老年喉癌术后患者生存质量与社会支持及其主要照顾者应对方式的相关性研究

A study on correlation between postoperative survival quality with social support and coping style of main caregivers in elderly patients with laryngeal carcinoma surgery

目的探讨老年喉癌术后患者的生存质量与其社会支持、主要照顾者应对方式之间的关系,为提高老年喉癌术后患者的生存质量提供依据。方法采用华盛顿医科大学生存质量量表(UW-QOL)、应对方式量表(CSQ)及社会支持量表(SSRS),对住院的老年喉癌术后的患者及其主要照顾者各60例进行问卷调查,用Pearson相关分析等统计学方法进行处理。结果老年喉癌术后患者的生存质量普遍较低,社会支持处于中等水平,主要照顾者较多采用解决问题和求助的应对方式。患者的生存质量与社会支持呈显著正相关(P<0.05),与照顾者解决问题、求助应对呈显著正相关(P<0.05),与照顾者的自责、退避应对呈显著负相关(P<0.05)。结论提高老年喉癌患者的社会支持水平,照顾者采取积极地应对方式面对疾病,对患者的生存质量提高具有重要意义。

Objective To investigate the relationship between postoperative survival quality with social support and coping style of the main caregivers in the elderly patients with laryngeal carcinoma surgery. Methods A total of 60 inpatients with laryn- geal carcinoma surgery and their main caregivers were investigated by the Medical University of Washington Quality of Life Scale （UW-QOL） ,Coping Styles Questionnaire（CSQ） and Social Support Rating Scale（SSRS）. And the obtained data were statistically analyzed by adopting the statistical methods such as Pearsons correlation analysis. Results The postoperative survival quality of the elderly patients with laryngeal carcinoma surgery was generally lower. The social support was in the medium level. The main care- givers adopted more coping style of solving problem and seeking help. The patientsr survival quality showed significantly positive correlation with the social suPport（P〈0. 05） ,significantly positive correlation with the main caregiversr solving problems and seeking help coping style（P〈0.05）,and significantly negative correlation with the main caregivers＇ self-accusation and withdraw and keep off coping sty[e（P〈0.05）. Conclusion Increasing the social support level and the main caregivers taking a positive the coping style to face the disease have an important significance for improving the quality of life in elderly patients with laryngeal carcinoma.