某三级医院食管癌患者术后对疾病不确定感与社会支持和生活质量相关性分析

Correlation among postoperative uncertainty,social support,and quality of life in patients with esophageal cancer in a tertiary hospital

背景食管癌是常见恶性肿瘤之一,由于手术后易致患者饮食结构改变,导致生活质量下降.生活质量的降低在一定程度上影响患者社会心理情绪,社会支持程度是影响肿瘤患者生活质量诸多因素中重要因素之一.目的旨在探讨某三级医院食管癌患者术后对疾病不确定感与社会支持和生活质量相关性分析.方法选择2017-02/2019-09在浙江省义乌市中心医院收治的食管癌术后患者120例为研究对象,入院后对患者进行疾病不确定感,社会支持状况及生活质量量表进行调查分析.采用SPSS 23.0软件分析数据,术后生活质量与社会支持间的相关性采用多元回归分析.结果食管癌患者术后疾病不确定感得分68-126分,平均102.65分±8.76分;其4个维度中不明确性维度评分为3.56分±0.46分,复杂性评分为2.87分±0.52分,预后的不可预测性3.12分±0.35分,信息缺乏评分为3.62分±0.34分.食管癌患者术后术后社会支持评分为41.87分±8.96分,明显高于常模评分33.75分±4.12分,二者比较差异有统计学意义(P<0.05).食管癌患者术后生活质量中的躯体功能,角色功能以及整体健康与社会支持呈正相关(r=0.724,0.602,0.654);躯体功能和整体健康与主观支持呈正相关(r=0.712,0.625);躯体功能与客观支持呈正相关(r=0.528);角色功能和整体健康与对支持利用呈正相关(r=0.538,0.526).结论食管癌患者术后生活质量的整体健康与社会支持的3个维度呈正相关,可见社会支持对患者的生活质量具有重要作用.

BACKGROUND Esophageal cancer is one of the most common malignant tumors.It is easy to cause patients to change their dietary structure after surgery,which leads to decreased quality of life.The decrease of quality of life affects the patients’psychosocial mood to some extent,and the degree of social support is one of the important factors affecting the quality of life of cancer patients.AIM To investigate the correlation among the feeling of disease uncertainty,social support,and quality of life in patients with esophageal cancer after operation in a tertiary hospital.METHODS A total of 120 patients admitted to Yiwu Central Hospital of Zhejiang Province from February 2017 to September 2019 after esophageal cancer surgery were selected as study subjects.After admission,the patients were investigated and analyzed using the scales of disease uncertainty,social support status,and quality of life.SPSS 23.0 software was used to analyze the data,and the correlation between postoperative quality of life and social support was analyzed by multiple regression.RESULTS The disease uncertainty scores of patients with esophageal cancer were 68-126(102.65±8.76).Among the four dimensions,the score of uncertainty dimension was 3.56±0.46,the complexity score was 2.87±0.52,the score of unpredictability of prognosis was 3.12±0.35,and the score of lack of information was 3.62±0.34.The postoperative social support score of patients with esophageal cancer was 41.87±8.96,which was significantly higher than the norm score(33.75±4.12;P<0.05).The scores of body function,role function,and overall health dimensions of the postoperative quality of life scale in patients with esophageal cancer were positively correlated with social support(r=0.724,0.602,and 0.654,respectively).Physical function and overall health were positively correlated with subjective support(r=0.712,0.625).Body function was positively correlated with objective support(r=0.528).Role function and overall health were positively correlated with paired support utilization(r=0.538,0.526).CONCLUSION The overall postoperative quality of life of patients with esophageal cancer is positively correlated with three dimensions of social support,indicating that social support plays an important role in patients’quality of life.