希望特质与头颈癌患者症状体验的相关性研究

Correlation between Hope Trait and Symptom Experience in Patients with Head and Neck Cancer

目的探讨希望特质与头颈癌患者症状严重程度及其对生活干扰程度的相关性,从全新的视角对该群体症状体验的管理以及干预提出建议。方法采用方便抽样法选取2016年1月至2018年1月在山东省某综合性三级甲等医院耳鼻咽喉科病房及门诊治疗的203例头颈癌患者为研究对象,采用一般情况调查表、安德森症状调查表(头颈)(M.D.Anderson symptom inventory-head&neck,MDASI-H&N)、Herth希望特质量表(Herth hope index,HHI)对其进行调查。结果 203例头颈癌患者的希望特质与症状严重程度(r=0.769,P<0.001)及其对生活的干扰程度(r=0.708,P<0.001)呈负相关,希望特质对患者症状严重程度的解释量为18.5%,对生活干扰程度的解释量为21.4%。结论关注头颈癌患者的希望特质可能是改善其症状体验的一个有效途径。

Objective To analyze the correlation among hope trait,the severity of symptoms and the interference of symptoms to life among patients with head and neck cancer,and then to provide a new idea for the interventions and management of symptoms.Methods By convenience sampling method,203 patients with head and neck cancer who were treated in the otolaryngology ward and outpatient department of a general tertiary hospital in Shandong Province from January 2016 to January 2018 were selected as the research objects.The general situation questionnaire,M.D.Anderson symptom inventory-head&neck and Herth hope index were used for investigation.Results There was a negative correlation between hope trait and symptom severity(r=-0.769,P<0.001) and life disturbance(r=-0.708,P<0.001) in 203 patients with head and neck cancer. The explanation of the hope trait to the severity of symptoms of head and neck cancer was 18.5%;and the explanation of hope trait to the interference of symptoms to life was 21.4%.Conclusions It may be an effective way to improve the symptom experience in patients with head and neck cancer by paying attention to their hope trait.