧性程度存在负相关,应积极给予患者心理干预以改善焦虑和心理韧性,提高患者生存质量。

Objective To investigate the correlation between anxiety status andquality of life and mental tough- ness of patients with rectal cancer. Methods 78 cases of rectal cancer patients were collected in our hospital from July 2015 to July 2016 admitted to the study. Anxiety condition of the patients were evaluated by Self-Rating Anxiety Scale （ SAS ） . Mental toughness was measured byConnor^Davidson resilience scale （ CD--RISC ） . Quality of life assess- ment was using Quality of Life Questionnaire （QLQ-C30） for evaluation, correlation between anxiety status of patients with their quality of life and mental toughness were analyzed. Results There were 42 cases of patients combined with anxiety in all （ 53.84 % ） . Patients with rectal cancer in women, divorced or widowed, the lower the education level, the more family economic difficulties were getting easier to anxiety （ P 〈 0.05 ） . Patients with female, married, higher education level and better family economic situation were better in their mental toughness （P 〈 0.05 ）. Patients with mar- ried and better family economic situation were better in their quality of life （P〈0.05） . Gender differences and educa- tion level differences of patients were not statistically significant in quality of life （P 〉 0.05 ） . Levels of anxiety in rectal cancer patients had negative relations with mental toughness dimension （ self-reliance, optimism, tenacity ） and each dimension of quality of life （physical function, role function, emotional function, cognitive function, social function） （P〈 0.05 ） . Stepwise linear regression model showed that the family economic level, marital status, educational lev- el, mental toughness and quality of life of patients with rectal cancer affected the degree of anxiety mood. Conclusion The anxiety condition degree in patients with rectal cancer has negative correlation with their quality of life and mental toughness, and we should be actively administe psychological interventions to these patients to improve their anxiety and mental toughness, also to improve the quality of life of these patients.