乳腺癌术后化疗患者述情障碍与社会关系质量、生活质量的相关性分析

Relationships among current alexithymia, social relational quality and quality of life in breast cancer patients after chemotherapy

目的 调查乳腺癌术后化疗患者述情障碍、社会关系质量、生活质量的现状,分析三者之间的相关性.方法 采用便利抽样法选取2015年4月—2016年9月在温州医科大学附属第二医院接受一个疗程化疗的乳腺癌术后患者151例, 用自行设计的一般资料调查问卷、多伦多述情障碍量表、社会关系质量量表、乳腺癌患者生活质量测定量表（FACT-B）对患者进行调查.用Pearson相关分析法对述情障碍、社会关系质量和生活质量进行统计分析.结果 乳腺癌术后化疗患者的述情障碍得分为（59.11± 15.75）分,处于中重度水平;社会关系质量总分为（53.45±5.13）分,生活质量总分为（93.84±15.17）分.相关性分析发现,乳腺癌术后化疗患者述情障碍与社会关系质量、生活质量均呈负相关（r值分别为-0.441、-0.597;P〈0.05）.结论 乳腺癌术后化疗患者术后述情障碍较为严重,护理人员可以在开展病友联谊等活动,给予患者抒发情感机会,鼓励患者积极地面对困难与挑战,更多地与他人进行交流,获得社会支持,同时鼓励家属参与到患者康复护理中,给予支持从而提高生活质量.

Objective To investigate the relationships among current alexithymia, social relational quality and quality of life in breast cancer patients receiving chemotherapy. Methods By convenient sampling method, from April 2015 to September 2016, totally 151 patients were invited to complete demographic questionnaire, Toronto alexithymia scale, social relational quality scale and functional assessment of cancer therapy-breast. The Pearson correlation method was used to analyze the relationship among current alexithymia, social relational quality and quality of life. Results All of the patients got the average score （59.11±15.75） on Toronto alexithymia scale, which was moderate level. The total scores of social relational quality and life quality were （53.45±5.13） and （93.84±15.17）. There was a negative relationship between alexithymia with social relational quality （r=-0.441） and quality of life （r=-0.597） （P〈0.05）. Conclusions Breast cancer patients has serious alexithymia after the operation. Nurses can carry out activities which gives patients more opportunities to express emotion, encourage patients to face difficulties and challenges, communicate with others actively, and get more support from others and encourage family members participate in the patient care process to reduce alexithymia and improve quality of life.