老年终末期癌症患者生命质量及其与社会支持和心理韧性的关系

Study on the relationship between quality of life and social support and psychological resilience in elderly patients with end-stage cancer

目的:了解老年终末期癌症患者的生命质量及其与社会支持和心理韧性的关系,探讨社会支持和心理韧性对老年终末期癌症患者的影响机制。方法:以2017年1月到2018年1月在我病房的138例住院患者为研究对象。采用FACT-G中文版问卷对患者的生命质量进行测量;采用MSPSS问卷对患者的社会支持进行测量;采用RS-14问卷对患者的心理韧性进行测量。结果:年龄对老年终末期癌症患者的生命质量有显著影响,其中71岁以上年龄段患者的生命质量显著低于其他组别。社会支持(P <0. 01)和心理韧性(P<0. 01)与患者生命质量及其四个维度呈显著正相关,FACT-G总分与其四个维度间呈中低度相关,社会支持和心理韧性对生命质量有显著的正向影响。结论:医务工作者可以通过实施特定的社会心理干预,提高患者的外在社会支持和内在心理韧性,进而帮助老年终末期癌症患者保持良好的生存状态,减轻其痛苦,提高生命质量。

Objective:To understand the relationship between the quality of life of elderly patients with end-stage cancer and their relationship with social support and psychological resilience,and to explore the mechanisms of social support and psychological resilience affecting elderly patients with end-stage cancer.Methods:From January 2017 to January 2018,138 inpatients in my ward were the subjects of the study.FACT-G Chinese version questionnaire was used to measure the patient's quality of life.MSPSS questionnaire was used to measure the patient's social support.RS-14 questionnaire was used to measure the patient's mental toughness.Results:Age has a significant effect on the quality of life of elderly patients with end-stage cancer.Among them,the quality of life of patients older than 71 years of age was significantly lower than that of other groups.Social support(P<0.01)and psychological resilience(P<0.01)were positively correlated with patient's quality of life and its four dimensions.The overall score of FACT-G was related to its four dimensions.Social support and psychological resilience had a significant positive impact on quality of life.Conclusion:Medical workers can improve their external social support and internal psychological resilience through the implementation of specific social psychological interventions,thereby helping elderly patients with end-stage cancers to maintain a good state of survival,relieve their suffering,and improve their quality of life.