口腔癌术后患者生命意义感的现状及其影响因素

Status and influencing factors of the sense of life meaning in patients after oral cancer surgery

目的:调查口腔癌术后患者的生命意义感现状,并分析其影响因素。方法:采用患者一般情况调查表、癌症患者生命意义感量表、焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)和社会支持评定量表(Social Support R ating Scale,SSR S)对142例口腔癌术后患者进行调查。结果:口腔癌术后患者的生命意义感量表得分为51.68±19.98,处于较差水平;多元线性回归分析显示人均月收入水平、术后时间、SAS、SDS和SSRS均为生命意义感的影响因素,共可解释84.2%的变异量。结论:口腔癌患者术后的生命意义感水平较差,临床医护人员应重点关注低收入及术后时间较长的患者,并注意评估患者的心理状态变化及加强社会支持,以提升其生命意义感。

Objective： To investigate the status of the sense of meaning of life in patients with oral cancer and to analyze the influencing factors. Methods： A total of 142 patients with oral cancer after operation were investigated by questionnaire of general condition, the patient＇s sense of life scale, Self-rating Anxiety Scale（SAS）, Self-rating Depression Scale（SDS） and Social Support Rating Scale（SSRS）. Results： The score of the sense of life meaning scale of the patients after oral cancer was 51.68±19.98 and was at a poor level. Multiple linear regression analysis showed that the average monthly income level, postoperative time, SAS, SDS and SSRS were all influencing factors of life meaning, which could explain 84.2% of variance. Conclusion： The level of life meaning of patients with oral cancer is poor. Medical staff should focus on patients with low income and longer postoperative time, and pay attention to evaluate their psychological status and enhance social support, so as to enhance their sense of life.