心理控制源、心理痛苦及心身状态对肺癌患者化疗消化道症状影响的路径分析

A path analysis of impacts of psychological control source,psychological distress and psychosomatic status on the gastrointestinal symptoms of lung cancer patients undergoing chemotherapy

目的探讨心理控制源、心理痛苦及心身状态对肺癌患者化疗消化道症状的影响,并分析其影响路径。方法采用横断面调查方法,应用多维度健康状况心理控制源量表、心理痛苦管理筛查工具、癌症心身状态量表、化疗消化道症状量表对某三甲医院136例化疗期肺癌患者进行问卷调查。结果肺癌患者化疗消化道症状发生维度得分为(11.32±6.89)分,症状影响维度得分为(5.07±2.26)分;心理控制源及心理痛苦对症状发生既有直接影响又有间接影响,而心身状态仅有直接影响;心理痛苦及心身状态对症状影响既有直接效应又有间接效应,而症状发生对其仅有直接效应。结论心理控制源、心理痛苦及心身状态是肺癌患者化疗消化道症状的重要影响因素,临床医护人员在其化疗期间应重点关注并及时干预。

Objective To investigate the impacts of psychological control source,psychological distress and psychosomatic status on the gastrointestinal symptoms of lung cancer patients undergoing chemotherapy and to analyze the influence path.Methods A total of 136 lung cancer patients undergoing chemotherapy in a teriary hospital were recruited by cross-sectional survey method and were investigated using the multidimensional health locus of control scale,the distress management screening measure,Psychosomatic status scale for cancer patients and chemotherapyrelated gastrointestinal symptoms inventory.Results The score of symptoms occurrence dimension of lung cancer patients undergoing chemotherapy was(11.32±6.89)and the score of symptoms influence dimension was(5.07±2.26);the psychological control source and psychological distress have both direct and indirect effects on the symptoms occurrence,but psychosomatic status has only a direct impact;the effects of psychological distress and psychosomatic status on symptoms influence were both direct and indirect,while the symptoms occurrence was only a direct effect.Conclusions Psychological control source,psychological distress and psychosomatic status are important factors affecting gastrointestinal symptoms of lung cancer patients undergoing chemotherapy.Clinical medical staff should pay close attentions to and intervene timely in the meantime.