局部宫颈癌晚期患者预感性悲伤与心理控制源相关性研究

Association between Anticipatory Grief and Locus of Control in Patients with Locally Advanced Cervical Cancer

目的探讨局部宫颈癌晚期患者预感性悲伤与心理控制源的相关性。方法采用便利抽样法,选取局部宫颈癌晚期患者146例,采用一般资料调查表、晚期癌症患者预感性悲伤量表、多维度健康状况心理控制源进行调查,并分析预感性悲伤与心理控制源得分的相关性。结果本组患者预感性悲伤总分为(42.78±19.22)分,心理控制源3个维度得分为内控型(20.19±4.03)分、他控型(28.87±5.43)分、机遇控型(21.72±4.26)分。预感性悲伤总分和心理控制源内控型维度得分呈负相关(r=-0.425,P<0.05),和心理控制源他控型、机遇控型维度得分呈正相关(r=0.496、0.474,P<0.05)。结论局部宫颈癌晚期患者预感性悲伤水平较高,心理控制源倾向于外部控制;预感性悲伤与心理控制源密切相关。提示应根据患者心理控制源的特点,制定干预措施,以减轻预感性悲伤反应,促进患者身心康复。

Objective To discuss the association between anticipatory grief and locus of control in patients with locally advanced cervical cancer.Methods With convenient sampling,146 patients with locally advanced cervical cancer were investigated by using general information questionnaire,the anticipatory grief scale(AGC)and the multidimensional health locus of control(MHLC)scales,analysis of the correlation between anticipatory grief and locus of control.Results The total score of anticipatory grief was 42.78±19.22.The score of IHLC was 20.19±4.03,that of PHLC 28.87±5.43 and that of CHLC 21.72±4.26.The total score of anticipatory grief was negatively associated with the score of IHLC(r=-0.425,P<0.05)but positively with the score of PHLC and CHLC(r=0.496,0.474,P<0.05).Conclusion Patients with locally advanced cervical cancer present a relatively high level of anticipatory grief and they believe his or her health status is determined by the actions of others.There is close association between anticipatory grief and locus of control.It is suggested targeted measures according to the features of patients’locus of control should be adopted to ease anticipatory grief and promote patients’recovery.